Program Manager, Payer Operations (Alma)

Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. We're building a world where getting support is simple, personal, and built around the person, so care can continue through every job, move, health plan, and life stage. Our AI-native platform delivers personalized support across self-guided tools, coaching, therapy, medication management, and specialty care, with outcomes independently validated by JAMA Network Open and the Validation Institute.

Alma, a Spring Health Company, simplifies access to high-quality, affordable mental health care by making it easy and financially rewarding for therapists to accept insurance and offer in-network care. Alma provides therapists with tools to run and grow their business sustainably and is available in all 50 states with over 20,000 therapists in the network.

About the role

Alma is looking for a Program Manager to join the Payer Success team within Operations. In this role, you will act as the central coordinator for payer partnerships in steady-state operations, overseeing the end-to-end revenue cycle management (RCM) lifecycle—from credentialing and rostering to claims adjudication and customer experience. You will ensure issues are tracked, experts are mobilized, and accountability is maintained across teams until problems are resolved.

This is a full-time, fully remote position. Occasional travel may be required for team or company events.

Responsibilities

• Track open payer issues end-to-end, ensuring clear ownership, visibility, and accountability across cross-functional teams until resolution.
• Drive measurable business outcomes by improving RCM efficiency and effectiveness, increasing revenue performance, and enhancing the experience for Alma providers and their clients.
• Partner closely with internal operations teams to connect stakeholders, surface interdependencies, and ensure issues move to resolution.
• Serve as the primary operational point of contact for Business Development counterparts, triaging and coordinating new requirements from payers, including claims, roster, complaints, and escalation issues.
• Partner with the Business Development Team on payer calls to drive RCM discussions, align stakeholders, and resolve issues.
• Proactively monitor for new payer requirements and evolving payer mergers, mobilizing internal teams to implement changes before they become problems.
• Track and report on RCM performance by payer, surfacing trends, flagging risks, and ensuring the right teams are engaged to drive improvement.

What Success Looks Like

• Portfolio RCM performance improvement (e.g., denial rate, reimbursement, AR days).
• Portfolio payers meeting performance goals.
• On-time completion of payer initiatives and projects.
• Completion and maintenance of payer health assessments and business reviews.
• Stakeholder satisfaction (internal and payer partners).

Requirements

• Experience in healthcare operations with a strong understanding of insurance claims and payer relationships.
• Ability to collaborate cross-functionally and align teams without direct authority.
• Proven track record of managing complex, multi-stakeholder projects from kickoff through launch.
• Comfortable operating in ambiguity and proactively identifying next steps.
• Clear communication skills to distill operational complexity for internal and external stakeholders.
• Detail-oriented and data-driven, with the ability to monitor performance metrics and translate them into action.

Benefits

• Remote-first company.
• Health insurance plans through Aetna (medical and dental) and MetLife (vision), including FSA and HSA plans.
• 401K plan (ADP).
• Lifestyle Spending Account for health, wellness, and family care.
• Monthly co-working space membership stipend.
• Monthly work-from-home stipend.
• Financial wellness benefits through Northstar.
• Pet discount program through United Pet Care.
• Financial perks and rewards through PerkSpot.
• EAP access through Aetna.
• One-time home office stipend.
• Inclusive family and medical leave plans.
• 12 paid holidays and 1 Alma Give Back Day.
• Flexible PTO.

Pay

The target base salary range for this position is $97,000 - $113,500.