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Remote VP, Clinical Policy & Risk Management

Remote / Online - Candidates ideally in
San Francisco, San Francisco County, California, 94199, USA
Listing for: Humana
Remote/Work from Home position
Listed on 2026-09-29
Job specializations:
  • Management
    Healthcare Management
  • Healthcare
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 180000 - 260000 USD Yearly USD 180000.00 260000.00 YEAR
Job Description & How to Apply Below

Humana seeks a Vice President, Clinical Policy and Risk Management to lead CM/UM risk management, audits, and policy governance. This remote role reports to the SVP – Clinical Operations and oversees 7 direct reports and 250 associates, driving regulatory compliance and continuous improvement across care management and utilization management.

You will partner with Legal, Compliance, and business leaders to interpret CMS and Medicaid requirements, manage risk, and ensure alignment with federal

We are currently recruiting a Remote VP, Clinical Policy & Risk Management for our team in United States.

As a Remote VP, Clinical Policy & Risk Management, you will play an important part at Humana in United States.

We invite applications for the Remote VP, Clinical Policy & Risk Management position located in United States.

The following opening is for a Remote VP, Clinical Policy & Risk Management with Humana.

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