• Review coding audits to ensure findings are accurate, consistent, and compliant. • Provide coaching and support to coders to enhance accuracy and confidence. • Deliver feedback from audit reviews and identify training needs or process gaps. • Contribute to improving audit methods, processes, and documentation. • Collaborate closely with peers and leadership to drive quality improvements. • Provide insightful root cause analyses for coding discrepancies. • Support compliance with company and regulatory standards. • Take on additional tasks and challenges as needed in a dynamic environment.

• Analizzare e formalizzare i requisiti delle funzioni Finance e Accounting. • Gestire evolutive, incident e change request in ambito SAP FI. • Supportare i processi SAP FI relativi a: o General Ledger; o Accounts Payable; o Accounts Receivable; o Asset Accounting; o pagamenti, incassi e riconciliazioni bancarie; o chiusure contabili. • Gestire le integrazioni di SAP FI con MM, SD e CO. • Redigere specifiche funzionali per sviluppi e integrazioni. • Coordinare sviluppatori ABAP e fornitori esterni. • Gestire test, UAT, rilascio e supporto agli utenti. • Analizzare log, job, IDoc e anomalie applicative.

• Transform and validate data from multiple business systems • Build and maintain datasets, reports, and dashboards • Support data migration and integration projects (ERP/CRM/cloud) • Analyze data to identify trends and business insights • Ensure data accuracy, consistency, and governance compliance • Collaborate with business, IT, and operations teams • Automate manual data processes where possible

• responsible for the accurate and timely validation and maintenance of critical provider information and inquiries • responsible for timely review, response, tracking, and routing of provider inquiries received via the Provider Engagement department email box and/or Provider Relationship Management System • works closely with both internal and external business partners to ensure Provider inquiries are handled within a timely manner • responsible for reviewing claims data and information • responsible for monthly Access and Availability monitoring as required by state regulatory requirements • oversees receipt of and coordinates provider inquiries from the provider network and responsible for reviewing, documenting, tracking, and routing all issues to ensure providers receive a timely response and permanent resolution • reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided • audits Rosters received in the provider relations department email box and works closely with the data team to ensure rosters submitted from providers are accurate • oversees Access & Availability monthly monitoring process • responsible for reviewing claims data in QNXT when provider’s inquiry involves claims payment adjudication • conducts or participates in special projects and other duties as assigned.