As Manager, Payer Integrations, you will oversee Spring Health’s payer integration portfolio—owning performance for the CSN book of business, leading a growing team of Payer Integration Managers, and driving high-quality, on-time integrations with health plans and TPAs. You’ll build cross-functional processes that accelerate implementations, reduce DSO, and increase clean-claim rates while acting as a trusted partner to internal teams and external payer contacts. This is a full-time, remote position reporting to the Director, Payer Revenue Programs.
Own a portfolio of payer integrations, driving clean claims, faster payments, and improved accuracy across systems. Set and achieve key metrics including clean-claim rate, denial reductions, DSO, and launch timelines. Lead and grow a team of Payer Integration Managers, fostering clarity, development, and accountability. Prioritize and resource a high-impact pipeline of integrations and escalations based on business risk and revenue. Manage end-to-end payer launches—requirements, testing, and workflows across EDI, benefits, portals, and more. Identify and resolve barriers in claims logic, provider data, and configuration to ensure seamless adjudication. Partner across Billing, Benefits, Legal, and more to create repeatable playbooks and system-wide solutions. Build and evolve a payer KPI dashboard to monitor and optimize performance. Represent Spring Health with payers, building strong relationships and aligning on implementation and operations. Drive automation, tooling, and process improvements to reduce manual work and accelerate cycle time. Lead special projects as needed, translating learnings into scalable, evergreen practices.