• Oversee the review, adjudication, and resolution of home health, DME, home infusion and SNF claims, including Medicare, Medicaid, and commercial payer claims, ensuring compliance with payer guidelines, CMS regulations, and organizational policies. • Determine whether claims are paid, denied, returned, or adjusted based on clinical documentation, coding accuracy, authorization status, and payer requirements. • Manage escalated, complex, or high-risk claims issues, including denials, underpayments, and payer disputes. • Manage and develop claims processing professionals and/or claims supervisors; set performance expectations, provide coaching, and conduct performance reviews. • Identify, lead, and implement change initiatives to improve claims processing efficiency, denial rates, turnaround times, and cash flow. • Collaborate with Coding, Clinical Operations, Intake, Authorization, Finance, and Compliance teams to ensure accurate documentation and clean claim submission.

• Redlining, editing, drafting, and negotiating contracts and agreements • Reporting on contract analyses and reviewing contract compliance • Maintaining, organizing, and working through a queue of contracts efficiently • Identifying and communicating areas of improvement

• As a Modern Work subject matter expert, this position plays a critical role in bridging sales, delivery, and the Center of Excellence to ensure solutions provided to our customers are technically sound, financially viable, and operationally repeatable. • Lead solution architecture efforts during the sales cycle, translating business requirements into scalable, secure, and compliant Microsoft-based solutions. • Responsible for contributing to the definition, packaging, and standardization of Modern Work service offerings, ensuring alignment with delivery capabilities and market demand. • Develop packaged offerings (e.g., Rapid Deploy Solutions, assessments, roadmap engagements) that support scalable growth. • Partner with delivery teams to ensure smooth transition from pre-sales to execution. • Contribute to continuous improvement initiatives across solution design, delivery methodology, and operational excellences • Collaborate with sales, delivery, PMO, and COE teams in a matrixed environment. • Own Modern Work presale’s function, including solution strategy, deal shaping, and client engagement; partner with Sales teams to drive increases in pipeline and win rates on proposals. • Serve as executive-level technical advisor supporting client engagements, discovery sessions, and solution positioning. • Lead technical solutioning during the presale lifecycle, including whiteboarding, architecture design, and client presentations. • Translate customer business requirements into clearly defined technical solutions and service offerings. • Develop proposals, statements of work (SOWs), and pricing strategies in collaboration with delivery and finance teams. • Design Modern Work solutions leveraging Microsoft technologies, ensuring alignment with customer collaboration, security, and compliance requirements. • Develop high-level and detailed architecture artifacts, including reference architecture, diagrams, and design documentation including the identification of integration points across Microsoft 365, Azure, security, and compliance services. • Provide guidance on technical tradeoffs, risks, and implementation considerations.

• Own the end-to-end pricing/promotions testing roadmap — prioritize the backlog, design tests, set stakeholder expectations, analyze test results and drive rollout decisions • Set the promotional strategy, calendar and prioritization; partner with your direct report on execution • Develop new promotional structures and ideas grounded in performance data and competitive intelligence • Synthesize competitor analysis to inform our positioning and calendar • Own stakeholder communication on promotions and test expectations across the business • Partner with finance and analytics teams to understand how promotional strategy impacts business performance, and make data-driven adjustments to achieve goals • Partner with acquisition team to identify opportunities to personalize promotions across channels in order to improve media performance • Be a leader in the adoption of AI-driven approaches for personalized promotions, leveraging models to optimize conversion rate and promotional spend efficiency • Build and own discount budgeting capability — track, model, and communicate promotional spend and ROI • Use financial modeling to recommend promotional changes and evaluate their conversion and margin impact • Manage and develop one direct report, coaching them on analytical skills, business acumen, and stakeholder communication