• Help clinical and non-clinical providers meet the current healthcare and business challenges • Implement the Comprehensive Assessment findings • Performing in and supporting the key performance drivers of overall operational strategy • Supporting Improvement Projections • Participating in Action Plan Management Progress Tracking and support of Performance Analytics • Technology Implementation Support

• Own the entire "pre-claim" insurance lifecycle: from the moment a potential member’s insurance is triggered for verification to the point their claim is successfully billed. • Design and manage a seamless VOB workflow to ensure swift and accurate payer coverage before a member’s first session. • Own the process to identify members whose insurance has lapsed and manage the outreach process to secure new coverage or payment plans. • Own the resolution of Coordination of Benefits (COB) issues, working directly with members and payers to ensure the correct primary/secondary order is established. • Own and optimize workflows to request, track, and renew prior authorizations, leveraging existing tools and identifying opportunities for automation and improvement. • Analyze rejection patterns within Candid to identify root causes related to authorizations or member data and implement upstream fixes. • Partner closely with the RCM team, who owns claim submission and collections, while your team owns the accuracy and completeness of all upstream insurance data. • Serve as a primary operational point of contact for insurance payers, resolving eligibility, authorization, and member data issues and escalating systemic challenges as needed. • Oversee the member-facing side of the billing process (e.g., invoices, collections of copays/deductibles) to ensure it aligns with Affect’s compassionate mission. • Manage external vendors involved in eligibility checking, specialized insurance discovery, and active member insurance issues. • Provide regular reporting on key KPIs, such as time-to-verify insurance for potential members, percentage of COB denials, and more.

• Manage a team of Specialists – and ensure high touch, low friction concierge support to both development studio and internal business partners • Collaborate closely with internal stakeholders, such as Studio Outsourcing Managers, InfoSec Analysts, Finance, and Legal, to ensure that Partner arrangements align with project requirements, budgets, and organisational policies • Identify opportunities and drive process improvements and risk mitigation for how the team operates and delivers its services. • Maintain a comprehensive database of vendor engagements, and associated costs and provide metrics as needed to PSS colleagues.

• Manage a team of Specialists – and ensure high touch, low friction concierge support to both development studio and internal business partners • Collaborate closely with internal stakeholders, such as Studio Outsourcing Managers, InfoSec Analysts, Finance, and Legal, to ensure that Partner arrangements align with project requirements, budgets, and organisational policies • Identify opportunities and drive process improvements and risk mitigation for how the team operates and delivers its services. • Maintain a comprehensive database of vendor engagements, and associated costs and provide metrics as needed to PSS colleagues.