Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Payer Integration Specialist

$85k - $117k
Full-time

Lyra Health

About Lyra Health

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.

Importance of the Role: Support Lyra Health as it grows market share with Employers, Health Plans and Health Systems.

Our 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.

\n What You'll Do:
  • 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

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

\n

$85,000 - $117,000 a year

As a full-time Payer Integration Specialist, you will be employed by Lyra Health, Inc. The anticipated annual base salary range for this full-time position is $85,000 - $117,000. The base range is determined by role and level, and placement within the range will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience and location. This role may also be eligible for discretionary bonuses.

Annual salary is only one part of an employee’s total compensation package at Lyra. We also offer generous benefits that include:

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
We like to spread joy throughout the year with well-being perks and activities, surprise swag, regular community celebration…and more!

We can’t wait to meet you. \n

"We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information or any other category protected by law.

By applying for this position, you acknowledge that your personal information will be processed as per the Lyra Health Workforce Privacy Notice. Through this application, to the extent permitted by law, we will collect personal information from you including, but not limited to, your name, email address, gender identity, employment information, and phone number for the purposes of recruiting and assessing suitability, aptitude, skills, qualifications, and interests for employment with Lyra. We may also collect information about your race, ethnicity, and sexual orientation, which is considered sensitive personal information under the California Privacy Rights Act (CPRA) and special category data under the UK and EU GDPR. Providing this information is optional and completely voluntary, and if you provide it you consent to Lyra processing it for the purposes as described at the point of collection, for example for diversity and inclusion initiatives. If you are a California resident and would like to limit how we use this information, please use the Limit the Use of My Sensitive Personal Information form. This information will only be retained for as long as needed to fulfill the purposes for which it was collected, as described above. Please note that Lyra does not “sell” or “share” personal information as defined by the CPRA. Outside of the United States, for example in the EU, Switzerland and the UK, you may have the right to request access to, or a copy of, your personal information, including in a portable format; request that we delete your information from our systems; object to or restrict processing of your information; or correct inaccurate or outdated personal information in our systems. These rights may be subject to legal limitations. To exercise your data privacy rights outside of the United States, please contact View email address on aiapply.co. For more information about how we use and retain your information, please see our Workforce Privacy Notice."

Vacancy posted 16 days ago
Similar jobs that could be interesting for youBased on the Payer Integration Specialist in Remote vacancy
  • To support a growing practice, the full-time Payer Integration Specialist will manage health plan integrations and configure RCM system rules for seamless carrier connectivity in a remote environment. Key responsibilities Coordinate with payers to establish technical... 
    Suggested
    Full time
    Work experience placement
    Remote work

    Virtual Vocations Inc

    New York, NY
    4 days ago
  • $120k - $200k

     ...today, we want to hear from you.We are seeking a Senior EHR Integration Specialist to design and deliver secure, scalable, and repeatable integrations...  ...of clinical workflows, healthcare data privacy, and payer-provider data exchange. Experience creating technical artifacts... 
    Suggested
    Full time

    CoverMyMeds

    Columbus, OH
    2 days ago
  • $25 per hour

     ...applicable federal state & local laws / regulations Trinity Health Integrity & Compliance Program & Code of Conduct as well as other...  ...audits & clinical billing Working knowledge of third-party payer rules & requirements computer operations & electronic interfaces... 
    Suggested
    Full time
    Work experience placement
    Local area
    Remote work
    Shift work
    Day shift

    Trinity Health

    Livonia, MI
    20 days ago
  •  ...Job Description Job Description Description: The Clinic Integration Specialist is responsible for leading the successful integration of...  ...Collaborate with Finance and Revenue Cycle teams to: Transition payer enrollment and credentialing Standardize billing... 
    Suggested
    Casual work
    Work at office
    Remote work
    Monday to Friday
    Afternoon shift

    ACCESS MEDICAL CLINIC

    Hardy, AR
    5 days ago
  •  ...Auditing payer claims across multiple lines of business, the full-time remote Payment Integrity Specialist will identify improper payments, quantify recoveries, and generate new audit concepts while maintaining high-quality standards and meeting monthly financial goals... 
    Suggested
    Full time
    Remote work

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...Revenue Integrity Charge Capture Analyst You were meant for Hopkins! Come see why the Johns Hopkins All Children's Hospital is a world...  ..., it coordinates with both local and central services for payer audit and appeals processes. Requirements: Bachelor's... 
    Full time
    Local area
    Remote work
    Day shift

    Johns Hopkins All Children’s Hospital

    United States
    5 days ago
  • $80k - $86k

     ...opportunities for capturing additional revenue in accordance with payer guidelines.Develops specifications to modify existing charge...  ...discuss charge capture findings.Assists in developing revenue integrity training documentation and policies for training and education... 
    Work at office
    Remote work

    Catholic Health Service

    Melville, NY
    2 days ago
  • $91.01k - $136.51k

     ...flow interruptions to identify patterns of payer behavior, coder trends, or system issues...  ...one year of experience in a Revenue Integrity-related role (e.g., denial management, charge...  ...Credentials Certified Coding Specialist (CCS) certification by the American Health... 
    Full time
    Work experience placement
    Remote work

    Seattle Children's

    United States
    1 day ago
  •  ...Summary UMass Memorial Health is seeking a Senior Revenue Integrity Specialist to serve as a subject matter expert in Professional Fee (...  ...audit initiatives. Research and interpret CPT, HCPCS, CMS, payer, and reimbursement guidelines. Partner with providers,... 
    Permanent employment
    Work at office
    Local area
    Remote work

    Apex Systems

    United States
    2 days ago
  • Inova is looking for a dedicated Revenue Integrity Specialist Senior to join the team. This role will be full-time remote and permitted to work...  ...of charge capture processes, documentation standards, and payer guidelines. Conducts one-on-one or group education sessions... 
    Full time
    Remote work
    Flexible hours

    Inova Health System

    Falls Church, VA
    1 day ago
  • $25.38 per hour

     ...Coding Integrity Specialist We're not just filling positions, we're building careers. At Emplify Health, we care for our teams, while they...  ...coding audits to ensure compliance with coding guidelines, payer requirements, and regulatory standards Provide education... 
    Full time
    Remote work
    Shift work

    Gundersen Health System

    La Crosse, WI
    4 days ago
  • Senior Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or CST and must...  ...Responsibilities Work with a leading healthcare payer within their Payment Integrity division. Unlike... 
    Contract work
    Remote work

    nTech Workforce

    New York, NY
    2 days ago
  • $65k - $70k

    Payer Enrollment Specialist Reports To: Licensing & Credentialing Manager Locations Hiring From: Arizona, Delaware, Florida, Georgia, Idaho,...  ...clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person... 
    Full time
    Local area
    Remote work
    Work from home
    Monday to Friday
    Flexible hours

    Oshi Health

    New York, NY
    4 days ago
  • $33.05 - $49.6 per hour

     ...denial and rejection codes. Collaborate with billing, coding, and payer teams to correct, resubmit, and prevent denied claims. Conduct...  ...issues. Support compliance, quality assurance, and revenue integrity initiatives through issue monitoring and escalation resolution.... 
    Hourly pay
    Daily paid
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Remote work
    Flexible hours
    Shift work
    Day shift

    Advocate Health

    New York, NY
    4 days ago
  •  ...Healthcare’s vision is to be a dynamic, integrated professional services company delivering...  ...collaborate with highly skilled subject matter specialists and operations executives, in a...  ...information, visit Summary: The Specialist, Payer Relations supports clients throughout... 
    Work experience placement
    Work at office
    Local area
    Immediate start
    Remote work

    QHR Health, LLC dba Ovation Healthcare

    New York, NY
    4 days ago
  •  ...Solventum is seeking a Clinical Documentation Specialist (CDI) to review inpatient medical records for accuracy, completeness and compliance...  ...quality and support correct code assignment and DRG integrity. The role requires nursing experience, RN license and coding knowledge... 
    Remote work

    USA Solventum Health Information Systems, Inc.

    United States
    2 days ago
  •  ...thinking organization, apply now. We are currently seeking a Systems Integration Advisor to join our team in Frisco, Texas (US-TX), United States (US). Job Title: DR Systems PACS Administrator / Specialist Job Summary We are seeking an experienced DR Systems PACS... 
    Work at office
    Remote work
    Flexible hours

    NTT DATA

    Frisco, TX
    2 days ago
  • $86.9k - $198k

    O365 Integration Specialist, SeniorThe Opportunity: As the senior O365 Integration Specialist you will help the customer adopt governed standardized O365 architecture. You will support digital modernization and improve how the Army automates processes, generates insights... 
    Full time
    Contract work
    Part time
    Work at office
    Local area
    Remote work

    Booz Allen Hamilton

    Honolulu, HI
    4 days ago
  •  ...technology.Meaningful Work From Day One:The Senior People Systems Specialist will serve as a key member of the People Technology team,...  ...analysis, design, implementation, and maintenance of Workday integrations globally. This role acts as an internal consultant to global... 
    Full time
    Work at office
    Remote work

    Brown-Forman

    Louisville, KY
    3 days ago
  • A healthcare organization is seeking a Remote Revenue Integrity Charge Specialist to support its revenue cycle and integrity initiatives. In this role, you will analyze and capture data, audit billing information, and ensure accurate documentation. The ideal candidate has... 
    Remote work

    Trinity Health

    Livonia, MI
    5 days ago
  •  ...and institutions. Since 1889, we have aligned our efforts with our three guiding Principles That Endure: Service, Expertise, and Integrity. Together, they reflect the three cornerstones of business conduct which we strive to instill in our employees, whom we call partners... 
    Full time
    H1b
    Work at office
    Work from home
    Worldwide
    Flexible hours

    Northern Trust

    Chicago, IL
    5 days ago
  •  ...a strategic thinker who thrives at the intersection of business strategy, planning, execution, and enterprise integration management? As a Senior Specialist, Integration management Office, you'll play a critical role in helping shape and deliver the firm's most important... 
    Temporary work
    Work at office
    Home office
    Flexible hours

    Edward Jones

    Tempe, AZ
    3 days ago
  • $98k - $140.25k

     ...everything we do - and they push us to ensure we take care of ourselves, each other, and our communities.Job Summary:The Senior Specialist, Integrated Marketing will be a key player on the Venmo Integrated Marketing team, helping to bring high-impact campaigns to life and... 
    Full time
    Work at office
    Local area
    Immediate start
    Flexible hours

    PayPal

    New York, NY
    4 days ago
  •  ...LabWare configuration aligns with, Approved test methodologies; Product specification; Sampling plans; Support stable execution of raw material and equipment workflows in live operations. Troubleshoot configuration and integration issues impacting laboratory execution.
    Remote work

    Katalyst Healthcares & Life Sciences

    Cambridge, MA
    5 days ago
  •  ...processes, policies, and people delivering value. Learn More About ProSidian Consulting at DescriptionProSidian Seeks a Integrity Management Specialist | Oil and Gas Operations Monitoring & Lifecycle Performance Support [DOE0047047] for Program Support on a Exempt 1099... 
    Full time
    Contract work
    Temporary work
    For contractors
    Work at office
    Remote work
    Flexible hours

    Prosidian Consultng

    Washington DC
    3 days ago
  • $100k - $175k

     ..., turning abstract ideas into realities that transform the world for good. Your impact We are seeking a seasoned Systems Integration Specialist with extensive years of experience in Trimble Cityworks, and the integration of AM systems for water, wastewater, stormwater... 
    Full time
    Local area
    Remote work

    Jacobs

    Philadelphia, PA
    1 day ago
  •  ...Remote50% Remote Job Description: LabWare LIMS Configuration Specialist to support the LabWare 8 upgrade for a US based GMP laboratory...  ..., completing master data configuration, and finalizing integration with laboratory equipment and enterprise GMP systems. The successful... 
    Remote work

    Katalyst Healthcares & Life Sciences

    Thousand Oaks, CA
    3 days ago
  •  ...who currently reside in Northeast Ohio. Remote work and relocation assistance are NOT available for this role.The Senior B2B Integration Specialist works with the B2B team at AGWHQ to support and develop integration pathways between AG and its business partners,... 
    Remote work
    Relocation package

    American Greetings

    Westlake, OH
    5 days ago
  •  ...listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for an Integrated Demand Generation Specialist III based in the United States. We are seeking an experienced, results-driven marketing professional to execute... 
    Contract work
    Remote work
    Visa sponsorship
    Work visa
    Monday to Friday
    Shift work
    Weekday work

    Jobgether

    Remote
    3 days ago
  •  ...seeking a Senior (Level 4) or Lead (Level 5) Project Management Specialist. This hybrid, 1st shift role requires U.S. Citizenship and the...  ...to obtain a U.S. Security Clearance. You will serve as an Integrated Planning and Scheduling Specialist within BDS IP&S Home Office... 
    Home office
    Day shift

    Jobleads-US

    Berkeley, MO
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Payer Integration Specialist. Be the first to apply!