• serves as the strategic leader responsible for elevating the provider experience and strengthening enterprise alignment through the Health Plan Concierge function • oversees escalated provider issue management and acts as a critical partner to Network, Health Plans, Claims, and other cross functional teams • ensures that provider impacts of Payment Integrity programs are clearly understood, proactively communicated, and operationally supported • provides actionable insights related to contracting considerations, provider experience trends, operational readiness, and downstream impacts of Payment Integrity initiatives • manages escalations that fall outside traditional dispute pathways • leads provider enablement efforts by developing clear, accessible education, training materials, communication resources, and data driven insights that support provider understanding and adoption of Payment Integrity program requirements • monitors escalation patterns, market signals, and provider feedback • informs program enhancements, improves process consistency, reduces friction points, and fosters a fair, collaborative relationship between the health plan and the provider community • prepares, interprets, and presents reporting and insights to senior leadership, highlighting provider experience trends, escalation patterns, cost avoidance, recovery outcomes, and operational impacts