• Translate business strategy into revenue-generating technology solutions • Shape, package, and monetize services that clients actively buy • Build and evolve managed services that clients adopt, expand, and stay for • Lead cross-functional teams that own outcomes, not just activity • Influence company direction as a key member of the leadership team • Direct line between your decisions and revenue growth • Define and deliver a multi-year technology strategy aligned to growth, customer outcomes, and operational excellence • Own and evolve our service catalog (offerings, SLAs, pricing, packaging) • Partner with Sales and Marketing to bring solutions to market that resonate and sell • Own or influence revenue growth, gross margin, and service profitability • Provide senior sponsorship for the cybersecurity program • Drive S/NOC performance, SLA delivery, and incident response • Lead enterprise architecture across cloud, data, networking, and integration • Act as a trusted advisor to internal leaders and clients • Lead leaders across IT, architecture, operations, and security

• Provide leadership and oversight of the Utilization Review department • Ensure consistent, evidence-based medical necessity determinations • Establish and enforce clinical guidelines, documentation standards, and review protocols • Maintain alignment with MCG guidelines and internal clinical governance standards • Ensure seamless alignment between UR and Claims workflows • Provide clinical expertise and documentation support for Appeals processes • Partner with Stop Loss teams on high-cost claim reviews and determinations • Ensure compliance with CMS, state, ERISA/non-ERISA, and accreditation requirements • Drive automation and digital workflow enhancements within UR • Enable interoperability across UR, Claims, Appeals, and vendor systems • Leverage analytics to inform utilization trends, clinical outcomes, and population health initiatives • Establish quality assurance programs, audit processes, and performance standards

• Provide leadership and oversight of the Utilization Review department • Ensure consistent, evidence-based medical necessity determinations • Establish and enforce clinical guidelines, documentation standards, and review protocols • Maintain alignment with MCG guidelines and internal clinical governance standards • Ensure seamless alignment between UR and Claims workflows • Provide clinical expertise and documentation support for Appeals processes • Partner with Stop Loss teams on high-cost claim reviews and determinations • Promote end-to-end workflow efficiency across clinical and administrative functions • Ensure compliance with CMS, state, ERISA/non-ERISA, and accreditation requirements • Maintain audit-ready documentation and defensible clinical decisions • Oversee development and accuracy of denial and determination letters • Drive automation and digital workflow enhancements within UR • Enable interoperability across UR, Claims, Appeals, and vendor systems • Support real-time data exchange (EDI, integration platforms) • Leverage analytics to inform utilization trends, clinical outcomes, and population health initiatives • Establish quality assurance programs, audit processes, and performance standards • Develop and deliver training programs for clinical and operational staff • Implement dashboards and KPIs to measure productivity, compliance, and outcomes • Foster a culture of continuous improvement and accountability

• Provide leadership and oversight of the Utilization Review department • Ensure consistent, evidence-based medical necessity determinations • Establish and enforce clinical guidelines, documentation standards, and review protocols • Maintain alignment with MCG guidelines and internal clinical governance standards • Ensure seamless alignment between UR and Claims workflows • Provide clinical expertise and documentation support for Appeals processes • Partner with Stop Loss teams on high-cost claim reviews and determinations • Promote end-to-end workflow efficiency across clinical and administrative functions • Ensure compliance with CMS, state, ERISA/non-ERISA, and accreditation requirements • Maintain audit-ready documentation and defensible clinical decisions • Oversee development and accuracy of denial and determination letters • Partner with Compliance and Legal to ensure regulatory alignment across all lines of business • Drive automation and digital workflow enhancements within UR • Enable interoperability across UR, Claims, Appeals, and vendor systems • Support real-time data exchange (EDI, integration platforms) • Leverage analytics to inform utilization trends, clinical outcomes, and population health initiatives • Establish quality assurance programs, audit processes, and performance standards • Develop and deliver training programs for clinical and operational staff • Implement dashboards and KPIs to measure productivity, compliance, and outcomes • Foster a culture of continuous improvement and accountability