• Conduct research to identify customer trends and provide actionable insights that support departmental objectives. • Respond to and resolve customer problems, grievances, and issues • Assists both internal and external customers with account inquiries and transactions via phone, email, internet chat, and case management system • Take the initiative to start new tasks and projects, and operate outside of their area of influence • Prepare and release payroll files, ensuring accuracy in collections and payments • Conduct a thorough analysis of payroll data to validate correctness and compliance with accounting standards • Monitor transactions for success as well as rejections and errors • Collaborate with banks to resolve issues promptly • Track and analyze funding limits to ensure timely processing of transactions • Perform ancillary Treasury tasks, i.e. stop payments, void checks, ACH Reversals, Trace IDs, etc. • Process Same Day ACH requests while adhering to all guidelines and deadlines to ensure quick and accurate payments • Generate daily summaries of transactions, highlighting trends and anomalies for management review • Identify and escalate issues related to payroll processing, bank transactions, and data accuracy as needed • Perform other duties as may be assigned

• Proactively Monitor and Analyze Fraud Trends: Take ownership of fraud trends, analyze fraud controls, and provide recommendations to mitigate fraud. • Manage Key Performance Indicators (KPIs): Own the fraud KPIs for your assigned markets, ensuring they align with and contribute to global metrics. • Develop and Optimize Fraud Rules: Create and manage fraud rules, regularly evaluating their effectiveness by monitoring for good user impact, false negatives, and degradation. Continuously analyze data and trends to develop new rules and alerts. • Contribute to Global Fraud Strategy: Play a key role in the creation, tuning, and monitoring of fraud models. • Collaborate and Share Findings: Consistently share findings with key cross-collaboration partners such as the global fraud analysts, operations, data science, product managers, and engineering teams. Stay informed about business changes in-market, global fraud trends, and provide support to other markets as needed. • Collaborate with PMs and domain experts to define fraud systems requirements • Write efficient SQL queries and work with well-modeled data to generate reliable insights. • Design and analyze experiments (A/B tests), presenting results with statistical rigor and actionable recommendations. • Build and maintain dashboards and reusable metric definitions to enable self-service and consistent decision-making. • Identify patterns, trends, and opportunities proactively and escalate to relevant parties. • Document analyses and results in a central knowledge base to create leverage and prevent duplication.

• Perform behavioral health duties using established guidelines to ensure an appropriate level of care • Plan for the transition to the continuum of care • Review Applied Behavior Analysis evaluations and progress reports for authorization or denial recommendations • Present cases to Autism Joint Case Rounds with medical directors and interdisciplinary team • Evaluate the necessity and appropriateness of behavioral health medical services • Coordinate and assist in implementation of plans for members • Monitor and coordinate services rendered outside of the network • Advocate for the member/family among various sites • Document accurately based on standards of practice and organization policies • Interact and communicate with multidisciplinary teams for continuity and efficiency • Evaluate care by problem solving and participating in quality improvement programs.

• responsible for reporting, auditing, and evaluating financial offers • development and maintenance of analytic deliverables • gathering, manipulating, and summarizing data for plan reviews • analyzing claims data and reporting on possible future costs • project manage the development, preparation, and interpretation of client audit deliverables • attend client & broker meetings to communicate complex financial concepts • provide proactive departmental leadership for client reporting deliverables