Payer Workflow & Integration Lead

At MCG, we lead the healthcare community to deliver patient-focused care. We have a mission-driven team of talented physicians and technical experts developing our evidence-based content and innovating our products to accelerate improvements in healthcare. If you are driven to enhance the US healthcare system, MCG is eager to have you join our team. We cultivate a work environment that nurtures personal and professional growth, and this is a thrilling time to become a part of our organization. With dynamic roles that offer meaningful impact, you'll be able to fully realize your potential. Plus, you'll enjoy world-class benefits and the security, stability, and resources of our parent company, Hearst, with over 100 years of experience.

The Payer Workflow & Integration Lead serves as a subject matter expert in payer-side healthcare workflows, system integrations, and data flows, supporting customer implementations through advisory guidance rather than execution. This role partners closely with Implementation, Product, and technical teams to identify risks early, answer complex workflow and integration questions, and guide solution design within real-world payer environments.

By bringing deep expertise in health plan operations and system interactions, this individual helps teams anticipate challenges, reduce implementation delays, and improve overall delivery quality. This role is critical in strengthening internal capability, reducing reliance on limited subject matter experts, and increasing customer confidence in how solutions function within their organizations.

You Will:

• Serve as a subject matter expert on payer workflows, system integrations, and data flows • Advise implementation teams and customers on how solutions will function within complex payer environments • Lead or support workflow discovery and provide guidance on integration design during customer implementations • Identify risks, gaps, and potential blockers early in the implementation lifecycle and recommend solutions • Act as an escalation point for complex workflow and integration-related questions and challenges • Translate complex technical and operational concepts into clear, actionable guidance for internal teams and customers • Partner cross-functionally with Product, Implementation, and technical teams to align on solution design and execution • Support customer-facing discussions related to workflow, integrations, and how solutions operate within their environments • Reduce dependency on Product teams by providing real-time workflow and integration expertise during implementations • Analyze patterns across implementations to identify recurring issues and recommend systemic improvements • Proactively assess customer environments to identify potential workflow and integration challenges prior to and during implementation • Provide guidance on how payer-specific processes (e.g., utilization management, prior authorization) may impact solution design and configuration • Facilitate working sessions with internal teams and customers to clarify workflows, integration points, and data dependencies • Advise on trade-offs and alternative approaches when standard implementation paths do not align with customer environments • Develop and maintain reusable artifacts (e.g., workflow diagrams, integration patterns, decision frameworks) to support consistent implementation outcomes • Contribute to standardizing implementation approaches, best practices, and processes to improve efficiency and scalability • Develop training materials and support cross-team enablement to expand workflow and integration knowledge • Mentor and upskill implementation team members on payer workflows, integration concepts, and issue identification • Provide field-driven feedback to Product teams on workflow gaps, integration challenges, and opportunities for enhancement • Support pre-implementation or late-stage sales conversations as a subject matter expert to validate feasibility and set expectations •