Payer Integration Specialist

Lyra Health, Inc.; Northern (KY); On-site; USD 85,000 - 117,000; Full time

Benefits offered by this job

Healthcare coverage

Equity (RSUs)

401K matching

Monthly tech allowance

Paid parental leave

Vacation and holidays

Job summary

Lyra Health is seeking a Payer Integration Specialist to expand access to mental health care through health plan integrations and value-based collaboration. You will translate payer requirements into implementation steps, coordinate connectivity, and serve as the primary liaison for eligibility, claims, and billing workflows.

Join a collaborative team and help drive successful health plan integrations while coordinating with Sales, Product, Engineering, and Customer Success.

Qualifications

• 3+ years in a high-growth, fast paced environment.
• Deep understanding of health plan structures, payer operations, claims billing and utilization management workflows.
• Hands-on experience with health plan integrations (270/271), claims (837), accumulators and/or similar healthcare integrations, preferably including systems like Asana and Salesforce.
• Strong project management skills with the ability to manage multiple work streams and competing priorities.
• Exceptional communication skills and the ability to work cross-functionally with technical and non-technical stakeholders.
• Comfortable navigating ambiguity, anticipating risks, and proactively driving issues to resolution.
• Passion for working in collaboration across internal teams, both leading and supporting multiple stakeholders.

Responsibilities

• Coordinate with payers to establish technical and operational connectivity.
• Translate payer-specific requirements into actionable implementation steps for internal teams.
• Focus on the day-to-day coordination with payers to establish technical and operational connectivity for standard integrations systems.
• Serve as the primary point of contact for health plan integration setups, focusing on eligibility, claims, and billing workflows.
• Participate in customer and partner kickoff meetings and act as a liaison between internal team and external stakeholders.
• Implement, configure, and troubleshoot health plan and health systems technical integrations.
• Work closely with Sales, Product, Engineering, Payer Billing Operations and Customer Success to ensure alignment throughout the customer journey.
• Manage project plans, timelines and milestones to ensure timely and accurate delivery.
• Assist with the execution of annual benefit updates throughout the customer lifecycle to maintain data integrity.
• Participate in other projects as directed.

Skills

Health plan integrations

270/271 experience

Asana

Salesforce

Project management

Stakeholder comms

Tools

Asana

Salesforce

Job description

About Lyra Health

Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships. The company has delivered more than 15 million sessions of mental health care, published more than 35 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness, and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions.

Importance of the Role: Support Lyra Health as it grows market share with Employers, Health Plans and Health Systems.

Our Payer Integration team at Lyra Health is seeking a Payer Integration Specialist to help expand access to life-changing mental health care. You'll join a highly collaborative, supportive team leading successful health plan integrations and configuring RCM system rules for seamless carrier connectivity. This role focuses on translating health plan requirements into automated workflows that manage custom network exceptions and eliminate billing friction.

What You’ll Do:

• Coordinate with payers to establish technical and operational connectivity
• Translate payer-specific requirements into actionable implementation steps for internal teams
• Focus on the day-to-day coordination with payers to establish technical and operational connectivity for standard integrations systems
• Serve as the primary point of contact for health plan integration setups, focusing on eligibility, claims, and billing workflows
• Participate in customer and partner kickoff meetings and act as a liaison between internal team and external stakeholders
• Implement, configure, and troubleshoot health plan and health systems technical integrations
• Work closely with Sales, Product, Engineering, Payer Billing Operations and Customer Success to ensure alignment throughout the customer journey
• Manage project plans, timelines and milestones to ensure timely and accurate delivery
• Assist with the execution of annual benefit updates throughout the customer lifecycle to maintain data integrity
• Participate in other projects as directed

Requirements:

• 3+ years of work experience in a high-growth, fast paced environment
• Deep understanding of health plan structures, payer operations, claims billing and utilization management workflows
• Hands-on experience with RTE (270/271), claims (837), accumulators and/or similar healthcare integrations, preferably including systems like Asana and SalesForce
• Strong project management skills with the ability to manage multiple work streams and competing priorities
• Exceptional communication skills and the ability to work cross-functionally with technical and non-technical stakeholders
• Comfortable navigating ambiguity, anticipating risks, and proactively driving issues to resolution
• Passion for working in collaboration across internal teams, both leading and supporting multiple stakeholders

$85,000 - $117,000 a year

As a full-time Payer Integration Specialist, you will be employed by Lyra Health, Inc. The anticipated annual base salary range for this full-time position is $85,000 - $117,000. The base range is determined by role and level, and placement within the range will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience and location. This role may also be eligible for discretionary bonuses.
Annual salary is only one part of an employee’s total compensation package at Lyra. We also offer generous benefits that include:

• Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances)
• Lyra for Lyrians; coaching and therapy services
• Equity in the company through discretionary restricted stock units
• Competitive time off with pay policies including vacation, sick days, and company holidays
• Paid parental leave
• 401K with up to 3% matching
• Monthly tech allowance
• We like to spread joy throughout the year with well-being perks and activities, surprise swag, regular community celebration…and more!

We can’t wait to meet you.

“We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information or any other category protected by law.