• Review healthcare policies and determine the logics to create based on strategic and technical considerations • Create functional designs and test claims from concept through validation and maintenance • Review, edit and finalize designs and test claims assigned to content analysts • Mentor and coach content analysts on conceptualizing, creating and delivering claims processing edits • Create and manage special projects and programs from concept through execution and maintenance • Troubleshoot edits that do not function as expected and collaborate with Engineering teams • Drive prioritization of drug library • Curating drug edit scoping templates • Partnering with our clinical teams to review & respond to Validation questions • Identify and create business cases for any system enhancements • Partner with our Clinical Leadership on providing content development & maintenance