Remote Post-Pay Engagement Lead for Payment Integrity

Lyric; Hagåtña (GU); Remote; USD 125,000 - 188,000; Full time

Job summary

Lyric is seeking a Client Engagement Manager (Post-Pay), Specialist to lead payer client engagements from discovery through go-live and post-go-live support. This role drives requirements, workflows, data mappings, and cross-functional alignment with implementation, product, engineering, and operations teams.

The candidate will own end-to-end requirements governance, ensure traceability, and oversee artifact quality while guiding clients on implementation choices and scope alignment.

Qualifications

• Bachelor’s degree in healthcare administration, business, information systems, data analytics, project management, or a related field.
• Minimum of seven (7) years of progressive experience in healthcare payment integrity, payer claims operations, healthcare technology implementation, business analysis, consulting, or a closely related field.
• Minimum of five (5) years leading complex, client-facing healthcare implementations or workstreams from discovery and requirements through testing, go-live, and post-go-live support.
• Expert-level knowledge of post-payment payment integrity with demonstrated experience across multiple domains such as COB, data mining, DRG review, coding or clinical chart review, overpayment recovery, appeals, and reconciliation.
• Demonstrated ability to elicit, analyze, document, validate, and obtain approval for complex business and technical requirements.
• Experience partnering with Business Analysts and technical teams to develop process flows, user stories, acceptance criteria, data specifications, and traceability.
• Strong understanding of healthcare claims and supporting data domains, data mapping, source-to-target logic, data validation, and common integration methods such as secure file transfer and APIs.
• Experience maintaining RAID logs, decision logs, action trackers, change controls, requirements repositories, test evidence, and implementation documentation.
• Ability to explain sophisticated payment integrity workflows and product behavior clearly to business, operational, technical, and executive audiences.
• Ability to travel approximately 20 percent, including client-site travel as needed.

Responsibilities

• Serve as the primary payment integrity implementation lead and day-to-day point of contact for assigned payer clients.
• Lead discovery sessions, working meetings, demonstrations, status reviews, decision forums, and executive-ready updates.
• Build trusted relationships with client leaders, SMEs, project managers, data and technology teams, and operational users.
• Set clear expectations, confirm ownership and due dates, follow through on commitments, and communicate changes, barriers, and decisions promptly.
• Advise clients on implementation choices, workflow design, and practical tradeoffs while keeping the solution aligned with contracted scope and business outcomes.
• Own the end-to-end requirements lifecycle, documentation, traceability, validation, change control, and formal approval.
• Support client and Lyric teams to capture business, operational, product, reporting, data, integration, security, testing, and readiness requirements in clear language that both client and technical teams can use.
• Partner with the Business Analyst to translate client needs into detailed requirements, process flows, user stories, acceptance criteria, data specifications, and configuration decisions.
• Complete an internal quality and feasibility review with the Business Analyst and accountable technical or product owners before requesting client approval.
• Maintain the authoritative set of implementation artifacts, including requirements, workflow documentation, data dictionaries and mappings, decision logs, RAID logs, action trackers, meeting notes, test evidence, approvals, training materials, and transition documentation.
• Control requirement changes by documenting the business need, impact, decision, owner, approval, and downstream effect on scope, timeline, configuration, testing, and operations.
• Lead across post-payment continuum including COB, data mining, DRG review, coding or chart review, and reporting.
• Demonstrate knowledge of Lyric Replay products and explain capabilities, workflows, and configuration options.
• Coordinate with client and internal teams to validate questions requiring product or technical confirmation.
• Ensure implementation decisions support accurate, defensible, scalable, and auditable payment integrity outcomes.
• Lead or support escalations with structured discovery, solution proposals, and documented resolution paths.
• Remain a knowledgeable client and internal resource after go-live, supporting adoption, stabilization, and opportunities.

Skills

Client engagement

Requirements gathering

Cross-functional collaboration

Stakeholder management

Communication

Facilitation

Problem-solving

Education

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

Tools

Jira

Azure DevOps

Confluence

Microsoft Office (Word, Excel, PowerPoint, Teams)

Job description

Lyric is seeking a Client Engagement Manager (Post-Pay), Specialist to lead payer client engagements from discovery through go-live and post-go-live support. This role drives requirements, workflows, data mappings, and cross-functional alignment with implementation, product, engineering, and operations teams.

The candidate will own end-to-end requirements governance, ensure traceability, and oversee artifact quality while guiding clients on implementation choices and scope alignment.