Job Highlights
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The Payer Operations Specialist at Spring Health will manage and support payer partners to ensure smooth operational performance. This role involves collecting and analyzing data to assess payer performance, monitoring key performance indicators, and collaborating with internal teams to optimize workflows and drive improvements across revenue operations.
Payer Operations Specialist
Posted 3 days ago
Full-Time
Employment Type
Remote
Work Location
About This Role
Our Mission: To Eliminate Every Barrier To Mental Health.
At Spring Health, we’re on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology,
Precision Mental Healthcare
, empowers us to deliver the right care at the right time—whether it’s therapy, coaching, medication, or beyond—tailored to each individual’s needs.
We proudly partner with over 450 companies, from startups to multinational Fortune 500 corporations, as a leading provider of mental health service, providing care for 10 million people. Our clients include brands you use and know like Microsoft, Target, and Delta Airlines, all of whom trust us to deliver best-in-class outcomes for their employees globally. With our innovative platform, we’ve been able to generate a
net positive ROI
for employers and we are the only company in our category to earn
external validation
of net savings for customers.
We have raised capital from prominent investors including Generation Investment, Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership and our latest Series E Funding, our current valuation has reached $3.3 billion. We’re just getting started—join us on our journey to make mental healthcare accessible to everyone, everywhere.
Reporting to the
Senior Manager, Payer Operations
, the
Payer Operations Specialist
will manage and support payer partners to ensure smooth operational performance. This full time,
remote
role is part of the
Payer Operations
team and plays a critical role in enabling clean claims, optimizing payer workflows, and driving scalable improvements across revenue operations.
What You’ll Be Doing
Collect, analyze, and interpret clinical, operational, and financial data to assess payer performance and trends.
Monitor KPIs such as DSO, denial volume, and claim routing accuracy, flagging anomalies or discrepancies to the broader team.
Assist with the creation and maintenance of automated and self-refreshing KPI dashboards.
Support audit preparation and reconciliation efforts by pulling reports and validating data sets.
Collaborate with IC3+ team members on new integrations, payer escalations, or special projects through research, timeline tracking, and administrative setup.
Coordinate project milestones, risks, and deliverables, surfacing issues when timelines or inputs are at risk.
Facilitate information flow and handoffs across internal teams including Billing, RCM, Product, and Legal.
Maintain SOPs, payer playbooks, internal how-to guides, and reference materials.
Standardize and centralize payer account information (e.g., routing rules, modifier requirements, prior auth logic).
Document meeting notes, decisions, and follow-ups to ensure accountability and next steps.
Execute recurring workflows that support clean claims, reduced DSO, and payer performance health.
Translate front-line payer knowledge into scalable process improvements.
What Success Looks Like
Clean, timely claim submissions across assigned payer accounts
DSO reduction and denial volume trending downward quarter-over-quarter
KPI dashboards updated weekly with high data accuracy
SOPs and payer documentation maintained and up to date across all assigned accounts
Cross-functional teams aligned on launch readiness and ongoing workflows
What You’ll Bring
1–3 years of experience in healthcare operations, revenue cycle, payer integrations, or data analysis
Strong analytical skills with working knowledge of Excel/Google Sheets
Excellent attention to detail, organizational skills, and follow-through
A systems thinker who’s eager to learn, contribute, and grow within a fast-paced environment
Strong written communication skills for internal documentation and reporting
Nice To Have
Experience Using Bi Tools Such As Looker Or Tableau
Familiarity with payer setup workflows or integration processes
Exposure to healthcare claims systems or revenue operations tools
The target base salary range for this position is
$32.05 - 39.62 per hour
and is part of a competitive total rewards package including stock options and benefits. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually using
Radford Global Compensation Database
at minimum to ensure competitive and fair pay.
Benefits Provided By Spring Health
Note
: We have even more benefits than listed
here
and below, your recruiter will provide more in-depth information as you continue in the interview process. Benefits are subject to individual plan requirements and eligibility criteria.
Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to
One Medical
accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type.
Employer sponsored 401(k) match of up to 2% for retirement planning
A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents.
We offer competitive paid time off policies including vacation, sick leave and company holidays.
At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents.
Access to
Noom
,
a weight management program—based in psychology, that’s tailored to your unique needs and goals.
Access to fertility care support through
Carrot
, in addition to $4,000 reimbursement for related fertility expenses.
Access to
Wellhub
, which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
Access to
BrightHorizons
, which provides sponsored child care, back-up care, and elder care
Up to $1,000 Professional Development Reimbursement a year.
$200 per year donation matching to support your favorite causes.
Not sure if you meet every requirement?
Research shows
that women and people from historically underrepresented communities often hesitate to apply for roles unless they meet every qualification compared to other similarly-qualified candidates. At Spring Health, we are committed to fostering a workplace where everyone feels valued, empowered, and supported to
Thrive
. If this role excites you, we encourage you to apply.
Ready to do the most impactful work of your life? Learn more about our values, what it’s like to work here, and how hypergrowth meets impact at Spring Health:
Our Values
Our Privacy Policy
https://springhealth.com/privacy-policy/
Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, pregnancy, or other applicable legally protected characteristic. We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements. Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know.
Ready to Apply?
Click the button below to submit your application directly to SpringHealth. Make sure your resume is up to date and highlights relevant experience for this role.
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