• Deliver individualized MNT, including assessment, nutrition diagnosis, interventions, monitoring, and evaluation. • Support members in managing comorbidities, dietary supplements, and probiotics. • Apply evidence-based strategies (e.g. FODMAP diet, elimination diets, mindful eating) to relieve symptoms and improve quality of life. • Use counseling skills (MI, TTM, strengths-based care) to help members move through the stages of change. • Guide members in building self-efficacy and advocacy, while providing education, SMART goal-setting, and accountability. • Document sessions in line with clinical guidelines and company standards. • Collaborate with an interdisciplinary team to ensure optimal, coordinated care. • Practice in alignment with HIPAA, state, and federal regulations, following our Clinical Pathways and scope of practice, while collaborating with or referring to other disciplines as outlined in our escalation guidelines. • Maintain strict confidentiality of members’ Protected Health Information (PHI) in compliance with HIPAA and our confidentiality agreement.

• Serves as a key relationship and operational liaison between group and the organization’s Care Management/Utilization Management (CM/UM) programs • Supports provider engagement, education, and issue resolution related to referrals, prior authorization/intake processes, and care management programs • Partners with internal UM/CM, Intake, Claims, Network, and Operations teams to ensure providers have clear guidance, timely responses, and consistent service—supporting compliant, high-quality care and a positive provider experience • Build professional, service-oriented relationships with provider offices, facilities, and ancillary organizations through outbound outreach (phone/email/virtual meetings) and timely follow-up • Respond to routine provider inquiries; research and resolve issues within defined turnaround times, using established policies, job aids, and escalation pathways • Provide basic education to providers and office staff on submission requirements, required documentation, timelines, and available CM/UM resources • Route requests to the appropriate internal team (Intake, UM/UR, CM, Claims, Network, Operations) and monitor through closure; communicate status updates to providers as appropriate • Document provider interactions, inquiries, and outcomes accurately in designated systems; maintain complete, professional records • Support provider experience initiatives by identifying service gaps, reporting recurring issues, and recommending updates to job aids or FAQs • Educate providers and office staff on health plan requirements, benefits, prior authorization processes, and care management programs

• You’ll contact payers for medical claims status, followup denials, or partial payments • You’ll obtain payer requirements for timely adjudication of claims • You’ll file claims with appropriate documentation attached • You’ll pursue, maintain, and communicate medical coverage/guideline changes/updates to our internal team and/or customers • You’ll process all incoming and outgoing correspondence as assigned • You’ll verify, adjust, and update Accounts Receivable (A/R) according to correspondence received from insurance company • You’ll help facilitate communication on error and denial trends • You’ll initiate the review/appeals process on disputed claims • You’ll maintain partnerships with Candid’s Strategy & Operations team regarding customer accounts and claim trends • You’ll maintain HIPAA guidelines

• The Clinical Specialist provides support to one or more regional sales teams in the areas of market development, procedural coverage, troubleshooting, education and training, customer service and follow-up. • Work with Regional Sales Manager and team members to develop and implement a regional plan aimed at increasing market share and improving quality of service to customers. • Establish a system of communication with Regional Sales Manager and Territory Managers to ensure proper execution of plan and achievement of quarterly objectives. • Develop relationships with hospital personnel to expand contacts in other departments, identify key decision makers and facilitate future sales. • Meet with existing and potential customers to identify their clinical needs, goals and constraints related to patient care, and to demonstrate how Company products can help them achieve their goals. • Educate existing and potential customers on the merits and proper clinical use of Company products by giving presentations and demonstrations, using slides, flow model, brochures and other platforms and formats. • Keep customers abreast of the latest product, therapy, and technology developments, and current items of interest in the industry. • Serve as primary resource for clinical support in the areas of procedural case coverage, basic troubleshooting, and follow-up for Company products.