Payer Integration Specialist

    United States
    Full-Time
    Mid (3-6 yrs)
    Product Management
    Posted on October 5, 2026

    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.

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

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

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

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

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

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

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

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

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

  10. Participate in other projects as directed

  11. Requirements:
  12. 3+ years of work experience in a high-growth, fast paced environment

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

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

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

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

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

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

  19. "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 globaldpo@lyrahealth.com. For more information about how we use and retain your information, please see our Workforce Privacy Notice."

    Company:  Lyra Health

    Provides AI-powered workforce mental health benefits, transforming access to life-changing mental health care through provider matching and personalized support.
    1001-5000 employees
    Healthcare & Life Sciences
    HQ: United States