• Manage inpatient and outpatient provider appeals across all payer types, including government and commercial insurance • Review clinical denials (non-billing related), identify root causes, and perform post-claim analysis to support appeal submissions

• The Preconstruction Manager supports Pivot Energy’s preconstruction function from mid- to late-stage development handoff through EPC Agreement execution and transition into project delivery. • This role coordinates contractor engagement, bidding, estimating, commercial alignment, project-specific contracting, and budget formation in support of Pivot Energy’s project delivery methodologies, including but not limited to Design-Build, Integrated Design-Build, Design-Bid-Build, CMAR, and other delivery approaches used to support successful IPP project execution. • The role engages preferred contractor partners and internal stakeholders across Development, Legal, Project Management, Finance, Supply Chain Procurement, Engineering, Compliance, and other functions as needed to ensure projects enter execution with aligned scope, documented assumptions, commercial clarity, realistic schedules, appropriate risk allocation, strong document discipline, and budgets structured for effective execution control. • This role must understand job costing methodologies and have experience working with project management software, job costing systems, ERP platforms, and related reporting or analytics tools that support estimating, budget setup, cost tracking, forecasting, and continuity into execution. • This position materially supports Pivot’s eight focus areas throughout the preconstruction stage: Stakeholder Management, Contract Management, Quality Management, Financial Management, Schedule Management, Compliance Management, Risk Management, and Document Management, ensuring projects are well-planned, commercially sound, buildable, and aligned with cost, schedule, quality, safety, and compliance goals.

• Manage all chargemaster activities • Oversee performance and effectiveness of the department • Implement plans for CDM requests and edits • Collaborate with Revenue Cycle and clinical departments • Maintain standards of behavior and performance

• Prospect and manage a pipeline of opportunities with companies under $2.5M in revenue • Execute targeted merchant sales strategies and successful campaigns • Report on activity and progress toward objectives • Build and maintain strong relationships with key stakeholders and bank partners