Serves as the senior operational and business leader for assigned markets and actively represents Modivcare with state agencies, MCOs, regulators, client executives, providers, industry organizations, and other external stakeholders, both in-person and virtually. Owns market P&L and financial performance, maintaining command of revenue, margin, operating expense, unit cost, utilization, membership, trip volume, AR, and other material drivers; identifies variances and leads corrective action to improve profitability.