• Provide high-level administrative support across ELT members, including calendar management, scheduling, and prioritization of time • Coordinate and prepare materials for key meetings (ELT, Board, Special Committee, cross-functional leadership forums) • Manage inbound requests and communications, ensuring alignment with enterprise priorities • Draft, edit, and refine executive communications on behalf of ELT members • Coordinate complex travel, logistics, and executive-level engagements • Own and drive enterprise operating rhythms, including weekly ELT meetings, monthly business reviews, and quarterly planning cycles (IBP) • Ensure alignment across functions on priorities, deliverables, and timelines • Track key initiatives and follow-ups, holding teams accountable to commitments • Support development of executive-level materials (dashboards, one-pagers, board updates) • Lead and execute cross-functional projects on behalf of the ELT (e.g., organizational transformation, cost optimization, retail performance initiatives) • Build and manage project plans, timelines, and stakeholder communication • Identify risks, surface insights, and drive solutions in partnership with functional leaders • Act as a force multiplier to accelerate execution of priority initiatives • Serve as a central coordination point across ELT members and their teams • Ensure clear, concise, and timely communication of decisions, priorities, and updates • Support alignment between enterprise functions and state-level teams • Maintain a high level of professionalism and confidentiality across all interactions

• Define, own, and evolve the AI product roadmap for healthcare claims solutions—spanning claims adjudication automation, claims adjustment, payment integrity, COB/subrogation, provider issue resolution, and FWA detection. • Translate complex claims operational challenges into AI-first product strategies with clear business cases, ROI frameworks, and measurable KPIs (e.g., auto-adjudication rate, denial accuracy, overpayment recovery yield). • Drive solutions from ideation → POC → MVP → production scale, using agile execution and business-centric prioritization. • Maintain a competitive landscape matrix and continuously benchmark against market players (Optum/Change Healthcare, Cotiviti, Cognizant TriZetto, HealthEdge, Conduent, etc.) to inform differentiation strategy. • Partner with sales, finance, and leadership to determine pricing, packaging, and go-to-market approach (managed services, SaaS, outcome-based/gainshare models). • Drive the transition from traditional rules-engine claims processing to AI-augmented adjudication—automating claim edits, benefit configuration interpretation, provider contract parsing, and payment rule application. • Apply deep knowledge of end-to-end claims operations—claim intake, edits, adjudication, pricing, payment, adjustment, appeals, grievances, provider disputes, and overpayment recovery—to identify high-impact AI use cases. • Embed AI solutions into core claims platforms and systems (QNXT, Facets, Amisys, HealthRules Payer, CSC/DXC, etc.) through platform-agnostic integration and API-first design.

• Support a healthcare practice with prior authorizations, referrals, patient communication, medication refills, insurance verification, and administrative coordination. • Submit, track, and follow up on insurance authorization requests. • Coordinate with insurance companies regarding approvals, denials, and required documentation. • Review authorization requirements and ensure all supporting information is submitted. • Monitor pending authorizations and provide status updates to providers and staff. • Process and send referrals to specialists and healthcare facilities. • Coordinate referral documentation and follow-up. • Ensure referrals are completed accurately and timely. • Communicate with specialty offices regarding referral status and scheduling. • Answer incoming patient phone calls professionally. • Return patient callbacks and follow-up inquiries. • Assist patients with appointment-related concerns and clinical requests. • Process electronic medication refill requests. • Schedule and reschedule patient appointments. • Send appointment reminders via phone and text. • Verify insurance eligibility and benefits. • Assist with insurance-related inquiries and documentation. • Send and receive required faxes and clinical documents. • Monitor KPIs for timely completion of prior authorizations and referrals, reliable availability during business hours, and efficient turnaround time for insurance and referral requests.

Manage calendars and scheduling efficiently. Coordinate travel arrangements, including accommodations and itineraries. Oversee social media management and engagement. Create professional PowerPoint presentations. Handle invoicing and manage payment...