• Lead member care alongside a team of counselors, therapists, peer support specialists, and case managers. • Provide evidence-based treatment for individuals with substance use disorders and mental health disorders. • Conduct initial and follow up telehealth evaluations. • Deliver care for both substance use and mental health conditions. • Prescribe medications as appropriate and answer member questions. • Complete documentation in our EHR (Healthie). • Collaborate with your care team and attend occasional scheduled team meetings.

• Submitting medical claims to the proper clearinghouse for the insurance payers to review and make the proper decision and payments • Processing & monitoring of all claim reports & electronic documents. (Electronic and Paper Claim Transactions) • Logging in and tracking all submission and rejection information • Responsible for obtaining edit reports and repair claims for re submission, test, and ensure repairs are made in a timely manner • Make sure that the claim was sent to the proper clearinghouse • Backup the EDI claim submission and logging of information • Keeps an update of Policy, Regulations and Payer/Clearinghouse changes • Coordinating & testing all Electronic Data Interchange (EDI) implementations with new EDI partners & current clearinghouse • Coordinate and work with clearing houses or trading partners to resolve EDI issues such as rejection and submission errors • Collaborate with payers, clearinghouses and/or trading partners to successfully maintain the EDI processes • Test, implement and document all processes required by the new accounts or new billing software • Reviews, analyzes and coordinates implementation for service modifications by EDI ( new payer ID, claim edits) • Monitors daily EDI performance, analyzes complex datasets, and troubleshoots issues and resolve them in a timely manner • Facilitates the successful on-boarding of new Clients EDI accounts • Assure interfaces (ECPP, QRSP, and HPNA) are performing as designed • Assure data integrity (correct files/batches are uploaded) • Manage the resolution process as needed (Coordination with Team, Leaders, account Manager) • Escalate EDI issues to Manager/ Credentialing if unable to resolve in a timely manner • Manage Send/Receive Files, Work Rejected claim (daily) • Random Claim Status inquiry • Claim File Reconciliation (batch received by charges and batch submitted by EDI) • Analyze Rejection and detection of error patterns that need correction on the billing end

• Responsible for ensuring revenue goal achievement through developing/stewarding donor/prospective donor relationships as well as corporate partnerships, fundraising campaigns, and donor engagement strategies • Collaborates with market leadership to execute fundraising and engagement strategies, including signature events, corporate partnerships, and volunteer-led campaigns • Maintains a donor portfolio and contributes to overall market success, maintains data integrity, influences established donor retention rates, and ensures best-in-class fundraising events that drive impact and increase revenue

• Identify high-impact business challenges and opportunities • Build and own financial models to forecast impact • Partner with senior leaders to address challenges • Design and run tests to develop hypotheses • Own ad hoc analysis and KPI reporting for key stakeholders • Support new product and pricing strategy with modeling • Evaluate new growth channels and optimize existing ones