Vice President Risk Management

Humana Inc. seeks a Vice President of Clinical Policy and Risk Management to lead a large team across CM/UM risk management, audits, and policy governance.

You will report to the Senior VP – Clinical Operations, shaping risk strategies that protect member care and regulatory compliance. In this remote role, you will partner with Legal, Compliance, and business leaders to interpret CMS and Medicaid rules, drive operational controls, and oversee business continuity while guiding a matrixed