**JOB DESCRIPTION**

**Job Summary**

Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.

**JOB DUTIES**

+ Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements.
+ Monitors sources to ensure all updates are aligned.
+ Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
+ Conducts analysis to identify root cause and assist with problem managemen...