Senior Client Engagement Manager – Post-Pay

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

📋 Description

• Act as the primary lead for payment integrity implementation and serve as the daily point of contact for designated payer clients.

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

• Develop trusted relationships with client leaders, subject matter experts (SMEs), project managers, data and technology teams, and operational users.

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

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

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

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

• Serve as a subject matter expert in post-payment payment integrity, covering areas like COB, data mining, DRG review, coding or clinical chart review, provider outreach, overpayment validation, recovery, appeals, reconciliation, and reporting.

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

• Lead 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.

• Act as the communication link between clients and Lyric product teams, including Business Analysis, engineering, data, configuration, QA, security, operations, and customer success.

• Maintain RAID and decision logs while driving resolutions for risks, assumptions, issues, and dependencies.

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

• Define test scenarios and acceptance criteria; assist in system testing, UAT, 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 support teams to ensure customer satisfaction.

• Lead or assist with escalations through structured discovery, solution proposals, and documented resolution paths.

• Stay engaged after go-live to promote adoption, optimization, expansion opportunities, account teams, and operations.

⛳️ 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.

• At least five (5) years of progressive experience in healthcare payment integrity, payer claims operations, healthcare technology implementation, business analysis, consulting, or a closely related field.

• A minimum of three (3) years in 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 various 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 traceability.

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

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

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

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

• Ability to manage multiple priorities, organize complex information, operate with minimal direction, and drive accountability across teams without direct authority.

• Proficiency in 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 regulations.

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

• 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, and reconciliation; experience with claim-adjudication platforms and payer systems; familiarity with Agile environments and tools such as Jira, Azure DevOps, or Confluence; knowledge of implementation playbooks and training materials; certifications such as PMP, PMI-PBA, CBAP, Lean Six Sigma, Prosci, or Agile; credentials in payment integrity, coding, clinical, health information management, or claims-related fields.

🏝️ Benefits

• Equal Opportunity Employer dedicated to fostering an inclusive environment.

• Collaborative success-focused atmosphere.