Senior Payment Integrity Engagement Lead - Remote

Lyric

Annapolis (MD)

Remote

USD 104,000 - 157,000

Full time

2 days ago

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Job summary

Lyric is seeking a Senior Client Engagement Manager (Post-Pay) to lead client partnerships through the full implementation lifecycle. You will translate payer needs into actionable requirements and coordinate with product, engineering, and operations to deliver trusted, auditable payment integrity solutions.

This role requires expert knowledge of COB, data mining, DRG review, and Lyric Replay, with strong communication and governance skills.

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 five (5) years of progressive experience in healthcare payment integrity, payer claims operations, healthcare technology implementation, business analysis, consulting, or a closely related field.
Minimum of three (3) 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.
Travel flexibility and willingness to 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.