Senior Specialist, Payer Operations

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, William K Warren Foundation, 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.

The Payer Operations Specialist will report to the Senior Program Manager of Payer Operations. This role involves developing an expert-level understanding of our Payer partners’ billing, payment, and cross-functional operations and compliance requirements. The primary responsibilities will be to support new payer launches, expand existing payer customer businesses, and monitor ongoing payer operation processes. To achieve this, the Payer Operations Specialist will collaborate with a wide range of stakeholders to quickly learn and navigate business, legal, analytical, product, and operational requirements. This is a full-time remote position with occasional travel for team meetings. 

Ideal Candidate:

We are seeking a candidate with experience as an analyst in the finance or healthcare sector seeking a transition into a strategic operational role.

What you’ll be doing: 

• Data Analytics
• Analyze clinical, operational, and financial data to monitor payer operations' health and performance.
• Identify root causes of clinical, operational, and financial issues and risks.
• Provide visibility into strategic opportunities for payer operations.
• Monitor and report on process performance, quantifying efficiency gains and identifying areas for further improvement.
• Project Management & Implementation
• Identify implementation requirements, risks, and milestones
• Ensure project deliverables remain on track; escalate, and identify potential risks 
• Keep internal and external business stakeholders informed and engaged
• Define clear project deliverables and criteria for success to meet project launch timelines
• Documentation
• Document Payer Operations requirements, workflows, and SOP to ensure clarity, consistency, and regulatory compliance
• Develop and maintain a robust internal knowledge base for Payer Operations and cross-functional partners, proactively updating documentation as needed
• Coordinate with cross functional leaders to review documentation and align workflows

What success looks like in this role:

• Managing tasks leveraging data analytics, projectment management, and documentation skill sets to ensure our health plan DSO metrics are optimal
• Managing tasks leveraging data analytics, projectment management, and documentation skill sets to remove any barriers to care to maximize the total number of therapy appointments completed by health plan members

What we expect from you: 

• Bachelor's degree in Business, Finance, Healthcare Administration, Operations Management, or related field
• 3+ years of experience in process engineering, analytics, and healthcare operations 
• Strong understanding of industry standards and regulatory requirements
• Excellent project management and problem-solving skills
• Exceptional technical writing skill with the ability to translate complex