• Lead and optimize the execution of enterprise payment integrity initiatives, with accountability for performance across prepay and postpay claims review programs. • Translate organizational strategy into operational action plans, ensuring alignment with savings goals, audit integrity, and regulatory compliance. • Partner with analytics, finance, compliance, and tech to identify new audit opportunities, improve processes, and develop scalable solutions. • Oversee the health of audit pipelines by ensuring work inflow and outflow are properly forecasted, balanced, and executed. • Monitor program KPIs such as savings, throughput, adjustment timeliness, and audit yield. • Take corrective action when performance falls short. • Use data to identify root causes of inefficiencies or payment errors and lead the development of solutions to reduce future risk. • Serve as a senior escalation point for complex issues involving claims adjustments, provider disputes, and operational bottlenecks. • Collaborate with departments such as Claims, Appeals, Provider Relations, and Medical Management to troubleshoot issues and implement improvements across the payment life cycle.

• Lead high-stakes statewide partnerships, owning the full lifecycle of complex state implementations • Act as the primary strategic advisor and escalation point for state leaders • Engage with and advise state leaders, district leaders, school admins, teachers, and other decision-makers • Develop advanced success plans that align with state goals for successful contract continuation • Oversee and execute complex logistical requirements specific to state contracts • Track meeting notes and documentation meticulously • Proactively identify risks, political launch blockers, and contractual non-compliance issues • Manage state-specific inboxes and update state-specific websites with relevant resources • Drive contract retention and expansion by identifying renewal risks and surfacing growth opportunities • Support state-specific webinars, including content creation and leading live sessions

• Provide direct supervision of the Pricing and Proposals team, including oversight of daily tasks and escalation support as required • Support departmental initiatives, including recruitment, hiring, onboarding, training, development, and performance auditing • Assign, prioritize, and distribute work across team members • Partner with the Director, Proposals and Pricing to establish, implement, and enforce annual team goals and performance metrics • Monitor goal attainment, performance, and compliance with established metrics • Maintain a deep understanding of business‑unit-specific products and processes related to Pricing and Proposals functions • Review proposals, pricing models, Statements of Service (SOS), and change order requests to ensure consistency, accuracy, and alignment with Clario requirements, including financial and margin targets • Coordinate with the Legal department on contract finalization and support client negotiations as needed • Support pricing, proposal, change order, and other document template updates, ensuring alignment with overall company strategic direction • Collaborate with Strategic Pricing on client‑specific pricing requirements (e.g., rate cards and discount structures) and support implementation within the team • Provide leadership and cross‑functional collaboration to determine optimal pricing strategies for large or complex programs • Enforce and support pricing and discount controls within the team • Partner with Project Management leadership to ensure scope changes and client change order requests are communicated fully and accurately, enabling timely and accurate processing • Identify and drive operational efficiencies across the team • Establish, manage, and report on monthly metrics • Create and maintain departmental work instruction guides • Ensure a high level of data integrity within the CRM system • Provide interdepartmental training and support as needed • Support initiatives related to proposal management tools, including training and content maintenance • Perform other duties and projects as assigned by the Director and/or Vice President

• Responsible for ensuring accurate benefit, contract, and claim edit configuration within the claim processing system. • Proactively identifies trends, analyzes configuration impacts, and recommends solutions. • Investigates issues, coordinates updates, supports state complaint responses, and drives continuous improvement across claim operations. • Collaborates closely with Configuration leadership and cross-functional partners such as Provider Relations, Claims, Appeals & Grievances, and Compliance.