Remote RCM & Payer Success Program Lead

Springhealth; United States; Remote; USD 120,000 - 180,000; Full time

Job summary

Alma is seeking a Senior Program Manager to join the Payer Success team in Operations. You will own the end-to-end RCM lifecycle for payer partnerships, coordinating credentialing, rostering, claims adjudication, and CX to prevent issues from slipping through the cracks.

This fully remote role focuses on tracking open payer issues, driving cross-functional accountability, and delivering measurable improvements in RCM efficiency and revenue performance for Alma providers and their clients.

Qualifications

• Experience coordinating cross-functional teams and driving operational outcomes.
• Strong project management and stakeholder communication skills.
• Ability to track complex processes across multiple payer ecosystems.

Responsibilities

• Track payer issues end-to-end with clear ownership and accountability until resolution.
• Drive measurable outcomes by improving RCM efficiency and revenue performance, enhancing provider experience.
• Collaborate with operations to connect stakeholders, surface interdependencies, push issues to resolution.
• Act as primary operations contact for BD; triage and coordinate payer requirements surfaced by payer and claims•roster•escalation issues.
• Collaborate with BD on payer calls to drive RCM discussions and align stakeholders.
• Monitor payer requirements and mergers; mobilize teams to implement changes proactively.
• Track and report on RCM performance by payer; surface trends and risks and engage teams to improve.

Job description

Alma is seeking a Senior Program Manager to join the Payer Success team in Operations. You will own the end-to-end RCM lifecycle for payer partnerships, coordinating credentialing, rostering, claims adjudication, and CX to prevent issues from slipping through the cracks.

This fully remote role focuses on tracking open payer issues, driving cross-functional accountability, and delivering measurable improvements in RCM efficiency and revenue performance for Alma providers and their clients.