Humana·2 days ago
2 days ago
VP, Clinical Policy and Risk Management
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What you'll do
- Overseeing a department focused on operational and clinical risk mitigation within Care Management and Utilization Management
- Lead compliance, regulatory audits, and risk management initiatives
What they're looking for
- Clinical license
- Deep clinical and regulatory expertise in healthcare operations
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Become part of our team as Vice President, Clinical Policy and Risk Management, overseeing a department focused on operational and clinical risk mitigation within Care Management and Utilization Management. Lead compliance, regulatory audits, and risk management initiatives. Ideal for an experienced leader with deep clinical and regulatory expertise in healthcare operations.
Skills
- clinical license
- risk management
- regulatory compliance
- operational controls
- cms regulations
- medicaid regulations
- process improvement
- internal controls
- audit management
- fraud risk mitigation
- business continuity planning
- policy governance
- project management
- stakeholder management
- executive presence
- legislative risk assessment
- it technical controls
- cross-functional collaboration
- leadership
Company
Humana
Nationwide, United States of America
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