Sr. Director, Utilization Management & Operations
The Senior Director, Utilization Management and Operations will oversee the direction of, and provide leadership to: clinical and clinical support staff to support positive health and financial outcomes of Medi-Share membership in accordance with the member-voted Guidelines. This role will design and develop clinical strategies to achieve and maintain optimal wellness outcomes and make decisions related to identifying and resolving complex technical and operational problems within the healthcare experience. The Senior Director, Utilization Management and Operations ensures the delivery of high-quality, cost-effective care to members through effective program administration, utilization management, discharge planning and transition, wellness program design, and leadership of these functions. 5+ years’ previous utilization review and clinical people leadership experience in a healthcare payer organization is a key requirement for this role.
At Christian Care Ministry we believe that Christians can, and should, share in one another’s burdens. Through the use of Medi-Share®, a healthcare sharing ministry for Christians, we cultivate that belief.
Everyone at Christian Care Ministry is in agreement with our Statement of Faith, which outlines our core beliefs. Although we aren’t perfect people, we are serving our perfect God to the best of our ability.