• Manage core home infusion RCM functions, including billing, follow-up, denial management, collections, cash posting, and AR resolution. • Oversee reimbursement workflows for both pharmacy and medical benefit claims, including coordination of infusion drug, nursing, supplies, and ancillary service billing as applicable. • Develop and maintain standard operating procedures, training materials, and internal controls to support consistent, compliant execution • Monitor and improve key performance indicators such as DSO, aging, clean claim rate, first-pass yield, denial rate, cash collections, write-offs, and authorization-related reimbursement leakage. • Lead payor-specific billing and follow-up strategies for commercial, Medicare, Medicaid, managed Medicaid, and other government and contracted payors. • Partner with intake, clinical, and authorization teams to ensure accurate patient onboarding, coverage verification, prior authorization, and financial clearance processes. • Ensure timely identification, escalation, and resolution of billing edits, denials, underpayments, and documentation deficiencies. • Review AR trends and develop action plans to accelerate collections and reduce preventable denials. • Collaborate with client finance teams on cash forecasting, month-end close support, bad debt analysis, and reserve considerations related to revenue cycle performance. • Maintain strong knowledge of home infusion reimbursement rules, including payer policy requirements, Medicare and Medicaid billing considerations, and site-of-care reimbursement dynamics. • Support implementation and optimization of billing systems, workflow automation, reporting tools, and process controls. • Supervise, coach, and develop RCM staff; establish productivity standards and accountability mechanisms across the team. • Serve as a cross-functional partner to contracting, operations, and compliance on reimbursement issues, audit responses, and process redesign initiatives. • Identify opportunities to improve net revenue realization, reduce margin leakage, and enhance the patient and referral source experience.

• Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. • Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. • Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source

• Contribute to the Success of the Team • Partners with Regional and Department Leadership to ensure a unified approach to problem solving and department goals. • Allocates project work to align employee strengths, interests, goals, growth opportunities, and workloads. • Coaches core competencies and skill development, for employees to apply in their day-to-day work. • Supports project teams to have direct and effective communication. • Leverage enterprise business tools to drive organizational improvements. • Leads initiatives to achieve team and company goals. • Works with the Regional Leaders to shape the team environment, in which people are fulfilled and growing towards maximum potential. • Celebrates successes and acknowledges accomplishments of the team. • Participates in department recruiting and hiring efforts. • Establish & Guide Professional Development Plans • Works with employees to align personal values, professional goals, position responsibilities, and project opportunities into a professional development plan. • Synthesizes and communicates feedback to employees based on direct interactions and information gathered from project teams. • Identifies growth opportunities and provides coaching to overcome challenges proactively. • Coaches and provides guidance on short, medium and long-term career direction. • Identifies when HR support is needed and collaborates effectively. • Effectively manages to achieve positive team engagement and fulfillment. • Support Business Development for New and Existing Clients: • Support sales and marketing as subject matter expert for Planning Service’s solutions. • Identifies and supports cross-sell and upsell opportunities of all Gordian solutions and collaborates with regional sales account executives to develop further. • Develops and sustains long-term relationship management strategies for clients in collaboration with Regional Leader or Regional Sales rep as needed; collaborates with Project Managers in support of client relationship management; partners with Resource Leaders to achieve project execution and overcome barriers to customer delivery. • Delivers thought leadership to the industry. • Participates in the improvement of our products, in response to industry needs and customer feedback.

• Lead strategic, senior-level client relationships to drive retention, growth, and satisfaction • Develop and execute structured account plans informed by client insights, market trends, and competitive intelligence • Manage the full sales lifecycle, including pipeline development, discovery, solution design, proposals, and commercial negotiations • Create and deliver client-specific presentations, business cases, and value-realization analyses using quantifiable benefits • Coordinate cross-functional teams (Product, Delivery, Operations, Legal, Finance, Pricing) to ensure seamless execution and governance • Conduct regular performance and strategic business reviews, providing data-driven recommendations and action plans • Identify, prioritize, and progress upsell and cross-sell opportunities aligned to client objectives and measurable outcomes • Anticipate and mitigate risks, resolve issues, and drive continuous improvement across client engagements