Remote VP of Clinical Policy & Risk Management

Humana Inc. is seeking a Vice President, Clinical Policy and Risk Management to oversee CM/UM risk programs, audits, and policy governance. This role reports to the SVP of Clinical Operations and leads seven direct reports plus 250 associates.

You will collaborate with Legal and Regulatory Affairs to address CMS/Medicaid requirements, drive risk mitigation, business continuity, and governance across Humana’s care management operations.