• participates in performance and quality improvement projects by implementing member and provider targeted interventions to improve health outcomes and member and provider experiences. • contributes to multidisciplinary committees, both external and internal, required by NCQA and the State Contract. • member outreach calls. • medical record audits to evaluate provider compliance with clinical practice guidelines, best practices, and regulations in collaboration with internal and external stakeholders. • provider outreach to close care gaps, audit records to identify improvement opportunities, and abstract data from records to close gaps. • quality document updates (example: quality improvement program description, work plans, and evaluation). • quality Improvement Committee meetings. • completing and updating reports (including State Reports and Kentucky Medicaid Quality Improvement Committee reports).

• Support oversight, execution, and ongoing management of compliance and risk program • Own day-to-day regulatory compliance activities • Act as primary day-to-day liaison with CFTC and NFA • Partner with Product, Engineering, and Marketing teams to embed compliance requirements • Lead the development, implementation, and maintenance of compliance policies, procedures, and internal controls • Help build and manage compliance operations • Drive improvements to compliance processes, tooling, and systems • Prepare materials and insights for executive-level reporting • Collaborate with Legal and Public Affairs on regulatory strategy

• reviews and analyzes new and existing laws, regulations and policies for their impact on the Medicaid line of business. • monitors and helps to ensure compliance with regulations in accordance with the specific areas they support. • educates Compliance associates on regulatory and legal issues. • reviews and monitors policies and procedures to ensure compliance with regulations. • may help draft policies and procedures in response to changes and updates of specific laws and regulations. • assists with the implementation of new policies and procedures that affect compliance. • researches and analyzes regulatory requirements as needed to ensure compliance. • interprets regulations regarding benefits and provides information and education to Health Plan associates. • monitors compliance in regard to regulatory related communications including training and manuals. • assists with informing management and Health Plan associates of changes or updates to regulatory requirements. • assists in the coordination of responses for Corrective Action Plans, inquiries, follow-up, reporting and any other requests. • assists in the preparation of materials and requirements for regulatory audits. • may act as subject matter expert in reviews of Request for Proposals (“RFPs”) and non-standard contracts with large employer groups.

• Leads and manages compliance initiatives to support the Cencora, U.S. Pharmaceutical and Animal Health & Managed Services Organization Compliance Program • Engages with business units or departments to develop, implement and check for regulatory compliance by partnering with the local compliance and operational staff • Regularly reviews of business initiatives, documents, communications and other materials; serves as a compliance resource for the Cencora business units that he/she supports • Recommends and/or assists in the development of compliance policies, supplemental compliance training, compliance related communications and BU compliance plans • Oversight and monitoring of the Cencora Compliance Program at the business unit level, in conjunction and coordination with the Group Compliance Officers • Reporting on at least a monthly basis (or more often as necessary) to the Cencora, VP, Senior Compliance Officer, U.S. Pharmaceutical and Animal Health & Managed Services Organization on the progress and implementation of the Compliance Program activities • Reporting to the Compliance Committee any compliance related issues or matters at the BU level, including any matters raised through the Disclosure Program • Coordinating with the CCRO, Corporate Security, Legal, Quality, Regulatory (Legal), Internal Audit, Enterprise Risk Management, Third Party Risk Management and/or OOC team, all compliance reviews and monitoring activities • Conducts on-site assessments and takes part in audit and compliance meetings, as requested • Promotes participation in, and completion of, various compliance training requirements • Responsible for performing responsibilities with a demonstrated high degree of integrity, good judgement, assertiveness and an approachable demeanor, while eliciting the respect and trust of the CCRO