Lead Product Manager, Claims and Eligibility

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. What you’ll do: 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 What success looks like: High level of accuracy for eligibility checks Lower processing cost per appointment 90%+ claims auto-submitted Significant increase in “clean claims”/reduction in claim denial rates Improve revenue cycle automation to reduce manual interventions Deliver 90% of roadmap milestones within scope and timeline What you’ll bring: 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 have: Experience with payer-provider systems or clearinghouses Familiarity with Medicare, Medi ... (truncated, view full listing at source)