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[Remote] Senior Program Manager, Payer Operations (Alma)
Note: The job is a remote job and is open to candidates in USA. Alma, a Spring Health company, is hiring a Senior Program Manager for its Payer Success team within Operations. The role coordinates payer partnerships across the revenue cycle management lifecycle, tracks issues through resolution, and drives operational improvements across payer relationships.
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, with the ultimate goal of increasing revenue performance and delivering a better experience for Alma providers and their clients
- Partner closely with internal operations teams to connect the dots across stakeholders, subteams, and workflows - surfacing interdependencies and ensuring issues move to resolution rather than stall
- Serve as the primary operational point of contact for BD counterparts, triaging and coordinating new requirements surfaced by the payer and claims, roster, complaints, and escalation issues across assigned payers
- Partner with the Business Development Team on payer calls to drive RCM discussions, align stakeholders, and move issues to resolution
- Proactively monitor for new payer requirements and evolving payer mergers, and mobilize the right 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
Skills
- Experienced in healthcare operations - you understand how insurance claims and payer relationships actually work
- A strong cross-functional collaborator who can align people across teams without direct authority
- Highly organized with a track record of managing complex, multi-stakeholder projects from kickoff through launch
- Comfortable in ambiguity - you can proactively identify what needs to happen next without waiting to be told
- A clear communicator who can distill operational complexity for both internal partners and external payer contacts
- Detail-oriented and data-driven, with the ability to monitor performance metrics and translate them into action
Benefits
- 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.
- Competitive paid time off policies including vacation, sick leave and company holidays.
- At 6 months tenure with Spring, 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.
- This is a full time, fully remote position on our team.
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