This position collaborates closely with Claims Operations, Provider Contracting, Medical Policy, Clinical Operations, Compliance, Legal, Information Technology, and Payment Integrity teams to design, implement, monitor, and optimize reimbursement policies that promote payment accuracy, regulatory compliance, operational efficiency, and provider transparency. They are responsible for the development, maintenance, implementation, and governance of reimbursement policies that support accurate claims adjudication and payment integrity initiatives across professional and facility healthcare services.