Senior Manager, Health Plan Billing Operations

About Lyra Health

Lyra is transforming mental health care through technology with a human touch to help people feel emotionally healthy at work and at home. We work with industry leaders, such as Morgan Stanley, Uber, Amgen, and other Fortune 500 companies, to improve access to effective, high-quality mental health care for their employees and their families. With our innovative digital care platform and global provider network, 17 million people can receive the best care and feel better, faster. Founded by David Ebersman, former CFO of Facebook and Genentech, Lyra has raised more than $900 million.

About the Role

Lyra is looking for a Senior Manager of Health Plan Operations to lead Lyra’s health plan billing operations team. The ideal candidate has a deep understanding of and experience managing claims and billing payment operations with health plans in an outpatient care setting or directly with a health plan and can grasp complicated systems and claims billing rules quickly. They are also a strategic problem solver who constantly looks for opportunities for improvement, can identify, substantiate, and implement changes (big and small), and can work effortlessly in a fast-paced, start-up environment. They understand how to utilize team resources to drive key performance indicators and create scalable and sustainable operating systems.

This candidate will report to the Director of Core Operations.

• 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

• 5+ years of previous management experience
• 15+ years experience in the health plan billing operations
• Experience in a digital start-up is a plus but not required
• 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

"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."