[Hiring] Senior Payment Accuracy Advisor @TBC Corporation

Role Description

The Senior Payment Accuracy Advisor (PAA) plays a key role in implementing and maintaining ClaimsXten (CXT) rules and rule logic to support client payment accuracy initiatives. The Senior PAA partners with assigned customers as part of a Service Delivery Team to understand claim systems, payment policies, and data integrations that impact total payment accuracy.

This role combines technical expertise, analytical skills, and customer engagement to drive successful implementation, upgrades, and post–Go Live production support. The Senior PAA consults with clients to define requirements, resolve rule and non-rule issues, and ensure high-quality, on-time project delivery.

As a trusted advisor, the Senior PAA collaborates across teams to deliver measurable results that align with client business objectives and Lyric’s standards of excellence. The Senior PAA is a consultative partner to customers; proactively engaging to understand their evolving needs, business drivers, and strategic objectives.

As a key member of the Customer Success function, this role consults with customers to deeply understand their business needs, documents requirements with precision, shapes and informs methodologies, leads course corrections when needed, and consistently demonstrates reliability and expertise.

Qualifications

• Bachelor’s degree in computer science, healthcare, or a related field—or equivalent business experience
• Minimum of four (4) years of combined healthcare, payor, or consulting experience
• Minimum of two (2) years of medical claims experience within a payor environment
• Familiarity with SDLC frameworks and project implementation lifecycles
• Advanced skills in Microsoft Office Suite (Word, Excel, PowerPoint, Visio)
• Experience with Jira, Confluence, and other project management tools
• Strong understanding of integrations, data mapping, and claims processing systems
• Travel required 10–15%

Requirements

• Serve as the primary customer-facing resource for ClaimsXten rule development and production support.
• Act as a consultative partner to customers, proactively engaging to understand their evolving needs, business drivers, and strategic objectives.
• Facilitate discovery sessions and workshops to elicit, clarify, and document customer requirements, ensuring alignment with both immediate and long-term goals.
• Regularly review and refine methodologies and processes based on customer feedback and industry best practices.
• Demonstrate strong critical thinking by analyzing each customer’s business functions, understanding their lines of business, and evaluating the rationale behind rule exclusions and inclusions.
• Approach every implementation step with structured execution and verification, confirming that all requirements and results are fully validated and communicated before completion.
• Collaborate with clients to document business intent, technical requirements, and expected rule behavior.
• Troubleshoot and resolve rule-related issues throughout implementation, upgrade, and post–Go Live phases.
• Participate in testing, quality assurance, and defect remediation processes.
• Utilize Jira, Salesforce, CRB, and other tools to manage development activities and maintain compliance with methodology standards.
• Ensure all project milestones are achieved to support accurate customer invoicing.

Benefits

• The US base salary range for this full-time position is: $86,973.00 - $130,460.00
• The specific salary offered to a candidate may be influenced by a variety of factors including but not limited to the candidate’s relevant experience, education, and work location.
• Please note that the compensation details listed in US role postings reflect the base salary only, and does not reflect the value of the total rewards compensation.

Company Description

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.

• Formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise.
• Dedicated teams and top technology.
• Proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity.
• HI-TRUST and SOC2 certified.
• Recipient of the 2025 CandE Award for Candidate Experience.