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Senior Manager, Revenue Integrity

Remote

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 Director of Revenue Cycle Operations, the Senior Manager, Revenue Integrity will lead a team focused on ensuring accurate, timely, and compliant financial transactions across cash posting, refunds, adjustments, reconciliation, and customer rate validation. This full time [hybrid] role is part of the Health Plan Operations team and plays a critical role in supporting financial accuracy, audit readiness, and operational scalability.

Please note that this is a hybrid role based in New York City, with an expectation to be in office 3 days a week. Our office is located at 60 Madison Avenue. 

What You’ll be Doing:

  • Lead and develop the Revenue Integrity team, overseeing payment posting, refunds, adjustments, and reconciliation activities.
  • Ensure timely and accurate reconciliation of payments across bank accounts, accounting systems, and billing platforms.
  • Partner with Finance to manage the month-end close process, including reconciliations and reporting deliverables.
  • Maintain and validate customer rate cards in alignment with payer contracts to ensure accurate billing.
  • Collaborate with BI and Product to build, automate, and validate operational and financial reporting.
  • Establish and uphold strong internal controls to support audit readiness and compliance.
  • Identify and implement continuous process improvements to increase accuracy, efficiency, and scalability of revenue operations.

What Success Looks Like:

  • Cash Posting Accuracy: 99% of payments, refunds, and adjustments posted correctly
  • Cash Posting Timeliness: 95% of daily payments posted within 48 hours of receipt
  • Month-End Close Timeliness: Billing and posting closed by End of Business Day 2; reporting delivered by Business Day 4
  • Reconciliation Completion: 100% of bank-to-system reconciliations completed on time
  • Rate Card Accuracy: 99% of validated and accurately maintained customer rate cards
  • DSO (Days Sales Outstanding): 45-55 Days:  Support maintaining target through timely posting and reconciliation
  • Unapplied Cash Rate: 0% of payments unapplied at month-end

What You’ll Bring:

  • 7+ years of experience in revenue cycle operations, accounting, or related fields within a high-growth or healthcare organization
  • Demonstrated expertise in cash posting, reconciliation, and financial reporting
  • Strong knowledge of internal controls and audit processes
  • Experience leading and developing teams
  • High proficiency with billing systems and financial reporting tools (e.g., Looker, Tableau, Excel)
  • Experience in a healthcare or payer contracting environment is preferred
  • Familiarity with SQL or BI tools for building automated reports is preferred
  • CRCR (Certified Revenue Cycle Representative) or similar certification is preferred 

The target base salary range for this position is $110,000 - $142,500 and is part of a competitive total rewards package including stock options 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: https://springhealth.com/privacy-policy/

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.

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