• Lead the execution of pricing dispute resolution activities within Voluntary Out-of-Network cost containment programs • Conduct thorough investigations of pricing disputes to determine appropriate next steps, involved vendors, and resolution pathways • Ensure timely follow-up and resolution in alignment with established turnaround time standards • Maintain accurate, detailed documentation and tracking of all dispute cases • Support external claims pricing dispute resolution by working directly with vendors, providers, and internal stakeholders to ensure accurate pricing methodologies are applied and disputes are resolved efficiently • Serve as a knowledgeable point of contact for internal stakeholders, vendors, and providers • Provide guidance and feedback to Claims and Call Center teams related to dispute resolution processes • Demonstrate professionalism and a strong commitment to customer satisfaction in all interactions • Compile and analyze data to identify trends, gaps, and opportunities for improvement • Support the development of reports and tools used to monitor program performance • Contribute to process improvement initiatives and support operational change efforts