• Use clinical background to coordinate, document, and communicate all aspects of utilization and benefit management process. • Ensure members receive the most appropriate level of care while meeting state and federal requirements and turnaround times. • Involves reviewing clinical documentation, collaborating with providers, and supporting high-quality, cost-effective care. • Reviewing services for medical necessity and appropriate benefit use. • Facilitating efficient discharge planning. • Collaborating with providers and facilities to support members with complex needs. • Applying clinical skills to assess, plan, implement, coordinate, monitor, and evaluate healthcare services and benefits. • Collecting and evaluating clinical information, applying clinical criteria, guidelines, policies, and judgment to make coverage determinations. • Communicating with providers and external partners to coordinate care and treatment plans. • Identifying opportunities for referrals to additional programs, services, or care solutions. • Recognizing opportunities to promote quality care delivery and effective benefit utilization. • Serving as a resource to internal and external stakeholders regarding UM processes and clinical considerations.

• Use clinical background to coordinate, document, and communicate all aspects of the utilization and benefit management process • Ensure members receive the most appropriate level of care while meeting state and federal requirements and turnaround times • Review clinical documentation, collaborate with providers, and support high-quality, cost-effective care • Review services for medical necessity and appropriate benefit use • Facilitate efficient discharge planning • Communicate with providers and external partners to coordinate care and treatment plans • Identify opportunities for referrals to additional programs, services, or care solutions • Serve as a resource to internal and external stakeholders regarding UM processes and clinical considerations

• Oracle Fusion HCM Consultant • Engage in various HCM processes and support activities

• Manage all AOCN (Alliance for Telecommunications Industry Solutions Ordering and Coding Network) services and ensure compliance with industry standards. • Coordinate the ordering, maintenance, and lifecycle management of CLLI (Common Language Location Identifier) codes. • Administer Local Number Portability (LNP) activities, including coordination with carriers, vendors, and regulatory organizations. • Manage Tariff 4 updates and ensure timely implementation of changes impacting network operations and interconnection. • Oversee telephone number porting processes, ensuring accuracy, regulatory compliance, and customer satisfaction. • Prepare, submit, and maintain FCC Form 502 filings and other required telecommunications regulatory reports. • Represent the organization at CIGGR (Common Interest Group on Generic Requirements) meetings and communicate relevant industry developments. • Participate in INC (Industry Numbering Committee) meetings to monitor and influence numbering standards and best practices. • Attend and actively participate in NPIF (Number Portability Industry Forum) meetings to stay current on LNP standards, policy updates, and implementation guidelines. • Serve as the organization's liaison with industry organizations, regulatory agencies, and telecommunications service providers. • Monitor changes in telecommunications regulations, numbering policies, and industry standards, recommending operational changes as needed. • Develop and maintain documentation, procedures, and compliance records related to numbering resources and regulatory activities. • Collaborate with internal engineering, operations, legal, and regulatory teams to support network growth and compliance initiatives.