Payer Implementation Specialist

The Payer Implementation Specialist will be responsible for managing Spring Health integrations and solutions with Health Plans and TPAs nationally. This position serves as the liaison between Payer accounts and Spring Health and is the point of contact for implementation, questions and issues related to the integration. The ideal candidate will possess a deep understanding of healthcare payer processes, regulatory requirements, and the ability to collaborate across departments for effective execution and management. The Payer Implementation Specialist will report to the Director of Payer Revenue Programs.

What you'll be doing:

• Responsible for the implementation and ongoing management of Payer integrations.
• Lead kickoff to launch implementation projects for new and expanding integrations, ensuring timely and accurate execution.
• Leverage payer expertise to analyze and interpret policies and procedures to guide implementation strategies.
• Conduct thorough testing and quality assurance to validate the functionality and integrity of the integration.
• Serve as the liaison between the Customer, Spring Health and the Payer to facilitate successful integrations by ensuring claims are being accurately received and processed, and reconcile discrepancies that may arise.
• Collaborate with the Sales and Customer Success teams to ensure a seamless implementation and relationship management of a contract.
• Develop strong cross-functional relationships with Billing and Benefits, Care Teams, Quality and Compliance teams to ensure access and cost transparency for members.
• Build clear, repeatable processes that will set the team up for success at scale.
  

What we expect from you:

• Proven experience in Payer Implementation or payer relations with a strong understanding of healthcare reimbursement processes
• Excellent project management skills with a track record of successful, on-time implementations and payer relationship development
• Effective communication managing internal and external stakeholder relationships with accountability and collaboration
• Proactive approach to problem-solving and continuous improvement

The target salary range for this position is $75,000 - $92,700, and is part of a competitive total rewards package including stock options, benefits, and incentive pay for eligible roles. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually at minimum to ensure competitive and fair pay.

Don't meet every requirement? Studies have shown that women, communities of color and historically underrepresented talent are less likely to apply to jobs unless they meet every single qualification. At Spring Health we are dedicatedto building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we strongly encourage you to apply. You may be just the right candidate for this or other roles!

Ready to do the most impactful work of your life? Learn more about our values, how we work, and how hypergrowth meets impact at Spring Health:Our Values

What to expect working here:

• You will be held accountable to an exceptionally high bar and impact
• This may be the fastest work environment you will ever experience in terms of growth, decision-making, and time to impact
• You will be empowered to set your own boundaries and asked to adapt them in critical moments when the company needs you
• You will create processes & products that have never existed before
• You will have very direct conversations and receive continuous feedback to push you to become the most thriving team member and performer you can be
• Change is a constant here: your role, team, responsibilities, and success metrics will shift as the company grows

And…

• You get to be surrounded by some of the brightest minds in the field
• You get to learn and grow at an extremely accelerated pace
• You will experience transparency, integrity, & humility from leadership
• You will be empowered to constantly challenge the status quo
• You get the space to experiment & innovate
• You get to make a transformational impact for the company, mental health, and for real human lives — and you will see that impact quickly
• You will become more resourceful and resilient
• You get to be part of a winning team that opens doors in the future

Your Total Health:

• Health, Dental, Vision benefits start on your first day at Spring Health. You and your dependents also receive an individual One Medicalaccount which is valued at $199/year per user. HSA and FSA plans available
• Numerous yearly no-cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
• 10 allocated sick days per year
• Flexible paid time off in addition to 12 paid holidays throughout the year
• Access to Gympass, an on-demand virtual benefit that provides wellbeing coaching, and budget management.
• Sabbatical Leave: When you're a Team Member at Spring Health and hit your four-year Springaversary, you'll be awarded afourweek, fullypaid, sabbatical leave.

You And Your family:

• 4-4.5 months of fully paid parental leave
• Spring Health provides team members and their families with sponsored access to Bright Horizons® child care, back-up care, and elder care.
• Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses

Supporting you financially through:

• Our People team benchmarks all salaries using theRadford Global Compensation Databasefor technology and life sciences industries. Radford benchmarks salaries with 3,589 global firms, 6.5 million employees, and 98 countries across the globe. We do this to ensure all of our team members are paid equally and competitively.
• On top of competitive and benchmarked salary, Spring Health offers incentive pay (based on role), and equity that begins vesting as we celebrate your first year with the company!
• Employer sponsored 401(k) match of up to 2% after 90 days of employment

Creating a culture you can thrive in:

• Flexible work arrangements: 66% of Spring Health team members work fully remote while 33% work in a hybrid model from our New York City offices
• Focus Fridays: no meetings, no distractions, just time for you to get work done.
• Focus Weeks: In Spring 2023, we held our first ever Focus Week, we canceled all non-essential meetings, minimized distractions, and you, our team members, to dive into the key work that gets chopped up or deprioritized during the regular day-to-day. We saw a 36% jump in the average energized score after those five days of flow state work and are finalizing a plan for quarterly Focus Weeks for team members.
• Up to $1,000 Professional Development Reimbursement per calendar year.
• $200 per year donation matching to support your favorite causes