• Implement optimization opportunities for prepay and post pay medical record auditing procedures and processes improvement auditing timeliness and quality outcomes • Oversee and ensure that supporting business and regulatory processes and documentation exists and kept current • Track and communicate production issues and escalations to ensure proper follow-up and coordination • Maintain project plans for all projects in which configuration is involved and ensure proper completion of those plans and escalation where timeframes will be changed • Lead new product and new vendor implementations to ensure timeliness and quality of new implementations • Develop and implement ticket controls and ensure that proper communication and approvals are in place prior to system implementation • Oversight and management of team of medical record coding auditors • Analyze and make a determination of appropriate reimbursements and/or modifications of Coding review guidelines in partnership with medical directors and clinical staff.

• Coordinate and oversee the care of patients receiving outpatient medical services. • Identification of members appropriate for case management, based on identification of health-related problems. • Assessing members physical and psychosocial needs/barrier. • Developing the case management care plan. • Developing and implementing the interventions needed to resolve barriers and coordinate care. • Documenting assessments, care plan interventions, and all other activities related to coordinating the care of the case managed members. • Maintain client privacy, safety, confidentiality, and advocacy while adhering to ethical, legal, regulatory and accreditation standards. • Maintain department procedure/policy standards with regards to turnaround time, etc. • Support the interdisciplinary team approach to ensure effective resource utilization, as well as quality and cost-effective outcomes. • Coordinate resources for members. • Document all case management activities in the Ezcap system. • Utilize reports and systems to identify and monitor utilization patterns and facilitate needed care coordination. • Attend Interdisciplinary meetings and team meetings. • Manage the cases to include case management and transition of care activities.

• Conducting telephonic and/or in‑person assessments • Developing care plans • Coordinating comprehensive case management services • Developing proactive, individualized care strategies • Using clinical tools and data for assessments • Applying clinical judgment for implementing strategies • Conducting holistic assessments • Reviewing historical claims to identify impacts on current case management needs • Evaluating members’ functional capacity • Collaborating with supervisors and interdisciplinary teams • Following established case management protocols

• Lead and manage the reimbursement field team in the Northeast for Regeneron. • Work with the Sales and Access leadership teams within REGN and Sanofi counterparts to lead Regional and local strategy for payer and provider access. • Develop and implement local tactical plans for execution of all access initiatives and relevant to defined needs in each respective customer market. • Lead and coach to identified measurable performance parameters and monitor performance against these agreed parameters. • Proactively collaborate and communicate with Sanofi partners to achieve brand goals and performance metrics.