Working at the intersection of clinical expertise, healthcare data, reimbursement, coding, medical policy, Payment Integrity, and business strategy, this role will translate emerging medical expense trends, clinical practices, coding and reimbursement changes, policy developments, healthcare utilization patterns, and industry intelligence into actionable Payment Integrity opportunities. This role will collaborate across Payment Integrity and with Medical Policy, Clinical, Analytics and Decision Science, Technology, Operations, Product, Compliance, SIU, Network, Provider organizations, and vendor partners to move opportunities from initial idea through validation, business-case development, prioritization, governance, and implementation readiness.