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Senior Medical Director
Lyric - Clarity in motion.Senior Medical Director representing Lyric and engaging with payer clients. Building relationships and providing expertise in health plan payment policies.
About the role
Key responsibilities & impact- Serve as Lyric’s clinical ambassador to payer clients, engaging directly with medical directors, clinical operations executives, and CMOs.
- Build trusted advisory relationships that expand Lyric’s influence within payer organizations.
- Map client clinical leadership structures and proactively identify opportunities for strategic engagement.
- Partner with go-to-market and sales teams to support new business development, renewal discussions, and client growth initiatives.
- Provide expertise on health plan payment policies, claims editing methodologies, and their downstream impact on provider networks and cost-of-care strategies.
- Communicate Lyric’s payment policy and editing content in ways that inform, advise, and influence adoption, ensuring clients strengthen their payment integrity programs while advancing Lyric’s market impact and value capture.
- Offer deep subject matter expertise in payer affordability, medical and reimbursement policy, and primary and secondary code edits.
- Represent Lyric at industry conferences, client forums, and thought leadership venues as a credible clinical and policy voice.
- Act as a conduit of clinical and policy information from payer clients to Lyric’s content, product, and solution development teams.
- Support development of go-to-market strategies, sales collateral, and solution positioning with a strong clinical and policy perspective.
Requirements
What you’ll need- M.D or D.O. required
- 10+ years of experience in payer organizations, provider systems, or healthcare technology companies.
- 4+ years experience with primary and secondary code edit frameworks.
- Deep expertise in health plan payment policies and claims editing, with a strong understanding of their impact on provider networks and payer-provider relationships.
- Insight into industry-standard payment policies and provider network management approaches in order to better consult with and inform Lyric’s clients.
- Familiarity with affordability, claims operations, payment integrity, utilization management, medical policy and/or benefit policy development.
- Active or prior state medical license (if retired from practice).
- Outstanding presentation skills with the ability to simplify complex concepts for diverse audiences.
- Familiarity with AI methodologies for claims anomaly detection and their applications in payment integrity programs.
- Proven ability to translate complex clinical and payment policy content into actionable strategies for adoption.
- Strategic mindset with ability to bridge clinical, operational, and business priorities.
- Collaborative approach, with success working across sales, product, and client delivery teams.
- Willingness and ability to travel up to 40% of the time.
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Lyric - Clarity in motion. Website LinkedIn All Job Openings 201 - 500 employees ⚕️ Healthcare Insurance 💳 Fintech ☁️ SaaS Healthcare Insurance
- Fintech
- SaaS Lyric is a leading healthcare technology company focused on payment integrity and accuracy solutions. With over 30 years of experience, Lyric aims to simplify the business of care by leveraging machine learning and predictive analytics to empower health plan payers. The company provides a range of solutions, including Lyric 42 Platform, Pre-Pay Editing, Diagnostics Module, Coordination of Benefits, Concept Libraries, and LyricIQ, which combines AI-powered payment accuracy services. Additionally, Lyric focuses on transparency and responsibility in technology development, ensuring enhanced payment accuracy, administrative efficiencies, and reduced provider abrasion. As a trusted partner in the healthcare industry, Lyric continues to deliver cutting-edge technologies at the crossroads of healthcare and fintech, supporting health plans and providers in the shift to value-based care. Senior Medical Director 🔥 8 minutes ago 🇺🇸 United States – Remote 💵 $216.4k - $324.6k / year ⏰ Full Time 🟠 Senior 👨⚕️ Medical Director Apply Now Find Hiring Managers Customize resume for this job Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Serve as Lyric’s clinical ambassador to payer clients, engaging directly with medical directors, clinical operations executives, and CMOs.
- Build trusted advisory relationships that expand Lyric’s influence within payer organizations.
- Map client clinical leadership structures and proactively identify opportunities for strategic engagement.
- Partner with go-to-market and sales teams to support new business development, renewal discussions, and client growth initiatives.
- Provide expertise on health plan payment policies, claims editing methodologies, and their downstream impact on provider networks and cost-of-care strategies.
- Communicate Lyric’s payment policy and editing content in ways that inform, advise, and influence adoption, ensuring clients strengthen their payment integrity programs while advancing Lyric’s market impact and value capture.
- Offer deep subject matter expertise in payer affordability, medical and reimbursement policy, and primary and secondary code edits.
- Represent Lyric at industry conferences, client forums, and thought leadership venues as a credible clinical and policy voice.
- Act as a conduit of clinical and policy information from payer clients to Lyric’s content, product, and solution development teams.
- Support development of go-to-market strategies, sales collateral, and solution positioning with a strong clinical and policy perspective. 🎯 Requirements
- M.D or D.O. required
- 10+ years of experience in payer organizations, provider systems, or healthcare technology companies.
- 4+ years experience with primary and secondary code edit frameworks.
- Deep expertise in health plan payment policies and claims editing, with a strong understanding of their impact on provider networks and payer-provider relationships.
- Insight into industry-standard payment policies and provider network management approaches in order to better consult with and inform Lyric’s clients.
- Familiarity with affordability, claims operations, payment integrity, utilization management, medical policy and/or benefit policy development.
- Active or prior state medical license (if retired from practice).
- Outstanding presentation skills with the ability to simplify complex concepts for diverse audiences.
- Familiarity with AI methodologies for claims anomaly detection and their applications in payment integrity programs.
- Proven ability to translate complex clinical and payment policy content into actionable strategies for adoption.
- Strategic mindset with ability to bridge clinical, operational, and business priorities.
- Collaborative approach, with success working across sales, product, and client delivery teams.
- Willingness and ability to travel up to 40% of the time. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Senior Medical Director – Medical Affairs, Rheumatology 🕒 Yesterday Sobi - Swedish Orphan Biovitrum AB (publ) 1001 - 5000 🧬 Biotechnology 💊 Pharmaceuticals ⚕️ Healthcare Insurance Website LinkedIn All Job Openings Senior Medical Director supporting medical business goals and objectives for a rheumatology product at Sobi. Leading strategic initiatives and cross-functional collaborations to improve patient outcomes. 🇺🇸 United States – Remote 💵 $224k - $290k / year ⏰ Full Time 🟠 Senior 👨⚕️ Medical Director Medical Director, Senior – Neurology 🕒 Yesterday Thermo Fisher Scientific 10,000+ employees 🧬 Biotechnology 💊 Pharmaceuticals 🔬 Science Website LinkedIn All Job Openings Medical Director overseeing clinical trials ensuring compliance with medical guidelines. Delivering high-quality medical consultation and oversight for pharmaceutical product life-cycles at Thermo Fisher Scientific. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 👨⚕️ Medical Director 🦅 H1B Visa Sponsor Senior Medical Director – Biotech Unit 🕒 2 days ago BeOne Medicines 10,000+ employees Website LinkedIn All Job Openings Senior Medical Director at BeOne responsible for clinical development strategies in oncology. Leading clinical study execution and providing medical monitoring for pivotal studies. 🇺🇸 United States – Remote 💵 $299.8k - $369.8k / year ⏰ Full Time 🟠 Senior 👨⚕️ Medical Director Medical Director – Neurology Care Area Lead 🕒 3 days ago GE HealthCare 10,000+ employees 💊 Pharmaceuticals Website LinkedIn All Job Openings Neurology Care Area Lead at GE HealthCare directing medical strategy and execution across U.S. neurodegenerative portfolio, ensuring effective collaboration with local leadership teams. 🇺🇸 United States – Remote 💵 $164k - $246k / year ⏰ Full Time 🟠 Senior 👨⚕️ Medical Director 🦅 H1B Visa Sponsor Medical Director, Cardiology Care Area Lead 🕒 3 days ago GE HealthCare 10,000+ employees 💊 Pharmaceuticals Website LinkedIn All Job Openings Lead overarching medical strategy for GE HealthCare’s PDx portfolio in Nuclear Cardiology across the U.S. Ensure effective use of products in clinical practice while guiding budget and resource allocation. 🇺🇸 United States – Remote 💵 $164k - $246k / year ⏰ Full Time 🟠 Senior 👨⚕️ Medical Director 🦅 H1B Visa Sponsor View More Medical Director Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs
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Hard Skills & Tools
health plan payment policiesclaims editing methodologiesprimary code editssecondary code editspayment integrity programsutilization managementmedical policy developmentbenefit policy developmentAI methodologies for claims anomaly detectionstrategic engagement
Soft Skills
presentation skillsability to simplify complex conceptsstrategic mindsetcollaborative approachrelationship buildingcommunication skillsadvisory skillsinfluencing skillsclient growth initiativestrust building
Certifications
M.D.D.O.state medical license