Client Engagement Manager – Post-Pay, Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as the main implementation leader for payment integrity and the day-to-day contact for designated payer clients.

• Facilitate discovery sessions, working meetings, demonstrations, status reviews, decision forums, and executive-level updates.

• Establish and nurture trusted relationships with client leaders, subject matter experts, project managers, data and technology teams, and operational users.

• Take ownership of the complete requirements lifecycle, including documentation, traceability, validation, change control, and formal approvals.

• Convert client needs into comprehensive requirements, process flows, user stories, acceptance criteria, data specifications, and configuration decisions.

• Manage implementation artifacts such as requirements, workflow documentation, data dictionaries and mappings, decision logs, RAID logs, action trackers, meeting notes, test evidence, approvals, training materials, and transition documentation.

• Provide guidance to clients on implementation options, workflow design, and practical trade-offs.

• Function as an expert resource throughout the post-payment continuum, covering areas like COB, data mining, DRG review, coding or clinical chart review, provider outreach, overpayment validation, recovery, appeals, reconciliation, and reporting.

• Clarify the capabilities, workflows, configuration options, dependencies, limitations, and expected user experience of the Lyric Replay product.

• Lead the discovery and validation processes for 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.

• Serve as the communication link between the client and Lyric's product, business analysis, engineering, data, configuration, quality assurance, security, operations, and customer success teams.

• Maintain RAID and decision logs, driving risks, assumptions, issues, and dependencies to resolution.

• Coordinate milestones across discovery, design, configuration, integration, testing, training, cutover, go-live, and hypercare phases.

• Define test scenarios and acceptance criteria; assist with system testing, user acceptance testing, defect triage, fix validation, and client acceptance.

• Evaluate readiness and manage cutover, go-live, hypercare, issue triage, communications, decision tracking, and stabilization reporting.

• Direct service delivery and supporting teams to ensure high levels of customer satisfaction.

• Remain a knowledgeable resource for clients and internally after go-live, identifying 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.

• A 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 area.

• At least five (5) years of experience 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 in 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 secure approval for complex business and technical requirements.

• Experience collaborating with Business Analysts and technical teams to create process flows, user stories, acceptance criteria, data specifications, and ensure traceability.

• Strong understanding of healthcare claims and supporting data domains, data mapping, source-to-target logic, data validation, secure file transfer, and APIs.

• Proven experience in maintaining RAID logs, decision logs, action trackers, change controls, requirements repositories, test evidence, and implementation documentation.

• Ability to articulate complex payment integrity workflows and product behavior to business, operational, technical, and executive audiences.

• Exceptional skills in facilitation, written communication, presentation, relationship management, negotiation, and issue resolution.

• Capability to juggle multiple priorities, organize complex information, function with limited direction, and drive accountability across teams without direct authority.

• Proficient in Microsoft Word, Excel, PowerPoint, Teams, and structured project or requirements management tools.

• Ability to uphold confidentiality and adhere to applicable healthcare privacy, security, and data-handling standards.

• Willingness to travel approximately 20 percent, including client-site visits as required.

• Preferred: experience with payment integrity software or services for health plans; familiarity with Lyric Replay or similar platforms; knowledge of 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 dedicated to fostering an inclusive environment.

• Collaborative success-focused environment.