Serve as the primary consultative lead for customers operating Lyric’s Emergency Department content program, supporting onboarding, implementation, and ongoing program operations.
Lead recurring customer meetings and operational reviews to explain program logic, review claim outcomes, and assess performance trends.
Collaborate with and support Go-To-Market and solution design teams during the sales process.
Partner with Implementation and Customer Success teams to support customers transitioning from the sales cycle into production use of the solution.
Work directly with customers to review example claims and explain claim behavior, including coding, billing, and reimbursement drivers.
Support customers in addressing operational questions and performance concerns without direct provider engagement.
Monitor edit performance, quality, and outcomes over time, identifying trends, variances, and opportunities for improvement.
Analyze claims data and customer feedback to assess program effectiveness and operational impact.
Provide structured insights and recommendations to Product Strategy and Clinical Operations teams to inform program refinements, enhancements, and roadmap decisions.
Support testing, validation, and rollout of content updates to ensure accuracy, defensibility, and alignment with customer expectations.
Contribute to the research, design, and development of new content-based leveling and assessment programs.

Bachelor’s degree in healthcare administration, health information management, nursing, or a related healthcare field.
Active AAPC Certified Professional Coder (CPC) credential required.
Minimum of five (5) years of experience working with medical claims, coding, billing, reimbursement methodologies, or payment integrity, either within a health plan or as a payment integrity vendor.
Experience supporting or operationalizing content-based claim edits or payment accuracy programs.
Proven ability to independently lead customer meetings and translate detailed claim behavior into clear, actionable insights.
Strong analytical skills with the ability to identify trends, assess performance, and recommend improvements.

Healthcare Content Program Lead

Key skills