Senior Manager, Health Plan Billing Operations

Summary

Join Lyra Health as a Senior Manager of Health Plan Operations and lead the health plan billing operations team. You will be responsible for managing claims and billing payment operations, building scalable processes, auditing existing systems, and collaborating with other teams. The ideal candidate possesses extensive experience in health plan billing, strong project management skills, and the ability to work in a fast-paced environment. You will report to the Director of Core Operations and play a key role in improving Lyra's operational efficiency and compliance. Lyra offers a competitive salary and a comprehensive benefits package, including health insurance, paid time off, retirement benefits, and more.

Requirements

• 5+ years of previous management experience
• 15+ years experience in the health plan billing operations
• Highly organized self-starter; able to multitask and be efficient in ambiguous situations
• Strong project management skills and a demonstrated ability to work successfully on cross-functional teams to drive outcomes
• Planning, problem-solving and critical thinking skills to anticipate, avert, or resolve issues in staffing, scheduling and task allocation
• Comfortable with using data to tell a story
• Ability to distill and communicate complex ideas clearly across different audiences
• Ability to set and maintain priorities when dealing with multiple demands and interruptions
• Passion for expanding access to quality mental health care

Responsibilities

• Lead the end-to-end business process related to health plan claims submission and reconciliation
• Build out and effectively manage scalable processes for health plan claim operations and collections
• Audit existing processes and develop and implement solutions and key performance indicators including outstanding A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters to align with industry best practices
• Collaborate with product and technology teams to advocate for billing and reporting solutions that support continued scaling and operational efficiencies
• Project manage highly diverse stakeholder teams to implement new initiatives that streamline day-to-day operations and enable Lyra to scale and implement new health plan partnership arrangements
• Design and implement policies and procedures that adhere to the highest quality and compliance standards
• Track key operating metrics and leverage this information to make informed decisions about staffing and/or priorities, and effectively report out on program health to leadership audiences
• Serves as the subject-matter expert on regulatory and compliance requirements associated with Lyra’s health plan billing
• Support initiatives to build a team that embodies operational excellence; coach and develop direct reports

Preferred Qualifications

Experience in a digital start-up is a plus but not required

Benefits

• 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 retirement benefits
• Monthly tech stipend
• We like to spread joy throughout the year with well-being perks and activities, surprise swag, free food and snack deliveries each month, regular community celebration…and more!