• Develop and execute strategic plans to grow the DRG CV program • Collaborate with a multi-disciplinary team of programmers, operations staff, product leaders, and auditors • Monitor emerging trends in payment integrity, audit methodologies, and health policy • Lead the DRG Clinical Validation team • Support internal and external team members by leading calls and presenting cases • Oversee the entire process of clinical claims review • Manage scheduling, reporting to management, and execution of plans • Overall management of daily queue inventory • Monitor individual and team results • Establish and maintain quality assurance standards • Demonstrate analytical skills to identify problems and trends • Develop departmental policies, processes, and training standards • Provide internal and external partners with evidence supporting industry standards and guidelines • Manage and track data on key performance indicators