Lead Product Manager, Claims and Eligibility at Springhealth66

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, 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. Reporting to the Senior Director of Product Management, the Lead Product Manager, Claims and Insurance Eligibility will own the development of systems and experiences that support eligibility verification, claims generation, and reimbursement. This role is part of the Care Foundations Product team and is critical to scaling our healthcare infrastructure and optimizing financial outcomes for members, Providers, and Spring. Please note that this is a hybrid role based in New York City, with an expectation to be in office 2-3 days a week. Our office is located at 60 Madison Avenue. What you’ll do: • Define and drive the product roadmap for eligibility verification, claims processing, EDI integrations, and payer reimbursement workflows. • Partner with engineering, revenue cycle operations, data, and compliance teams to deliver reliable, accurate, and scalable systems. • Improve real-time eligibility checks and automate claims submission processes to reduce administrative overhead. • Ensure products meet HIPAA and other regulatory requirements while optimizing for user experience and operational efficiency. • Identify and resolve pain points that lead to claim denials, slow reimbursements, or friction for members and providers. • Measure and enhance the success of claims workflows through product analytics, stakeholder feedback, and A/B testing. • Strategically leverage AI and other technologies to gain large efficiencies • Mentor, and often supervise the work of, junior product managers that also work on revenue cycle capabilities What success looks like: • High level of accuracy for eligibility checks • Lower processing cost per appointment • 90%+ claims auto-submitted • Significant increase in “clean claims”/reduction in claim denial rates • Improve revenue cycle automation to reduce manual interventions • Deliver 90% of roadmap milestones within scope and timeline What you’ll bring: • 5+ years of product management experience, including experience in healthcare tech • Experience developing and delivering on strategic roadmaps tied to longer term company objectives • Deep familiarity with claims workflows, eligibility checks, and healthcare billing standards (e.g., EDI, X12) • Demonstrated ability to lead cross-functional teams across operations, engineering, and compliance • Strong technical acumen and systems thinking, especially with complex data workflows and the ability to improve them with AI and automation • Experience using product analytics to inform priorities and drive improvements Nice to have: • Experience with payer-provider systems or clearinghouses • Familiarity with Medicare, Medicaid, or commercial insurance billing nuances • Track record of building products in a high-compliance, regulated environment The target base salary range for this position is $182,000 - $242,880, and is part of a competitive total rewards package including equity and benefits. 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 using Radford Global Compensation Database at minimum to ensure competitive and fair pay. Benefits provided by Spring Health: Note: We have even more benefits than listed here and below, your recruiter will provide more in-depth information as you continue in the interview process. Benefits are subject to individual plan requirements and eligibility criteria. • 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. • We offer competitive paid time off policies including vacation, sick leave and company holidays. • At 6 months tenure with Spring, we offer 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. Not sure if you meet every requirement? Research shows that women and people from historically underrepresented communities often hesitate to apply for roles unless they meet every qualification compared to other similarly-qualified candidates. At Spring Health, we are committed to fostering a workplace where everyone feels valued, empowered, and supported to Thrive. If this role excites you, we encourage you to apply. Ready to do the most impactful work of your life? Learn more about our values, what it’s like to work here, and how hypergrowth meets impact at Spring Health: Our Values Our privacy policy: [Upgrade to PRO to see link] Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, pregnancy, or other applicable legally protected characteristic. We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements. Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know.