Lead the charge in developing innovative medical claim payment policies while collaborating with cross-functional teams to evaluate reimbursement practices and ensure compliance with industry standards and regulations.

Lead cross-functional initiatives to shape innovative medical cost savings through policy development and clinical expertise. Ensure compliance with industry regulations while mentoring peers and improving reimbursement practices effectively.

Transform EOB processes by managing technical tickets, coordinating with teams, and ensuring compliance. Analyze data issues to drive improvements, maintain documentation, and support project initiatives, enhancing efficiency across operations.

Drive provider satisfaction by independently supporting health systems and community providers. Analyze and resolve complex issues while educating on policies. Collaborate cross-departmentally to enhance operational efficiency and relationships.

Transform the operational landscape by leading cross-functional initiatives, driving tech integration, and executing scalable solutions that enhance performance and align with strategic goals across the enterprise.