Lead Product Manager, Claims and Eligibility

Spring Health•New York, NY

16d•Hybrid

About The Position

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.

Requirements

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 Haves

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

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

Benefits

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.