1. Requires interpretation of complex government regulations on Healthcare, Medicare, IRS rules and law, in addition to Yale's systems, policy and processes to serve as independent decision maker on escalated complex issues and/or claims after performing a thorough analysis. Consults with senior leadership, vendors, and legal counsel, as necessary. 2. Works with vendors on client issues, to provide extensive case management on eligibility discrepancy, verification, denial of claims and sub-par service. Role is to ensure superior service, mitigate risk and issues to Yale. 3. Analyzes data, develops solutions, and determines course of action. Performs QA and analysis on data related to employee lifecycle and its impacts. Identifies trends and escalates proposals for change (where needed) to