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Claims Substantiation Jobs (NOW HIRING)

Director of Quality and R&D

Murrieta, CA · On-site

$170K - $175K/yr

Ensure labeling compliance and claims substantiation * Manage product liability risk and documentation Leadership & Strategy * Build and lead the Quality & R&D team * Set innovation roadmap aligned ...

Experience with stability and compatibility testing, and understanding of claims substantiation, and consumer evaluation methodologies * Familiarity with formulation scale-up processes and working ...

Understanding of regulatory guidelines, GMP, claims substantiation, and cosmetic testing protocols * Project management skills for the development process * Consumer insights or trend analysis ...

Understanding of regulatory guidelines, GMP, claims substantiation, and cosmetic testing protocols * Project management skills for the development process * Consumer insights or trend analysis ...

Experience with stability and compatibility testing, and understanding of claims substantiation, and consumer evaluation methodologies * Familiarity with formulation scale-up processes and working ...

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Regulatory Affairs Specialist

Ottawa, IL · On-site

$70K - $100K/yr

Experience conducting label reviews and claims substantiation assessments. * Experience preparing and maintaining regulatory documentation and technical files. * Experience with MoCRA compliance and ...

Experience with stability and compatibility testing, and understanding of claims substantiation, and consumer evaluation methodologies * Familiarity with formulation scale-up processes and working ...

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Claims Substantiation information

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How much do claims substantiation jobs pay per hour?

As of Jul 7, 2026, the average hourly pay for claims substantiation in the United States is $21.86, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $25.72 per hour, depending on experience, location, and employer.

What is the difference between Claims Substantiation vs Claims Examiner?

AspectClaims SubstantiationClaims Examiner
Required credentialsTypically requires knowledge of regulations, documentation, and industry standardsRequires understanding of insurance policies, claims processing, and regulatory compliance
Work environmentOften involves research, documentation review, and compliance checksPrimarily office-based, reviewing claims and making determinations
Employer and industry usageUsed in insurance, healthcare, and regulatory agenciesCommon in insurance companies and third-party claims organizations

Claims Substantiation focuses on verifying the validity of claims through documentation and compliance, while Claims Examiners review and process claims to determine eligibility and payout. Both roles require knowledge of regulations and industry standards but differ in their primary functions within the claims process.

More about Claims Substantiation jobs
What cities are hiring for Claims Substantiation jobs? Cities with the most Claims Substantiation job openings:
What states have the most Claims Substantiation jobs? States with the most job openings for Claims Substantiation jobs include:
Senior Director, Research & Development - Healthcare Nutrition (Dysphagia Focus)

Senior Director, Research & Development - Healthcare Nutrition (Dysphagia Focus)

Lyons Magnus LLC

Walton, KY • On-site

Full-time

Medical, Dental, Life, Retirement

Posted 13 days ago


Job description

Job Type
Full-time
Description
Lyons Magnus is fast-growing leader in beverages, ingredients, and healthcare nutrition solutions. The Lyons Health Labs division is committed to improving quality of care and patient outcomes through the power of science-based, wholesome and delicious nutrition. Our portfolio serves patients across acute care, long-term care, and home settings, and we are rapidly expanding our healthcare presence to better reach and provide the highest level of care for our healthcare providers, caregivers, and patients.
At Lyons Health Labs, we believe in the power of nutrition to elevate quality of care. We're looking for driven, entrepreneurial, individuals who are motivated not only by business growth, but also by the mission to make a real impact on patients' lives.
The Senior Director of R&D will lead the strategic direction and execution of innovation for the healthcare nutrition portfolio for Lyons Health Labs, with a primary focus on dysphagia and related swallowing disorders. This role is responsible for advancing clinically relevant, evidence-based nutrition solutions designed to improve patient safety, outcomes, and quality of life. The position oversees end-to-end product development, scientific and clinical substantiation, and claims strategy, ensuring alignment with clinical, regulatory, and commercial objectives. The ideal candidate brings deep expertise in healthcare nutrition, texture-modified foods and beverages, and dysphagia management, along with a strong understanding of clinical practice standards (e.g., IDDSI framework).
Hours: 8:00am to 5:00pm
Schedule: Monday through Friday
Location: Walton, KY
Travel Requirements: 25%
Work environment: In office
Essential Duties and Responsibilities
Product Development Leadership (Healthcare Nutrition Focus)
  • Lead the full lifecycle development of healthcare nutrition products, including thickened liquids, texture-modified foods, oral nutritional supplements, and hydration solutions for dysphagia patients.
  • Ensure all products meet clinical requirements for safety, efficacy, palatability, and compliance with IDDSI standards.
  • Drive formulation strategies that balance nutritional adequacy, sensory acceptance, stability, and ease of use in clinical and homecare settings.
  • Collaborate with Operations and Quality to ensure scalable, compliant manufacturing processes (including consistency in viscosity and texture).
  • Build a robust innovation pipeline addressing unmet needs in dysphagia, malnutrition, and related conditions (e.g., oncology, geriatrics, post-acute care).

Claims Development and Regulatory Alignment
  • Lead the development of clinically relevant, evidence-based claims (e.g., swallowing safety, hydration support, nutritional adequacy, compliance with IDDSI levels).
  • Partner with Regulatory and Medical Affairs to ensure claims meet requirements for healthcare nutrition, including FDA (e.g., FSMP considerations where applicable), global regulatory bodies, and healthcare institution standards.
  • Establish rigorous internal processes for claims substantiation, documentation, and audit readiness.
  • Translate clinical and scientific evidence into clear, defensible claims for healthcare professionals and caregivers.

Scientific and Clinical Evidence Strategy
  • Define and execute the scientific roadmap supporting the dysphagia and healthcare nutrition portfolio.
  • Design and oversee clinical studies, real-world evidence generation, and usability studies focused on:
  • Swallow safety and aspiration risk reduction
  • Patient compliance and acceptance
  • Nutritional outcomes and hydration status
  • Ensure alignment with clinical guidelines and frameworks (e.g., IDDSI, ASPEN, ESPEN).
  • Identify evidence gaps and prioritize research investments to strengthen product differentiation.
  • Build and manage collaborations with hospitals, long-term care facilities, speech-language pathologists (SLPs), dietitians, and academic partners.

Clinical and External Engagement
  • Serve as a scientific leader and external ambassador in the field of dysphagia and healthcare nutrition.
  • Engage with key opinion leaders (SLPs, RDs, physicians) to inform product design and validation.
  • Support clinical education initiatives and contribute to publications, white papers, and conference presentations.
  • Monitor emerging science, clinical practices, and regulatory changes impacting dysphagia management.

Innovation and Patient-Centric Design
  • Drive patient- and caregiver-centered innovation, focusing on ease of preparation, consistency, taste, and adherence.
  • Incorporate human factors and real-world use conditions (hospital, LTC, homecare) into product design.
  • Identify opportunities for differentiation through format innovation, ingredient technology, and delivery systems.

Team Leadership and Cross-Functional Collaboration
  • Build and lead a high-performing R&D team with expertise in formulation science, clinical research, and regulatory science.
  • Partner closely with Regulatory, Quality, Marketing, and Commercial teams to ensure successful product launches and lifecycle management.
  • Establish clear goals, KPIs, and development pathways for the R&D organization.
  • Act as a key advisor to executive leadership on healthcare nutrition strategy and innovation.

Requirements
Knowledge, Skills and Abilities:
  • Demonstrated experience in dysphagia-related (e.g., thickening systems, texture-modified nutrition) or other medical nutrition product development.
  • Strong understanding of healthcare nutrition regulatory pathways (including FSMP considerations, FDA, EFSA, etc.) and claims substantiation requirements.
  • Strategic and patient-centric mindset with strong clinical orientation.
  • Ability to translate complex clinical and scientific data into actionable product strategies.
  • Strong cross-functional leadership and stakeholder management skills.
  • Results-driven with high accountability and operational discipline.
  • Excellent communication skills with both scientific and commercial audiences. and ability to effectively work, influence, problem solve and communicate at all levels of the organization.
  • Proven track record in people leadership (developing, coaching, mentoring, directing) with demonstrative team-building and collaboration skills.
  • Strong business acumen with an ability to mesh business needs with technical competencies.
  • Must have the ability to adapt to change with proven ability to accelerate the performance of R&D teams.
  • Ability to develop both long-range plans that address key business and technical needs and short-term operational projects that support customer needs.

Required Qualifications:
  • BS Degree required in Food Science, Nutrition Science or related field.
  • Advanced degree Preferred in Nutrition Science, Food Science, Clinical Nutrition, or related field.
  • 12+ years of R&D experience in healthcare nutrition, clinical nutrition, or specialized dietary products.

Preferred Qualifications:
  • Deep knowledge of dysphagia management and IDDSI framework.
  • Expertise in formulation challenges related to viscosity, stability, and sensory performance.
  • Ability to lead clinical research and product commercialization in regulated environments.
  • Experience designing and interpreting clinical and real-world evidence studies.

Additional Information Our compensation program is designed to attract, motivate, and retain the very best people. Lyons Magnus offers a comprehensive benefits plan that include: Health, Dental Insurance, Life Insurance, Long Term Disability, Sec. 125, 401(k) plan, and more. If you meet these requirements and are eager to join a dynamic company poised for further growth, please respond with your cover letter, and salary requirements. To learn more about Lyons Magnus, LLC its products and core values, visit www.lyonsmagnus.com or follow us on Instagram or LinkedIn Lyons Magnus is an Equal Opportunity Employer and with opportunities for advancement. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories. *This organization participates in E-Verify.