Payer Operations Specialist

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