Payer Integration Specialist

Lyra Health

. Coordinate with payers to establish technical and operational connectivity .

Posted 10/5/2026full-timeRemote • United StatesMid-LevelSenior💰 $85,000 - $117,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in health plan structures and payer operations, with a strong focus on claims billing and utilization management workflows. Proficient in managing technical integrations and project timelines while effectively collaborating with cross-functional teams.

Highest-signal resume keywords

Health Plan StructuresPayer OperationsClaims Billing WorkflowsProject ManagementTechnical Integrations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

RTE (270/271)Claims (837)Healthcare IntegrationsData Integrity ManagementAutomated Workflows

Soft Skills

Exceptional CommunicationCross-Functional CollaborationRisk AnticipationProblem Solving

Tools & Technologies

AsanaSalesForceRCM System Configuration

Industry Keywords

Payer ConnectivityEligibility WorkflowsBilling Friction ReductionUtilization Management

About the role

Key responsibilities & impact

Coordinate with payers to establish technical and operational connectivity
Translate payer-specific requirements into actionable implementation steps for internal teams
Coordinate day-to-day payer connectivity for standard integration 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 teams and external stakeholders
Implement, configure, and troubleshoot health plan and health systems technical integrations
Collaborate with Sales, Product, Engineering, Payer Billing Operations, and Customer Success throughout the customer journey
Manage project plans, timelines, and milestones for timely and accurate delivery
Assist with annual benefit updates to maintain data integrity
Participate in other directed projects
Translate health plan requirements into automated workflows, manage custom network exceptions, and reduce billing friction
Configure RCM system rules for seamless carrier connectivity

Requirements

What you’ll need

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

Benefits

Comp & perks

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 celebrations