Payer Integration Specialist

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.

What You'll Do:
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Coordinate with payers to establish technical and operational connectivity

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Translate payer-specific requirements into actionable implementation steps for internal teams

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Focus on the day-to-day coordination with payers to establish technical and operational connectivity for standard integrations systems

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Serve as the primary point of contact for health plan integration setups, focusing on eligibility, claims, and billing workflows

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Participate in customer and partner kickoff meetings and act as a liaison between internal team and external stakeholders

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Implement, configure, and troubleshoot health plan and health systems technical integrations

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Work closely with Sales, Product, Engineering, Payer Billing Operations and Customer Success to ensure alignment throughout the customer journey

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Manage project plans, timelines and milestones to ensure timely and accurate delivery

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Assist with the execution of annual benefit updates throughout the customer lifecycle to maintain data integrity

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Participate in other projects as directed

Requirements:
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3+ years of work experience in a high-growth, fast paced environment

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Deep understanding of health plan structures, payer operations, claims billing and utilization management workflows

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Hands-on experience with RTE (270/271), claims (837), accumulators and/or similar healthcare integrations, preferably including systems like Asana and SalesForce

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Strong project management skills with the ability to manage multiple work streams and competing priorities

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Exceptional communication skills and the ability to work cross-functionally with technical and non-technical stakeholders

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Comfortable navigating ambiguity, anticipating risks, and proactively driving issues to resolution

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Passion for working in collaboration across internal teams, both leading and supporting multiple stakeholders