• Leads the ProgenyHealth Medical Management program, with accountability for the performance and outcomes of the Clinical Operations Department. • Maintains and oversees the NICU Utilization Management (UM), NICU & Maternity Case Management (CM) and Quality Management (QM) Programs and monitors adherence and compliance by reviewing and analyzing company data and dashboards to measure effectiveness. • Builds customer loyalty through data-driven insights and compelling demonstration of program value. • Supports the preparation, evaluation, and presentations of client program results at periodic client meetings. • Engages and builds relationships with payer medical directors as well as hospital NICU teams, outpatient obstetric clinicians, and community partners as needed. • Provides oversight of external publications that highlight ProgenyHealth’s medical management results. • Works in close partnership with the SVP of Clinical Operations to ensure best-in-class training programs for all clinical staff. • Will assist with the implementation and successful launch of new clients, new product lines, and/or technologies, as needed. • Responsible for our continued successful accreditation by URAC and NCQA, as well as oversight of all State, Federal and Client standards/regulations necessary for ProgenyHealth to provide our services to our customers. • Leads the Medical Advisory Board and Quality Improvement Committee and manages relationships with members that include practicing physicians across the US.