• Provide strategic oversight of HEDIS Operations and Quality Improvement initiatives • Drive excellence in NCQA and HEDIS performance across the organization • Lead hybrid season planning and execution • Ensure audit readiness and regulatory reporting compliance • Oversee vendor management and chart retrieval operations • Implement data-driven strategies to improve quality measure performance and health outcomes • Analyze data to develop intervention strategies to improve outcomes • Develop and implement performance improvement projects • Develop, prepare, and present reports on quality programs and issues to both internal and external stakeholders • Provide data analysis and support for QM projects (i.e. outcome studies, QI projects) • Coordinate ongoing data management for HEDIS and QI project management databases • Evaluate sources for alternative data capture, assess ongoing methodology and results • Oversee the medical record management process for HEDIS reporting • Develops tracking, tools, and programs to support HEDIS staff to drive HEDIS and 5 Star project improvement activities

• Drive product pull-through in targeted Priority Accounts and Affiliated Healthcare Systems within the cardiovascular brand portfolio • Develop and implement strategic business plans in collaboration with various departments • Build key business relationships with senior partners and engage with decision makers to enable account buying and HCP ordering of Novartis products • Identify and enable injection locations suitable to account archetype and pathway • Provide product and disease state presentations to physicians and their staff

• Interact within assigned accounts to support patient access within their therapeutic area product(s) providing proactive face-to-face education on product-specific programs to providers and staff in order to support integration of those programs into office processes and workflows. • Ability to analyze problems and offer solutions. • Understand specifics and support questions associated with payer policies (e.g., utilization management, denial, and appeals), drug acquisition and inventory management, and patient / practice reimbursement (e.g., Co-pay, administration, drug claims). • Analyze account reimbursement issues & opportunities (as needed). • Identifies trends at a local, regional and national level and partner with purpose internally and externally to support patient pull-through. • Interface with Patient Support Center (hub) on important matters related to patient case management, including tracking cases, issue resolution, reimbursement support, and appropriate office staff education. • Review patient-specific information in cases where the site has specifically requested assistance and patient health information is available in resolving any issues or coverage challenges. • Collaborate with aligned cross-functional associates within NPC (see above) to share insights on customer needs and barriers for their aligned therapeutic area product(s) related to access and reimbursement. • Maintain a deep understanding of NPC policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and prescribed Values and Behaviors. • Handle Patient Identifiable Information (PII) appropriately (understand and ensure compliance with HIPPA and other privacy laws and regulations and internal Company compliance guidelines).

• Lead all medical records and release of information operations • Ensure compliance with HIPAA, state regulations, payer requirements, and CARF standards • Design and implement scalable HIM workflows, policies, and tracking systems • Develop reporting metrics to improve efficiency, accuracy, and turnaround times • Partner with Compliance, Legal, Clinical Operations, Technology, and Quality teams • Train and support staff on medical records processes, documentation standards, and privacy best practices • Serve as the organization's subject matter expert for health information management and patient access rights