VP, Clinical Policy & Risk Management — Strategic Leader
Listed on 2026-10-03
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Management
Healthcare Management, Risk Manager/Analyst
Humana Inc. seeks a seasoned executive to lead Clinical Policy and Risk Management, overseeing CM/UM risk, audits, and policy governance.
The role reports to the Senior Vice President – Clinical Operations and directs a team of 7 direct reports and 250 associates. Responsibilities include risk identification, regulatory compliance, CMS/Medicaid regulations, audits, and cross-functional collaboration with Legal, Compliance, Regulatory Affairs, and business leaders to align CM/UM policies with
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