Job Description
**Become a part of our caring community**
The Health Services Lead serves as the subject matter expert and operational leader supporting the design, implementation, and sustainability of Utilization Management (UM) clinical programs. This role ensures clinical integrity, regulatory alignment, and consistency across markets while advancing national UM strategy, standardization, and governance priorities.
The Health Services Lead serves as a key partner to Market teams, Strategy Advisors, enterprise shared service partners, operational leaders, and cross-functional teams, ensuring clinical requirements are translated into practical policies, standardized workflows, and scalable processes that support consistent execution.
**Role Responsibilities**
+ Clinical workflow validation and recommendations
+ UM input into program design and implementation plans
+ Policy and procedure review with documented clinical and operational feedback
+ UM clinical decision-making guidan...
The Health Services Lead serves as the subject matter expert and operational leader supporting the design, implementation, and sustainability of Utilization Management (UM) clinical programs. This role ensures clinical integrity, regulatory alignment, and consistency across markets while advancing national UM strategy, standardization, and governance priorities.
The Health Services Lead serves as a key partner to Market teams, Strategy Advisors, enterprise shared service partners, operational leaders, and cross-functional teams, ensuring clinical requirements are translated into practical policies, standardized workflows, and scalable processes that support consistent execution.
**Role Responsibilities**
+ Clinical workflow validation and recommendations
+ UM input into program design and implementation plans
+ Policy and procedure review with documented clinical and operational feedback
+ UM clinical decision-making guidan...