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
#J-18808-LjbffrVP, Clinical Policy & Risk Management — Strategic Leader in workfromhome at Unknown Company
This position is listed as full time and onsite.