• Serve as the contractor’s authorized representative on all daily operational matters. • Maintain ongoing communication with the CMS RVC COR regarding contract performance, staffing, and deliverables. • Oversee medical review activities and ensure compliance with CMS guidelines and FFS RAC Program requirements. • Lead cross-functional teams and manage staff required to support RVC operations. • Ensure accurate interpretation of Medicare coverage, documentation, and regulatory standards. • Monitor project progress, performance measures, and quality assurance outputs. • Prepare operational updates, reports, and data summaries for CMS and internal leadership. • Ensure effective workflows, staffing coverage, and adherence to deadlines and contract terms. • Provide clinical oversight and guidance across medical review tasks and methodologies.