Post-Pay Payment Integrity Lead

Color Employer, LLC

Tennessee

Hybrid

USD 104,000 - 157,000

Full time

3 days ago
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Job summary

Lyric seeks a Senior Client Engagement Manager (Post-Pay) to lead client implementations of payment integrity solutions. You will own discovery, requirements, data mapping, and cross‑functional alignment from design to go‑live and hypercare, ensuring outcomes align with contracted scope and client goals.

Expert knowledge of COB, data mining, DRG review, and coding/chart review is required, along with strong governance of requirements, decisions, risks, and dependencies.

Qualifications

  • Bachelor's degree in healthcare administration, business, information systems, data analytics, project management or related field.
  • 5+ years of progressive experience in healthcare payment integrity, payer claims operations, healthcare technology implementation, business analysis or related area.
  • 3+ years leading complex, client-facing healthcare implementations from discovery through go-live and post-go-live support.
  • Expert-level knowledge of post-payment payment integrity across COB, data mining, DRG, coding or chart review, and related domains.
  • Ability to elicit, analyze, document, validate and obtain approval for complex requirements; translates needs into process flows, user stories, data specs.

Responsibilities

  • Lead discovery sessions, align client expectations, and maintain relationships with client leaders and operational users.
  • Own end-to-end requirements lifecycle, artifacts, traceability, change control, and approvals.
  • Explain product capabilities, workflows, and data requirements to both business and technical stakeholders.
  • Document source-to-target data mappings, transformation rules, and data-quality expectations.
  • Coordinate cross-functional delivery, RAID/decision logs, and timely go-live readiness.

Skills

Client-facing
Requirements discovery
Implementation leadership
Data mapping
Cross-functional collaboration
Travel up to 20%

Education

Bachelor's degree in healthcare administration, business, information systems, data analytics, project management

Tools

Jira
Azure DevOps
Confluence

Job description

Lyric seeks a Senior Client Engagement Manager (Post-Pay) to lead client implementations of payment integrity solutions. You will own discovery, requirements, data mapping, and cross‑functional alignment from design to go‑live and hypercare, ensuring outcomes align with contracted scope and client goals.

Expert knowledge of COB, data mining, DRG review, and coding/chart review is required, along with strong governance of requirements, decisions, risks, and dependencies.

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