• Lead exploratory analysis of claims data to identify utilization patterns, anomalies, and potential overpaid or inappropriate claims • Apply deep knowledge of billing rules, coding, reimbursement, and workflows to guide data mining and investigative efforts • Perform reverse engineering of claims outcomes to understand root causes of payment issues and system behaviors • Translate operational and claims insights into clear use cases, concepts, and solution ideas for analytics and product teams • Partner closely with analytics, product, and strategy teams to ensure solutions align with real-world claims operations • Validate data-driven findings against practical claims and payment realities • Clearly communicate insights, risks, and opportunities to both technical and non-technical stakeholders • Support ongoing refinement and scaling of claims monitoring and overpayment detection capabilities

• Lead cross-functional projects from intake through delivery, following established project management standards • Build and maintain project schedules, milestones, risks, and dependencies • Facilitate project ceremonies, including kickoffs, working sessions, status updates, and retrospectives • Identify and escalate risks, issues, and resource constraints with clear recommendations • Track dependencies and sequencing across initiatives, including management tools, templates, and workflows • Provide support to teams in adopting new processes through training, documentation, and hands-on guidance • Serve as a key point of coordination across project teams • Support organizational readiness through communication, documentation, and alignment • Build strong relationships across teams to drive effective execution and shared accountability

• Lead and manage the efforts of multi-disciplined personnel teams (Engineers and DBAs) to deliver systems within guidelines for schedule, cost and quality. • Mentor software engineers on the software development process and engineering practices. • Provide the technical direction and leadership of the technical architecture and database design within web based software products. • Monitor and report development status on a very regular basis and implement remedial actions as appropriate. • Participate at all levels of software development lifecycle such as iterative or agile software methods. • Manage the development of .Net based web applications using C#.Net, MVC 5.0, jQuery, ASP.NET, Web Api2.0, SSIS, SSRS, report model and .NET service design patterns. • Lead the creation and enforcement of designs, programming and testing standards. • Review unit test plans and perform code reviews. • Participate in functional and technical reviews. • Work decomposition, scheduling and estimation.

• Executes and provides leadership to teams for operational and strategic planning related to revenue cycle systems, including business requirements, project planning, budgeting, performance optimization, and resource allocation. • Ensures revenue cycle ITS resources and initiatives are aligned with organizational strategic objectives and regulatory requirements. • Leads operational and strategic planning for revenue cycle systems, including budgeting, forecasting, and resource management. • Ensures revenue cycle ITS initiatives support organizational goals and compliance standards. • Participates in and supports ITS governance committees focused on revenue cycle systems. • Collaborates with operational leaders to identify and analyze areas for improvement, ensuring alignment with business processes and strategic vision. • Key decision-maker for complex issues involving revenue cycle systems and workflows. • Partners with ITS and operational departments to define system requirements and implement solutions that enhance efficiency and customer service. • Develops and executes plans for financial systems strategy in coordination with leadership and governance structures. • Prepares and manages the annual operating budget for revenue cycle systems. • Builds and maintains vendor relationships to optimize pricing, service quality, and system performance. • Ensures compliance with industry standards, data security, and privacy regulations. • Performs other duties as assigned.