Lead Product Manager, Claims and Eligibility

Spring Health is on a mission to revolutionize mental healthcare by removing barriers to access. The Lead Product Manager will own the development of systems for eligibility verification, claims generation, and reimbursement, partnering with various teams to ensure efficient and compliant product delivery.

Responsibilities:

• 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