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- Plan and execute internal communication strategies for enterprise-wide initiatives such as product launches, operational changes, technology implementations, and strategic priorities.
- Partner with business and functional leaders to translate complex or technical information into clear, audience-appropriate messaging.
- Support change communication strategies in partnership with the Sr. Director, Enterprise Learning, Inclusion, and Communications, including rollout planning and sequencing.
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- Support Provider Network Management (PNM) operations by developing expertise in reimbursement methodologies and contributing to provider negotiation strategies
- Analyze data and claims to identify trends, assess market alignment, and support new and renegotiated provider agreements
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Enterprise Leadership & Strategy
- Develop and maintain a comprehensive enterprise reporting, analytics, and insights strategy and roadmap.
- Lead prioritization and execution of key analytics initiatives aligned with corporate goals.
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- Information Technology Strategy – development and execution
- Evaluates and researches new technologies that align with the strategic direction of IT and business.
- Provides project management support, business requirements, definitions, and consultation for the general coordination of Information Technology projects.
- Identifies and presents to executive leader the best long-term direction for the information services function.
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- Prepare general ledger entries, work papers, and reconciliations.
- Preparation and analysis of monthly, quarterly and annual supporting schedules to assist with timely completion of month-end, quarter-end and year-end financial statements, and regulatory reports that comply with federal, state, and local financial legal requirements.
- Review and analyze financial and operational data to identify trends and variances.
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- Program strategy and leadership
- Develops, implements, and leads the overall interoperability strategy, aligning it with the company’s broader goals and regulatory requirements.
- Leads cross-functional teams in executing interoperability projects and initiatives that drive operational efficiency and regulatory compliance.
- Defines and prioritizes project roadmaps, ensuring timely delivery of critical interoperability milestones and objectives across departments.
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Risk Assessment & Pricing
- Quantify risks for level-funded products and calculate quotes and renewal rates using rating formulas, tools, and methodologies for prospective groups; validate accuracy of final rates and packaging.
- Apply sound underwriting judgment and product pricing best practices to maintain a profitable book of business while ensuring compliance with company policies and...
