• Lead Government Programs support for Exchange business functions including claims adjudication, regulatory reporting, and audit support (Government, and Client). • Leads the interpretation, implementation and monitoring of all relevant regulatory requirements and changes impacting Capital Rx’s Exchange Programs. • Establish and maintain the EDGE pharmacy submission playbook (file intent, lineage, duplicate controls, timestamp standards, enrollment alignment). • Define and enforce submission cadences, pre‑submission QA gates, and accept/active/non‑orphan targets that meet CMS sufficiency timelines. • Translate CMS updates into operational SOPs and training. • Partners with cross‑functional SMEs to analyze regulatory changes, determine their implications for organizational processes, systems, and client commitments, and leads the coordinated, on‑time implementation of required updates across the enterprise. • Manages timely response to Government Programs support for RFP/RFI, internal sales, and Exchange client requests. • Provides key insights on Exchange functions using data analysis, industry knowledge and subject matter expertise to identify opportunities, and develop solutions, for optimization of internal business processes and systems. • Supports the documentation management of internal policies and procedures, reporting and project specifications, job aids, and workflows for designated Government Programs Operations. • Leverages profound knowledge of Exchange guidance and understanding of industry and market requirements to support product strategy and service delivery. • Maintains current knowledge of Exchange requirements to facilitate compliance of ongoing business operations. • Fosters a high-performance culture through mentoring and collaboration, providing team members with ongoing performance feedback and identifying required changes to existing roles and responsibilities to ensure effectiveness and efficiency. • Assesses impact of new business to understand scalability and staffing needs.