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Paul Pfaff has a diverse work experience in various financial and managerial roles. Paul is currently working as the Director of Accounting at Greenwood Village South Senior Living Community since February 2023. Prior to this, they served as a Finance Manager at MDwise, Inc. from May 2019 to February 2023. Before that, they were the Patient Financial Navigation Manager at IU Health Methodist Hospital from July 2016 to May 2019. From February 2012 to July 2014, they worked as a Manager for Medicaid and State Funding Enrollment at Indiana University Health. Paul also served as the Director of Indiana University Enrollment Center from June 2009 to February 2012. In addition to their professional experiences, they have also been the Board President at Edelweiss Equine Assisted Therapy Center, Inc. for the entirety of 2011.

Paul Pfaff attended Indiana State University from 1980 to 1984, where they obtained a Bachelor's degree in Accounting.