• Serve as the clinical leader and executive partner to health plan clients; report to the CEO. • Build trusted partnerships with client Medical Directors, Payment Integrity executives, and senior payer stakeholders. • Partner with clients to validate results, demonstrate clinical credibility, and drive adoption of payment integrity solutions. • Collaborate with sales and customer success teams to support business development and long-term partnership growth. • Shape payer-specific payment policies for accurate enforcement in the Machinify system. • Provide evidence-based clinical and coding rationale during client audits, appeals and escalations. • Advise on complex reimbursement constructs across CMS, Medicaid, and commercial plans, including DRG classifications, OPPS/APC, NCCI, CPT/HCPCS, and modifier logic. • Maintain alignment with authoritative industry standards (CMS NCCI, AMA CPT, ICD-10 guidelines, AHIMA briefs). • Partner closely with operations, engineering, data science, product, and client services teams to ensure outputs are clinically sound. • Mentor internal clinicians and guide clinical playbooks and escalation protocols. • Represent the clinical perspective in product roadmap and innovation initiatives and advance clinical content innovation. • Shape the platform to diagnose root causes and enable systemic improvements beyond identifying payment errors.