• Supervise the daily operations of the Provider Data Management team, including workload distribution, performance management, and staff development • Ensure provider demographic, credentialing, and contract data is accurately entered and maintained in all systems • Drive the performance of the team, by monitoring productivity, quality, and turnaround time standards • Provide coaching, mentoring, and performance feedback to team members • Manage attrition, shrinkage, and other critical metrics of the team. • Support projects involving system enhancements or process automation • Manage the end-to-end provider data entry process to ensure accurate and timely setup for claims payment, member assignment and directory display. • Investigate and resolve complex Provider Data Management issues. • Combine people management and provider data management experience, along with data analysis, and customer service experience from a healthcare operations background to drive success

• Develop and lead client relationships • Deliver Brand and Digital solutions • Engage with stakeholders • Manage budget • Generate strategic ideas • Lead project delivery • Ensure high quality project outputs • Write strategic creative briefs • Contribute to internal and external content

Role Description The Manager, Appeals and Denials is responsible for the day-to-day Appeals and Denials process by providing general oversight including leadership for the inpatient DRG/Coding Denials and Appeals process. Key responsibilities include: - Tracking, prioritizing, trending and writing appeal letters. - Identifying training and educational opportunities. - Delivering training and education to CDI Appeals Specialists, Coders and DRG reviewers. - Collaborating with the Appeals and Denials Team, CDI Team, Appeals Medical Director, Coding, DRG Team, and client healthcare team members. - Providing appeal letters that result in accurate, comprehensive documentation reflecting the true clinical picture of the patient. - Utilizing clinical expertise and clinical documentation improvement practices, current coding guidelines, and state and federal regulations for ethical coding. Qualifications - Registered nurse or Coding degree or certification, or Degree in Healthcare (Management, Healthcare Administration, Health Information Management) or other related field(s) required. - Minimum of 5 years appeals/denials or coding experience in the inpatient coding arena. - Minimum of 5 years of Management experience. - CCDS and/or CDIP certification or RHIA, RHIT certification(s) preferred. Requirements - Ensures compliance with external agencies as well as state and federal regulations for ethical coding. - Identifies and implements improvement measures that will enhance coding quality and client satisfaction. - Demonstrates appropriate knowledge and judgment regarding denials received from clients. - Supports education of the remote and onsite coding staff and appeal writers. - Identifies and documents patterns, trends and variations in coding data and collaborates with other departments to effect resolution. - Monitors the initiation, revision, and implementation of external regulations, statutes, and standards. - Assists with chart audit and analyzes denial letters, making recommendations for education, counseling or termination of staff as appropriate. - Reviews provisions for staff development, training and orientation prescribed by customers and any internal departmental standards. - Reviews denials received by client base, determines if denials are clinical or coding related, and develops and delivers training based on trends identified. - Assists with maintaining the integrity of data entry into Appeals and Denials tracking software. - Ensures adequate staffing for workload and assists teams when workload supersedes what the team can complete. - Reviews No Appeal letters to determine if appropriate, or if it can be appealed and provides Appeal Writer with feedback. - Assists Director Denials and Appeals Team with projects or tasks as assigned. - Performs miscellaneous job-related duties as assigned. Company Description

• The Associate Service Network Area Manager is responsible for driving operational, financial, and customer‑experience performance across a network of independent service providers (ISPs) within an assigned geographic territory. • This field‑based leader serves as the primary liaison between Cinch Home Services and the ISP network, reporting the respective region’s Area Manager, ensuring consistent delivery of high‑quality service, financial discipline, optimized coverage, and continuous provider development. • Monitor network financials, operational KPIs, customer satisfaction, and coverage trends to identify business risks and opportunities. • Develop, document, and execute strategic improvement plans to enhance profitability, cycle time, customer outcomes, and territory coverage. • Conduct data‑driven analysis of claim volumes, severity, technician performance, and service patterns to improve efficiency and reduce cost leakage. • Maintain frequent, structured B2B engagement with key accounts and service providers to ensure ongoing alignment to goals. • Conduct regular business reviews, ride‑along visits, and on‑site coaching sessions to elevate service quality, technical performance, and consistency. • Deliver point‑of‑need coaching on customer experience standards, warranty expectations, pricing accuracy, repair vs. replace reasoning, and ancillary sales opportunities. • Provide direct support for escalated claims, service disputes, and complex customer situations to ensure resolution aligned with policy and customer satisfaction targets. • Promote awareness of industry best practices, emerging technical standards, and new product or service expectations relevant to HVAC, plumbing, appliance, and other trades. • Support the sourcing, onboarding, and activation of new ISPs to meet regional capacity requirements and reduce coverage gaps. • Ensure provider applications meet compliance requirements, licensing standards, insurance thresholds, and background parameters. • Prepare new providers for seamless interactions with Cinch systems, workflows, home warranty processes, and claims handling expectations. • Reinforce adherence to service protocols, safety requirements, jobsite expectations, and consistent quality standards commonly found in field‑service environments. • Evaluate market conditions, provider capacity, and geographic coverage to identify expansion or performance improvement needs. • Recommend and execute targeted recruitment strategies, including trade shows, local events, and direct outreach. • Analyze territories for financial and service‑delivery benefits of adding new trades or strengthening existing provider availability. • Serve as the regional point of contact to internal teams (claims, customer care, quality assurance, dispatch optimization, and finance). • Present performance results, root‑cause analysis, and improvement recommendations to leadership. • Advocate for ISP improvement needs and maintain open communication channels to strengthen long‑term strategic partnerships.