• Provide leadership and oversight of the Utilization Review department • Ensure consistent, evidence-based medical necessity determinations • Establish and enforce clinical guidelines, documentation standards, and review protocols • Maintain alignment with MCG guidelines and internal clinical governance standards • Ensure seamless alignment between UR and Claims workflows • Provide clinical expertise and documentation support for Appeals processes • Partner with Stop Loss teams on high-cost claim reviews and determinations • Ensure compliance with CMS, state, ERISA/non-ERISA, and accreditation requirements • Drive automation and digital workflow enhancements within UR • Enable interoperability across UR, Claims, Appeals, and vendor systems • Leverage analytics to inform utilization trends, clinical outcomes, and population health initiatives • Establish quality assurance programs, audit processes, and performance standards

• Provide leadership and oversight of the Utilization Review department • Ensure consistent, evidence-based medical necessity determinations • Establish and enforce clinical guidelines, documentation standards, and review protocols • Maintain alignment with MCG guidelines and internal clinical governance standards • Ensure seamless alignment between UR and Claims workflows • Provide clinical expertise and documentation support for Appeals processes • Partner with Stop Loss teams on high-cost claim reviews and determinations • Promote end-to-end workflow efficiency across clinical and administrative functions • Ensure compliance with CMS, state, ERISA/non-ERISA, and accreditation requirements • Maintain audit-ready documentation and defensible clinical decisions • Oversee development and accuracy of denial and determination letters • Drive automation and digital workflow enhancements within UR • Enable interoperability across UR, Claims, Appeals, and vendor systems • Support real-time data exchange (EDI, integration platforms) • Leverage analytics to inform utilization trends, clinical outcomes, and population health initiatives • Establish quality assurance programs, audit processes, and performance standards • Develop and deliver training programs for clinical and operational staff • Implement dashboards and KPIs to measure productivity, compliance, and outcomes • Foster a culture of continuous improvement and accountability

• Provide leadership and oversight of the Utilization Review department • Ensure consistent, evidence-based medical necessity determinations • Establish and enforce clinical guidelines, documentation standards, and review protocols • Maintain alignment with MCG guidelines and internal clinical governance standards • Ensure seamless alignment between UR and Claims workflows • Provide clinical expertise and documentation support for Appeals processes • Partner with Stop Loss teams on high-cost claim reviews and determinations • Promote end-to-end workflow efficiency across clinical and administrative functions • Ensure compliance with CMS, state, ERISA/non-ERISA, and accreditation requirements • Maintain audit-ready documentation and defensible clinical decisions • Oversee development and accuracy of denial and determination letters • Partner with Compliance and Legal to ensure regulatory alignment across all lines of business • Drive automation and digital workflow enhancements within UR • Enable interoperability across UR, Claims, Appeals, and vendor systems • Support real-time data exchange (EDI, integration platforms) • Leverage analytics to inform utilization trends, clinical outcomes, and population health initiatives • Establish quality assurance programs, audit processes, and performance standards • Develop and deliver training programs for clinical and operational staff • Implement dashboards and KPIs to measure productivity, compliance, and outcomes • Foster a culture of continuous improvement and accountability

Role Description Salute is seeking a Business Finance and Governance Director to join our Americas Business Finance team. This senior leader will partner with the business on budgeting, forecasting, reporting, and decision support — while also serving as the team's governance lead, incubating new accounts and acquisitions, and supporting strategic projects across the region. The role operates as a peer to our Divisional Finance Director and Finance Director, with the added mandate of standing up financial operations for new accounts and transitioning them to steady-state ownership. Responsibilities - Business Finance Partnership - Partner with business unit and account leaders on budgeting, forecasting, monthly reporting, and forward-looking insights. - Lead variance analysis, monthly business reviews, QBRs, and Global Account Review financial content. - Own month-end close deliverables including accruals, revenue recognition, and project-level reconciliations. - Governance & Controls - Design and maintain the Business Finance governance framework — SOPs, RACI, approval thresholds, and audit-readiness standards. - Standardize templates and controls for forecasting, billing, AR/AP, contract compliance, and revenue recognition. - Serve as the Business Finance point of contact for internal and external audit requests. - New Account Set-Up & Transition - Lead financial onboarding for newly won accounts and acquired entities — operating model, reporting cadence, billing, and system set-up (Salesforce, Sage Intacct, Smartsheet). - Incubate new accounts for 60–120 days, then transition to the appropriate Finance Director and Account Coordinators with a clean handoff package and documented SOPs. - Partner with Legal, Commercial, and Operations on contract reviews to operationalize financial terms from day one. - Projects, Initiatives & Acquisitions - Represent Americas Business Finance on ERP integration (Sage Intacct, Deltek Vantagepoint, Ajera), revenue recognition policy, and automation initiatives. - Lead financial diligence support and planning for acquisitions. - Drive process improvement and automation across Salesforce, Intacct, Smartsheet, and Power Query. Qualifications - Bachelor's degree in Finance, Accounting, or related field; CPA, CMA, or MBA a plus. - 10+ years of progressive finance experience, including 5+ years in business finance, FP&A, or divisional finance leadership. - Proven experience standing up finance operations for new accounts, business units, or acquired entities. - Strong governance, internal controls, and audit-readiness background in a private-equity-backed or high-growth environment. - Hands-on experience with ERP (Sage Intacct, Deltek Vantagepoint, or Ajera) and Salesforce. - M&A integration experience and process automation skills (Power Query, Power BI, Smartsheet) preferred. - Industry experience in data centers, facilities management, or project-based services a plus. Company Description Salute is a mission‑driven organization committed to delivering high‑quality service by empowering people, promoting operational excellence, and fostering a culture built on integrity, teamwork, and continuous improvement. Our teams support diverse operational environments and partner closely with clients to create safe, efficient, and reliable outcomes.