Manager, Payer Enrollment

Position Overview

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Spring Health is revolutionizing mental healthcare by removing barriers to access. Our clinically validated technology, Precision Mental Healthcare, delivers tailored care—therapy, coaching, medication, and more—to individuals based on their needs. We partner with over 450 companies, serving 10 million people globally, including well-known brands like Microsoft, Target, and Delta Airlines. Our innovative platform provides a net positive ROI for employers and is the only company in our category to demonstrate net savings for customers. With a recent Series E funding round valuing us at $3.3 billion, we are expanding our team to make mental healthcare accessible everywhere.

As the Payer Enrollment Manager, you will be a vital leader in our credentialing and compliance operations. You will manage both delegated and non-delegated credentialing, oversee payer enrollment workflows, and ensure adherence to accreditation and contractual requirements. This role involves close collaboration with internal teams and external payer partners to scale processes, maintain compliance, and enhance operational efficiency.

Responsibilities

• Oversee and audit the performance of Credentialing Verification Organizations (CVOs), ensuring alignment with Spring Health’s standards and payer requirements.
• Lead audits and ongoing monitoring for delegated contracts, including preparation, execution, and response to corrective action plans (CAPs).
• Manage all payer credentialing and enrollment functions across delegated and non-delegated arrangements.
• Ensure compliance with NCQA, CMS, state, and commercial payer credentialing requirements.
• Develop and optimize workflows for application submission, recredentialing, and ongoing monitoring.
• Serve as the primary point of contact for payer credentialing escalations, audits, and operational issues.
• Collaborate with Compliance, Product, and Revenue Cycle Management teams to ensure data accuracy and streamline processes.
• Track and analyze performance metrics related to credentialing and enrollment, identifying trends and opportunities for improvement.
• Support the development and refinement of internal policies, procedures, and audit-readiness documentation.
• Maintain detailed records and audit trails for internal reporting and external compliance.

What Success Looks Like

• Shortened payer application processing timelines and increased provider enrollment efficiency.
• High compliance rates with NCQA, CMS, and payer-specific credentialing requirements.
• Timely resolution of credentialing escalations and successful completion of payer audits.
• Strong collaboration with internal teams and external stakeholders to support provider go-lives and reimbursement readiness.
• Implementation of scalable, repeatable processes supporting growth and evolving payer partnerships.

Requirements

• 5+ years of experience in healthcare credentialing, payer enrollment, or provider network operations.
• Deep knowledge of NCQA standards, CAQH, Medicare/Medicaid enrollment, and delegated credentialing structures.
• Experience managing CVOs and auditing third-party credentialing processes.
• Proven ability to develop and optimize credentialing workflows.

Company Information

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.