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Program Manager, Payer Operations (Alma)

Spring Health - Remote - Remote - posted 2026-08-07

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Alma, a Spring Health Company, is seeking a Program Manager to join the Payer Success team within Operations. You will serve as the central quarterback for payer partnerships in steady-state operations, holding the full picture across the end-to-end Revenue Cycle Management (RCM) lifecycle—from credentialing and rostering to claims adjudication and customer experience. In this role, you will track open payer issues end-to-end, ensuring clear ownership, visibility, and accountability across cross-functional teams until resolution. You won't be expected to solve every issue yourself, but you will be the one ensuring nothing falls through the cracks. You'll work closely across all teams at Alma, particularly within Operations and Business Development, to turn operational insights into action and improve outcomes across the payer portfolio. Key responsibilities include: - Track and manage open payer issues with clear ownership and accountability across teams - Drive measurable business outcomes by improving RCM efficiency and effectiveness, ultimately increasing revenue performance and provider/client experience - Partner with internal operations teams to connect stakeholders, surface interdependencies, and move issues to resolution - Serve as the primary operational point of contact for Business Development, triaging and coordinating new requirements and escalations across assigned payers - Partner with the Business Development team on payer calls to drive RCM discussions and align stakeholders - Proactively monitor for new payer requirements and evolving payer mergers, mobilizing internal teams to implement changes - Track and report on RCM performance by payer, surfacing trends and flagging risks Success is measured by portfolio RCM performance improvements including denial rate reduction, improved reimbursement, and reduced accounts receivable days. This is a full-time, fully remote position with occasional travel for team or company events.

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