Remote Post-Pay Engagement Lead (Payment Integrity)

Lyric; Boise (ID); Remote; USD 125,000 - 188,000; Full time

Job summary

Lyric is seeking a Client Engagement Manager (Post-Pay) to lead discovery, capture payer needs, and translate them into implementable requirements for cross-functional teams. You will manage the end-to-end lifecycle from initial design to testing, go-live, and post-go-live support.

The role requires expert knowledge of post-payment payment integrity, COB, DRG review, data mapping, and Lyric Replay product suites, ensuring solutions align with client objectives and contracts.

Qualifications

• Bachelor’s degree in healthcare administration, business, information systems, data analytics, project management, or a related field, or an equivalent combination of education and relevant experience.
• 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.
• Excellent facilitation, written communication, presentation, relationship management, negotiation, and issue-resolution skills.
• Ability to manage multiple priorities, organize complex information, operate with limited direction, and drive accountability across teams without direct authority.
• Proficiency with Microsoft Word, Excel, PowerPoint, Teams, and structured project or requirements management tools.
• Ability to maintain confidentiality and comply with applicable healthcare privacy, security, and data-handling requirements.
• Ability to travel approximately 20 percent, including client-site travel as needed.

Responsibilities

• Lead discovery sessions, working meetings, demonstrations, status reviews, decision forums, and executive-ready updates.
• Own the end-to-end requirements lifecycle, documentation, traceability, validation, change control, and formal approval.
• 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.
• Coordinate implementation milestones and dependencies across discovery, design, configuration, integration, testing, training, cutover, go-live, and hypercare.

Skills

Post-payment payment integrity

Client-facing leadership

Requirements elicitation

Process documentation

Stakeholder communication

Education

Bachelor's degree or equivalent

Tools

Jira

Confluence

Microsoft Office

Job description

Lyric is seeking a Client Engagement Manager (Post-Pay) to lead discovery, capture payer needs, and translate them into implementable requirements for cross-functional teams. You will manage the end-to-end lifecycle from initial design to testing, go-live, and post-go-live support.

The role requires expert knowledge of post-payment payment integrity, COB, DRG review, data mapping, and Lyric Replay product suites, ensuring solutions align with client objectives and contracts.