• Execute an effective and innovative sourcing strategy to identify exceptional talent • Conduct complex internet searches using a wide range of search engines, social media, direct/cold calls, networks, directories and recruitment tools and databases • Dedicatedly network and build robust candidate pools for a span of positions and locations • Conduct phone interviews and assess candidates against client position requirements and organization culture fit • Maintain strong client and candidate relationships and happiness • Update and maintain administrative responsibilities such as applicant tracking system data entry and reports • Participate in special projects as assigned

• Provides active care management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals. • Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. • Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. • Provides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions that consist of: intensive assessment/evaluation of condition, at-risk education based on members’ identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement. • Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. • May identify, initiate, and participate in on-site reviews. • Serves as member advocate through continued communication and education. • Promotes enrollment in care management programs and/or health and disease management programs. • Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. • Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. • Utilizes allocated resources to back up review determinations. • Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). • Participates in data collection/input into system for clinical information flow and proper claims adjudication. • Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal). • Maintains current knowledge of contracts and network status of all service providers and applies appropriately. • Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services.

• Provides active care management, assesses service needs, develops and coordinates action plans in cooperation with members • Monitors services and implements plans, to include member goals • Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions • Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits • Provides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions • Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans • Promotes enrollment in care management programs and/or health and disease management programs • Provides appropriate communications regarding requested services to both health care providers and members • Performs medical or behavioral review/authorization process • Ensures coverage for appropriate services within benefit and medical necessity guidelines • Utilizes allocated resources to back up review determinations • Identifies and makes referrals to appropriate staff • Participates in data collection/input into system for clinical information flow and proper claims adjudication • Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies • Maintains current knowledge of contracts and network status of all service providers

• Conduct LMIC market and landscape research to assess opportunities, challenges, and competitive positioning. • Analyze data on healthcare markets, delivery models, and financing mechanisms to generate actionable insights. • Support the development of value propositions, market access strategies, and launch plans tailored to LMIC contexts. • Synthesize findings into clear outputs (reports, memos, slide decks) that inform partner decision-making. • Contribute to the preparation of high-quality partner deliverables, including presentations, reports, and briefing documents. • Support meetings, workshops, and strategy sessions by preparing materials and capturing key insights. • Track stakeholder perspectives and emerging developments in the global health ecosystem relevant to partner work. • Represent the team professionally in partner interactions, contributing to clear and solutions-oriented communications. • Collaborate closely with colleagues at all levels to deliver high-quality work on time. • Take ownership of assigned work packages and proactively communicate progress, challenges, and solutions. • Build knowledge of LMIC healthcare systems, access challenges, and relevant global health domains. • Contribute to internal initiatives that strengthen the Advisory practice, including frameworks, trackers, templates, and rituals.