Client Engagement Manager – Post-Pay, Specialist

Posted 6hrs ago

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Job Description

Client Engagement Manager leading payer implementations for Lyric’s healthcare decision intelligence platform. Translating payment integrity needs into requirements, data mappings, testing, and go-live delivery.

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, subject matter experts, project managers, data and technology teams, and operational users
Own the end-to-end requirements lifecycle, documentation, traceability, validation, change control, and formal approval
Translate client needs into detailed requirements, process flows, user stories, acceptance criteria, data specifications, and configuration decisions
Maintain 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
Advise clients on implementation choices, workflow design, and practical tradeoffs
Serve as an expert resource across the post-payment continuum, including COB, data mining, DRG review, coding or clinical chart review, provider outreach, overpayment validation, recovery, appeals, reconciliation, and reporting
Explain Lyric Replay product capabilities, workflows, configuration options, dependencies, limitations, and expected user experience
Lead discovery and validation of claims, member, eligibility, provider, benefit, contract, payment, clinical, recovery, and reference data
Document source-to-target mappings, transformation rules, default values, exclusions, reconciliation logic, and data-quality expectations
Act as the communication bridge between client and Lyric product, business analysis, engineering, data, configuration, quality assurance, security, operations, and customer success teams
Maintain RAID and decision logs and drive risks, assumptions, issues, and dependencies to resolution
Coordinate milestones across discovery, design, configuration, integration, testing, training, cutover, go-live, and hypercare
Define test scenarios and acceptance criteria; support system testing, user acceptance testing, defect triage, fix validation, and client acceptance
Assess readiness and coordinate cutover, go-live, hypercare, issue triage, communications, decision tracking, and stabilization reporting
Direct service delivery and supporting teams to achieve high customer satisfaction
Remain a knowledgeable client and internal resource after go-live and identify adoption, optimization, and expansion opportunities

Requirements:

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 across domains such as COB, data mining, DRG review, coding or clinical chart review, overpayment recovery, appeals, and reconciliation
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, 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 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
Preferred: experience with payment integrity software or services for health plans; Lyric Replay or similar platforms; SQL; relational data models; business intelligence tools; data profiling; reconciliation techniques; claim-adjudication platforms; payer data warehouses; Agile environments; Jira, Azure DevOps, Confluence; implementation playbooks; training materials; transition plans; and relevant professional certifications

Benefits:

Base salary range of $125,241.00–$187,862.00
Equal Opportunity Employer committed to an inclusive environment
Collaborative success environment