Payer Integration Specialist
About The Position
Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships. The company has delivered more than 15 million sessions of mental health care, published more than 35 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness, and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. The Payer Integration team at Lyra Health is seeking a Payer Integration Specialist to help expand access to life-changing mental health care. You'll join a highly collaborative, supportive team leading successful health plan integrations and configuring RCM system rules for seamless carrier connectivity. This role focuses on translating health plan requirements into automated workflows that manage custom network exceptions and eliminate billing friction.
Requirements
- 3+ years of work experience in a high-growth, fast paced environment
- Deep understanding of health plan structures, payer operations, claims billing and utilization management workflows
- Hands-on experience with RTE (270/271), claims (837), accumulators and/or similar healthcare integrations, preferably including systems like Asana and SalesForce
- Strong project management skills with the ability to manage multiple work streams and competing priorities
- Exceptional communication skills and the ability to work cross-functionally with technical and non-technical stakeholders
- Comfortable navigating ambiguity, anticipating risks, and proactively driving issues to resolution
- Passion for working in collaboration across internal teams, both leading and supporting multiple stakeholders
Responsibilities
- Coordinate with payers to establish technical and operational connectivity
- Translate payer-specific requirements into actionable implementation steps for internal teams
- Focus on the day-to-day coordination with payers to establish technical and operational connectivity for standard integrations systems
- Serve as the primary point of contact for health plan integration setups, focusing on eligibility, claims, and billing workflows
- Participate in customer and partner kickoff meetings and act as a liaison between internal team and external stakeholders
- Implement, configure, and troubleshoot health plan and health systems technical integrations
- Work closely with Sales, Product, Engineering, Payer Billing Operations and Customer Success to ensure alignment throughout the customer journey
- Manage project plans, timelines and milestones to ensure timely and accurate delivery
- Assist with the execution of annual benefit updates throughout the customer lifecycle to maintain data integrity
- Participate in other projects as directed
Benefits
- Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances)
- Lyra for Lyrians; coaching and therapy services
- Equity in the company through discretionary restricted stock units
- Competitive time off with pay policies including vacation, sick days, and company holidays
- Paid parental leave
- 401K with up to 3% matching
- Monthly tech allowance
- Well-being perks and activities
- Surprise swag
- Regular community celebration
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
