• Develop and execute a comprehensive authorization, eligibility reverification and payor encounter maintenance strategy aligned with enterprise revenue cycle objectives. • Serve as the organizational subject-matter expert on payer authorization rules, revalidation requirements, and medical necessity workflows. • Lead large-scale transformation initiatives including centralization, workflow redesign, automation, and performance standardization. • Establish governance, escalation paths, and performance accountability across a complex, multi-site organization. • Direct day-to-day authorization, eligibility reverification and payor encounter maintenance operations across all service lines and payers. • Ensure timely and accurate submission, tracking, and renewal of authorizations in Homecare Homebase. • Oversee management of payer portals, authorization queues, and work distribution. • Ensure consistent execution across onshore and offshore teams. • Coordinate closely with Intake, Clinical Operations, Scheduling, Billing, and Denials teams. • Partner with nursing leadership, therapy leadership, and clinical staff to ensure clinical documentation supports medical necessity. • Support resolution of clinical questions related to authorization determinations. • Collaborate with Quality, Compliance, and Audit teams to support medical reviews and audits. • Translate payer requirements into operational workflows and staff education. • Define, monitor, and report KPIs including authorization turnaround time, authorization success rate, denial rate, and authorization-related delays. • Use data to identify trends, root causes, and improvement opportunities. • Present performance insights to executive leadership. • Drive continuous improvement using Lean, Six Sigma, or similar methodologies. • Ensure compliance with Medicare, Medicaid, and commercial payer authorization and revalidation requirements. • Maintain audit-ready documentation and processes. • Support external audits (MAC, SMRC, RAC, UPIC) and payer reviews related to authorization. • Partner with Compliance and Legal teams on corrective action plans. • Lead, coach, and develop managers, supervisors, and frontline authorization staff. • Manage blended onshore/offshore workforce models. • Establish clear roles, performance expectations, and career pathways. • Promote accountability, engagement, and operational excellence.