Client Engagement Manager - Post-Pay, Specialist (Healthcare AI)

Location: Remote - US; applicants must already be legally authorized to work in the U.S.; approximately 20% client-site travel required. Visa sponsorship and other immigration support are not available.

Salary: $125,241–$187,862 US base salary annually.

Company

hirify.global provides healthcare decision intelligence using responsible AI and clinical, payment, regulatory, and policy expertise to support transparent, auditable claims payment decisions.

What you will do

• Lead payer payment integrity implementations and serve as the primary client-facing contact from discovery through post-go-live support.
• Facilitate discovery sessions, demonstrations, status reviews, decision forums, and executive-ready updates while managing client expectations and commitments.
• Own requirements, process flows, user stories, acceptance criteria, data specifications, configuration decisions, traceability, approvals, and change control.
• Coordinate claims and member data discovery, source-to-target mappings, transformation rules, validation, reconciliation, testing, defect triage, and readiness decisions.
• Align client, product, business analysis, engineering, data, configuration, QA, security, operations, and customer success teams across implementation milestones.
• Coordinate cutover, go-live, hypercare, escalations, stabilization, adoption, optimization, and ongoing account support.

Requirements

• Bachelor’s degree in healthcare administration, business, information systems, data analytics, project management, or a related field, or an equivalent combination of education and relevant experience.
• At least 7 years of progressive experience in healthcare payment integrity, payer claims operations, healthcare technology implementation, business analysis, consulting, or a closely related field, including at least 5 years leading complex, client-facing healthcare implementations or workstreams from discovery and requirements through testing, go-live, and post-go-live support.
• Expert-level post-payment payment integrity knowledge across multiple domains such as COB, data mining, DRG review, coding or clinical chart review, overpayment recovery, appeals, and reconciliation.
• Experience eliciting, analyzing, documenting, validating, and obtaining approval for complex business and technical requirements, including collaboration with Business Analysts and technical teams on process flows, user stories, acceptance criteria, data specifications, and traceability.
• Strong understanding of healthcare claims and supporting data domains, data mapping, source-to-target logic, data validation, and integration methods such as secure file transfer and APIs.
• Experience maintaining RAID logs, decision logs, action trackers, change controls, requirements repositories, test evidence, and implementation documentation.
• Ability to explain sophisticated payment integrity workflows and product behavior to business, operational, technical, and executive audiences.
• Excellent facilitation, written communication, presentation, relationship management, negotiation, and issue-resolution skills; ability to manage multiple priorities and drive accountability without direct authority.
• Proficiency with Microsoft Word, Excel, PowerPoint, Teams, and structured project or requirements management tools; ability to maintain confidentiality and comply with healthcare privacy, security, and data-handling requirements.
• Ability to travel approximately 20% for client-site and other business needs.

Nice to have

• Experience implementing payment integrity software or services for national or regional health plans across Commercial, Medicare, Medicaid, or Marketplace lines of business.
• Experience with Lyric Replay or similar post-payment audit, recovery, workflow, or analytics platforms.
• Working knowledge of SQL, relational data models, business intelligence tools, data profiling, and reconciliation techniques.
• Experience with claim-adjudication platforms, payer data warehouses, eligibility systems, provider data, clinical records, and recovery systems.
• Experience in Agile delivery environments and with Jira, Azure DevOps, Confluence, or comparable platforms.
• Experience developing client-ready implementation playbooks, training materials, process documentation, and operational transition plans.
• PMP, PMI-PBA, CBAP, Lean Six Sigma, Prosci, Agile, payment integrity, coding, clinical, health information management, or claims-related credentials.

Culture & Benefits

• Full-time employment with a remote US work arrangement and approximately 20% travel.
• Collaborative, cross-functional work in a matrixed project environment.
• Focus on transparent communication, disciplined governance, audit-ready documentation, and inclusive collaboration.
• Base salary range of $125,241–$187,862 annually; total rewards may include additional compensation beyond the stated base salary.