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Strategic AVP, Medicaid Utilization & Care Management
Job in
Honolulu, Honolulu County, Hawaii, 96814, USA
Listed on 2026-08-30
Listing for:
Humana Inc
Full Time
position Listed on 2026-08-30
Job specializations:
-
Healthcare
Healthcare Management
Job Description & How to Apply Below
Humana Inc is seeking a strategic AVP to lead enterprise Medicaid utilization and care management strategy. This role integrates utilization patterns, claims, denials, care management engagement, and affordability initiatives across markets.
The AVP collaborates with Clinical Operations, Population Health, Pharmacy, Network, Finance and Quality to align governance and outcomes with market realities. The position emphasizes cross-functional leadership, clinical strategy, and scalable execution,
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