Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified. Interested in shaping the future of healthcare with AI? Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI.
The Senior Technical Program Manager will manage these aspects of software development and delivery for Lyric:
- Drive cross-team execution by coordinating engineering, product, and operations to deliver complex projects on time and within scope.
- Bridge technical and business goals through deep technical understanding and strategic oversight, ensuring alignment and informed decision-making.
- Mitigate risks and improves efficiency by identifying blockers early, optimizing processes, and scaling delivery frameworks as the company grows.
ESSENTIAL JOB RESPONSIBILITIES & KEY PERFORMANCE OUTCOMES
- Program Leadership: Drive end-to-end delivery of large-scale programs focused on claim validation, pre- and post-pay analysis, audit automation, and payment recovery.
- Agile Execution: Lead Agile ceremonies across multiple scrum teams, facilitate continuous improvement, and ensure predictable delivery cycles.
- Domain Expertise: Collaborate with business stakeholders to understand complex payment policies, payer-provider relationships, coding standards (ICD-10, CPT, DRG), and integrate this understanding into program planning and execution.
- Technology Oversight: Partner with engineering to scope and deliver data-intensive solutions leveraging rules engines, machine learning models, and claims analytics platforms.
- Compliance & Risk Management: Ensure adherence to CMS, HIPAA, and payer-specific guidelines while managing program risks and mitigating operational bottlenecks.
- Stakeholder Management: Communicate effectively with internal teams (product, data, compliance, operations) and external partners (payers, auditors, regulators) to align on goals and timelines.
- Team Leadership: Mentor junior TPMs and contribute to building a high-performing, outcome-driven delivery culture.
REQUIRED QUALIFICATIONS:
- Bachelor’s degree in computer science, Engineering, Health Informatics, or a related field (Master’s preferred)
- 8+ years of technical program management experience, including a minimum of three (3) years in healthcare payment integrity, claims processing, or related systems
- 8+ years experience leading Agile teams with strong understanding of Agile methodologies (Scrum, SAFe, Kanban)
PREFERRED QUALIFICATIONS:
- Deep familiarity with claims lifecycle, payment integrity tools, FWA detection, and healthcare reimbursement models
- Demonstrated ability to lead cross-functional teams and deliver complex technology solutions at scale
- Experience with data-driven platforms, including those built on modern data architectures (e.g., Hadoop, Spark, Snowflake, or cloud-native)
- Excellent communication, leadership, and stakeholder management skills
- Proficiency with tools such as Jira, Confluence, AWS DevOps, or similar platforms
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What We Do
Welcome. Let us help bring your health plan's payment accuracy and savings into the next era of savings and cost reduction. Learn more by visiting Lyric.AI
Welcome to Lyric. Building on the legacy of ClaimsXten, we bring over 30 years of expertise to deliver unmatched savings—more than $14 billion annually—to our valued clients, including 9 of the top 10 health payers nationwide.
Our cutting-edge solutions streamline complex claims processes, ensuring precision and efficiency for over 185 million lives under our care. Recognized by KLAS for our partnership excellence and value, we lead with top customer satisfaction scores and an A+ recommendation rate.
Apart from our market-leading pre-pay claim editing services, Lyric is at the forefront of integrating advanced technologies to drive greater savings and administrative cost savings through the payment integrity value chain. This includes strategic partnerships with leaders in the areas of genetic testing claims accuracy, coordination of benefits, and more.
Whether you are a current valued customer or new to Lyric, we are investing in helping health plans simplify the business of care.
Visit us at Lyric.AI
