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The range for this role is $116,000 - $167,500 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 15% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance. Interested candidates must be willing and able to work onsite full-time in either our Melbourne, FL or Orlando, FL office.   The Mission 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. The Team 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. The Job 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.  Essential Job Duties & Responsibilities Provide oversight of clinical leadership within utilization management activities guiding design, evolution, and implementation of the operations related to the clinical review process and service levels Develop, implement, and monitor policies, procedures, and service levels Oversee the Care Management function that assists Medi-Share members in achieving an optimal level of wellness and coordination of their care; helping them identify cost-effective and non-duplicative services while they are in a time of great need and potential crisis Develop and ensure the effective delivery of education to members regarding the provisions of their Program Guidelines relative to healthcare, nursing, rehabilitative, and spiritual services Provide direction to Care Management staff including, but not limited to hiring, training, and communication regarding policy and procedural changes and monitoring and evaluating the quality of all processes Perform and/or administer research in ensuring effective, timely responsiveness to Care and Case Management issues; if required, handoff to Chief Medical Officer, providing required research and recommendation summary Act as liaison between member and/or provider to bring about resolution when conflicts arise Maintain awareness and be alert to member and provider issue trends and escalating concerns, and recommend resolutions Collaborate with other internal teams and stakeholders to ensure timely and accurate determination of sharable services Define and manage pre-service eligibility determinations (EDI 278) and associated standard operating procedures Define and manage concurrent review processes to effectively manage length of stay and facilitate discharge planning Oversee the preparation of various telephone scripts Update and maintain the policy and procedure manual Maintain the High Priority queue in conjunction with fellow Directors and Chief Medical Officer Assist in developing projects, policies, procedures, and other related issues as required Support the strategic vision delineated by the Chief Medical Officer and the Ministry In coordination with the Chief Medical Officer, organize and staff the Department in a manner that provides optimal service to the members and membership Ensure department Managers are successful in workforce, quality, and performance management (as elsewhere delineated) Define performance and attendance expectations of department Managers Review weekly performance reports submitted by department Managers Submit monthly performance reports to the Chief Medical Officer of all staff under Director Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs All other duties as assigned Essential Skills & Abilities Sound understanding of population health, stratification, and case management principles Ability to lead by example, motivate and encourage, be a self-starter, organized, enthusiastic, anticipate and apply systematic planning, prioritize and delegate tasks appropriately, and display diplomatic firmness Excellent oral and written communication skills Interpersonal and intercultural competences Ability to operationalize essential health plan functions and map workflows, policies, and procedures to govern and guide staff activities Ability to define staff roles and responsibilities to effectuate health plan objectives Ability to apply common sense understanding to carry out instruction furnished in written, oral or diagram form; deal with problems involving several variables in standardized situations Excellent ability to provide all content within a biblical framework Core Competencies/Demonstrable Behaviors Collaborates – builds partnerships and works collaboratively with others to meet objectives. This role requires a high level of internal customer interaction to meet objectives Manages Conflict – handles conflict situations effectively. Interpersonal Savvy – relates openly and comfortably with a diverse group of people. Must be able to communicate effectively and build engagement across all audiences Drives Results – consistently achieves results, even under tough circumstances and tight deadlines. Situational Adaptability – adapting approach and demeanor in real time to match the shifting demands of different situations. Courage – ability to have tough conversations and deliver accurate advice and decisions regardless of risk or potential criticism Education and/or Experience Bachelor’s degree in Nursing, Social Work, Healthcare Management or closely related field with 8+ years’ experience in a healthcare payer organization, or equivalent experience required Master’s or Doctorate degree in Healthcare Administration (MHA), Healthcare Clinical or Operations Management or similar accredited program preferred 5+ years’ previous utilization review and clinical people leadership experience in a healthcare payer organization required Experience in a value-based care organization preferred Experience in Care Management with understanding of population health and risk stratification principles preferred Supervisory Responsibilities This job has supervisory responsibilities. The Care Management department is comprised of roughly 40 employees that would fall under direct or indirect supervision of this role.  Incentives & Benefits We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others. For full-time employees working 30 hours or more, some of our benefits include, but are not limited to: 100% paid Medical for employees/99% for family Generous employer Health Savings Account (HSA) contributions Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance 6 weeks of paid parental leave (for both mom and dad) Dental - two plans to choose from Vision Short-term Disability Accident, Critical Illness, Hospital Indemnity 401(k) – up to 4% match on ROTH or Traditional contributions Generous paid-time off and 11 paid holidays Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo  Employee Assistance Program including no cost, in-person mental health visits and employee discounts Monetary Anniversary Awards Program Monetary Birthday Awards

The Mission 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. The Team 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. The Job The Chief Information Officer (CIO) is responsible for developing and overseeing all strategic and operational technical requirements for Christian Care Ministry (CCM) and its products/programs. The CIO works with the executive team to support CCM’s vision and growth through the use of technological resources. The CIO will provide leadership to employees in the IT department and sub-departments to attain the company’s strategic goals established in the company’s strategic plan. Education and/or Experience Bachelor’s degree in IT-related field with 15+ years of management and strategic experience in the IT field OR Master’s degree in IT related field with at least 10 years of experience in the IT field required Prior senior leadership experience in a healthcare payer organization/industry required Significant experience in and knowledge of all facets of IT; including systems applications, database administration, financial/billing systems, networks, telecommunications, computer hardware and software, etc. Essential Job Duties & Responsibilities IT Strategy Leadership Establish the company’s technical vision and lead all aspects of the company’s technological development in support of the company’s strategic plan Act as a good steward of Christian Care Ministry's resources; develop and ensure control of IT departmental budgets in alignment with the organization’s financial objectives Lead cost-benefit and ROI analyses to determine which platforms and solutions fit CCM needs Bring solutions-oriented guidance to the organization’s leadership on how best to apply technology and processes to resolve business problems or improve operations Develop and sustain high-quality relationships with the executive leadership team Identify risks, opportunities, priorities, issues, and strategic challenges for the organization and strategize appropriate solutions in collaboration with business partners Cast vision for, and lead the development and/or deployment of, modern technology solutions Be accountable for setting the technology direction and aligning with business objectives IT Infrastructure & Systems Leadership Oversee the development and implementation of the CCM’s technical environment, support new infrastructure rollouts, and define and implement the DevOps process -- including management of the configuration of off-the-shelf software, custom software releases, and other technical operations Understand how to strike a balance between in-house development and commercial off the shelf software (COTS) applications. Work in a consultative fashion with other department heads as an advisor of technologies that may improve their efficiency and effectiveness Stay up to date on all technology advancements and risks that may impact the organization; proactively provide direction to mitigate future technology-related risks, and ensure systems can deliver future operational needs Explore how market and industry changes will influence and challenge the whole organization. Conduct research and case studies on leading edge technologies and make determinations on the probability of implementation Champion digital/technical transformation through effective change management principles and customer-centered design Take responsibility for disaster planning, risk mitigation, and disaster preparedness IT Staff Leadership Committed to engaging and supporting the business on using information technology to support business initiatives Continually coach and mentor IT team members to reach their potential; champion the mindset of putting customer needs first, and drive a high-performing team committed to delivering excellence, emphasizing Ideal Team Player™ virtues—Humble, Hungry, and Smart (Emotionally Intelligent) Own overall responsibility for leading and directing a large and diverse workforce to achieve the business strategy through application of technology; inspire people and get their full commitment to do the extraordinary Build a committed and high-performing leadership team and hold overall responsibility for building the capabilities of staff for tomorrow’s needs Encourage a “respectful, but candid” environment of promoting a culture of feedback to ensure development of the highest quality solutions for CCM As appropriate, seek partnership with outside IT organizations to supplement IT resources to make certain that initiatives are completed when in-house resources are not sufficient to demand Data Management Leadership Develop and implement a secure and effective data warehouse and management environment, enabling the organization to make data-driven decisions and identify opportunities quickly Oversee the organization’s data and data processes to ensure effective data modeling, integration, reporting, capacity, and large language models -- AI may be utilized to improve the organization’s and customers’ experience IT Security Leadership Ensure information security and cybersecurity processes and systems are in place to protect the organization and its customers from external threats Develop and implement risk-mitigation plans; including ensuring proactive IT security training is effective Ensure all technology systems and practices are in alignment with HIPAA, PHI, PII and PCI DDS Essential Skills & Abilities Strong expertise in Software Architecture, DevOps, IT infrastructure, production support, data management, information security and cybersecurity, and standard compliance practices Deep knowledge and experience with agile development processes Proven expertise developing and executing product strategies Strong people management skills and proven experience managing remote and in-house people and resources Ability to support and defend technology decisions within management team Ability to nurture a culture of experimentation and learning, with a focus on both agility and reliability Strong prioritization and goal-setting skills; ability to evaluate different points of view, make tough decisions and defend these within management Ability to inspire and motivate a high performing and accountable team Ability to speak clearly and persuasively; to prepare and deliver effective group presentations; conduct effective meetings; speak wisely and effectively with members of the press, the board of directors, and governmental authorities Ability to produce clear and concise documents, effectively recommending or arguing for or against a decision, action, or interpretation. Skillful in analyzing complex or diverse organizational claim and member data to determine opportunities and foresee developing problems Must demonstrate an appropriate sense of urgency about affecting change quickly rather than waiting, and show a willingness to take calculated risks based on the support of underlying data as appropriate Proficient in Excel and ability to build and track budgets, forecasts, and performance management reports Spiritual, Professional, & Ethical Conduct Spiritual Maturity, in full agreement with CCM’s Statement of Faith and Conduct & Character statements, with a Christian testimony and lifestyle which includes living a moral life based on the Word of God, submitting to governing authorities, and being an active member of a local church. Conduct, exhibits the fruit of the Spirit: love, joy, peace, patience, kindness, goodness, faithfulness, gentleness and self-control (Gal 5:22-23). Exemplifies biblical standards for spiritual leadership (1 Tim 3:1-12; Titus 1:6-9) Deeply rooted in the Word, able to demonstrate its teachings on an individual level as well as in small group settings, Bible studies, etc. Demonstrates ethical character and good moral judgement, self-control, and truthfulness Not addicted to alcohol or any lifestyles that negatively affect one’s judgment A faithful husband/wife, a good manager of his or her own children and own household Free from the love of money / greed, demonstrated by generosity to the church and to others, and by lifestyle Core Competencies/Demonstrable Behaviors Business Acumen - Track record of understanding and delivering meaningful results to meet the client/customers objectives. Able to run a division as a business unit that can demonstrate profitability, ROI, and top tier NPS for services delivered Attracts top talent - Attracting and selecting the best talent to meet current and future business needs Coaching oriented - Works with direct reports and select high-performers to build the next generation of IT leadership for CCM, emphasizing Ideal Team Player virtues—Humble, Hungry, and Smart (Emotionally Intelligent) Drives results - Consistently achieving results, even under tough circumstances Strategic mindset - Seeing ahead to future possibilities and translating them into breakthrough strategies Optimizes work processes - Knowing the most effective and efficient processes to get things done, with a focus on continuous improvement Instills trust - Gaining the confidence and trust of others through honesty, integrity, and authenticity Supervisory Responsibilities This job has supervisory responsibilities. Oversite of 80+ employees. Incentives & Benefits We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others. For full-time employees working 30 hours or more, some of our benefits include, but are not limited to: •    100% paid Medical for employees/99% for family•    Generous employer Health Savings Account (HSA) contributions•    Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance•    6 weeks of paid parental leave (for both mom and dad)•    Dental - two plans to choose from•    Vision•    Short-term Disability•    Accident, Critical Illness, Hospital Indemnity•    401(k) – up to 4% match on ROTH or Traditional contributions•    Generous paid-time off and 11 paid holidays•    Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo •    Employee Assistance Program including no cost, in-person mental health visits and employee discounts•    Monetary Anniversary Awards Program•    Monetary Birthday Awards

The range for this role is $73,000 - $99,500 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 10% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance. Interested candidates must be willing and able to work onsite full-time in either our Melbourne, FL or Orlando, FL office.   The Mission 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. The Team 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. The Job The Manager, Utilization Management oversees and develops staff to ensure individual and team performance and quality of work aligns to organizational objectives and the strategic direction of the department. This role will collaborate with department and multi-disciplinary clinical teams to facilitate positive member outcomes. The role will support implementation of strategies to achieve and maintain optimal wellness and will identify and support resolution of operational and technical challenges in the department. 5 years experience in utilization management operations in a health care industry required; Strongly prefer within a healthcare payer organization.  Essential Job Duties & Responsibilities Provide clinical leadership within utilization management activities guiding design, evolution, and implementation of the operations related to the clinical review processes and service levels Provide leadership and guidance to the team to include Workforce Management  Ensure staff are educated on their individual and team roles and responsibilities to carry out the ministry’s goals and objectives Daily evaluates and assigns the inflowing work to the team members Manages within ADP the PTO/MPTO requests from team members Reports to their immediate direct report, any and all impediments to a team member’s ability to work Reports to their immediate direct reporting manager, regular performance feedback of each team member  Provide leadership and guidance to the team to include Quality Management Ensures new-hire training and education on the Program Guidelines relative to health care, nursing, rehabilitative, and spiritual services to support the education of members Identifies opportunities for process-improvement within the team Performs audits to ensure that work follows proper process and documentation to meet quality and service-level agreements Ensures each team member remains up-to-date regarding knowledge and skills required for their position Ensures each team member is cross-trained to work within the Care Management Dept Provide leadership and guidance to the team to include Performance Management Performs regular 1:1 meetings with each team member; to give and receive regular performance feedback Develops and ensures accountability of performance goals, for their immediate direct reports and teams Develops performance metrics, for their immediate direct reports and teams Assess performance goals and metrics against established benchmarks to assure direct reports and teams achieve business expectations Identify staff and team members whose performance falls below expected goals and when appropriate, develops a plan of action in cooperation with the staff member to remediate Performs professional and performance coaching Develops and executes corrective action Provide oversight of the team’s higher complexity cases Develop and maintain the workflows, policies and procedures that govern and guide staff activities  Collaborate with interdepartmental and interdisciplinary teams to achieve improved member outcomes Manage conflicts and escalations, high profile cases, and ensures proper notification of high dollar cases Assist senior leadership in the screening and hiring process for team members Ensure professional communication and collaboration within the team Identify for design, and ensure execution of key team processes that foster interdepartmental and interdisciplinary collaboration for improved member outcomes Provide input to senior leadership to maintain vendor relationships, process improvement, and system integration Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs All other duties as assigned Essential Skills & Abilities Effective communication skill – able to motivate others to action and convey complex messages with simplicity in written and verbal form Leadership – proven ability to lead collaborative and high-performing teams effectively Operational skill – proven ability to provide operations support and direction to improve health outcomes for patients or members in areas of care, case, utilization, review, or general clinical management functions Expert knowledge of HIPPA, PHI, and PII rules and regulations Ability to work independently to meet deadlines and deliver high quality recommendations and work products Ability to navigate, lead, and implement change with direct reports, teams, peers, and leaders within the organization Ability to serve as a player/coach – leading and coaching others effectively while performing duties of the team and ensuring high levels of service to members is accomplished Training skill – ability to teach and develop new skills and ability in others Computer skill – ability to effectively navigate multiple software applications to document notes, track case load, extract reports, and interpret data Core Competencies/Demonstrable Behaviors Ensure Accountability – hold self and others accountable to meet commitments Collaborates – builds partnerships and works collaboratively with others to meet shared objectives Communicates Effectively – develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiences Directs Work – provides direction, delegates, and removed obstacles to get work done Courage – steps up to address difficult issues, says what needs to be said with respect and authority Education and/or Experience Bachelor’s degree in a healthcare or other related field, OR equivalent combination of education and experience required 5 years experience in utilization management operations in a health care industry required; Strongly prefer within a healthcare payer organization Prior experience in a leadership role managing teams required Strongly prefer health care payer, operations, and change management expertise Supervisory Responsibilities This job has supervisory responsibilities for 7-10 clinical support employees.  Incentives & Benefits We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others. For full-time employees working 30 hours or more, some of our benefits include, but are not limited to: 100% paid Medical for employees/99% for family Generous employer Health Savings Account (HSA) contributions Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance 6 weeks of paid parental leave (for both mom and dad) Dental - two plans to choose from Vision Short-term Disability Accident, Critical Illness, Hospital Indemnity 401(k) – up to 4% match on ROTH or Traditional contributions Generous paid-time off and 11 paid holidays Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo  Employee Assistance Program including no cost, in-person mental health visits and employee discounts Monetary Anniversary Awards Program Monetary Birthday Awards