Senior Appeals & Denials Resolution Manager

Our Mission
At Big Health, our mission is to help millions back to good mental health by providing fully digital, non-drug options for the most common mental health conditions. Our FDA-cleared digital therapeutics—SleepioRx for insomnia and DaylightRx Treatment for anxiety—guide patients through first-line recommended, evidence-based cognitive and behavioral therapy anytime, anywhere. Our digital program, Spark Direct, helps to reduce the impact of persistent depressive symptoms.
In pursuit of our mission, we’ve pioneered the first at-scale digital therapeutic business model in partnership with some of the most prominent global healthcare organizations, including leading Fortune 500 healthcare companies and Scotland’s NHS. Through product innovation, robust clinical evaluation, and a commitment to equity at scale, we are designing the next generation of medicine and the future of mental health care.
Our Vision
Over the next 5-10 years, we believe digital therapeutics will transform the delivery of healthcare worldwide by providing access to safe and effective evidence-based treatments. Big Health is positioned to take the lead in this transformation.
Big Health is a remote-first company, and this role can be based anywhere in the US.
Position Summary
Big Health is seeking an experienced, results-driven Senior Appeals & Denials Resolution Manager to establish and lead payer appeals and denial resolution operations. This role will independently investigate difficult denials, develop persuasive evidence-based appeals, engage payer reviewers and decision-makers, and own cases through appropriate levels of review. They will also design scalable workflows, documentation standards, reporting, and quality controls, using AI-enabled technology to improve efficiency while maintaining human oversight.

Skills
Apache Spark, Documentation

Experience
5+ yrs

Employment type
Full Time

Work arrangement
Yes