Strategic VP, Clinical Policy & Risk Management
Humana Inc
Humana Inc. is seeking a Vice President, Clinical Policy and Risk Management in Louisville, Kentucky. The role involves overseeing a risk management department, ensuring compliance within Care Management and Utilization Management processes, and leading risk mitigation efforts. The ideal candidate has a Bachelor's degree and over 10 years of CM/UM risk management experience. Exceptional project management and communication skills are essential. The position offers a full-time schedule of 40 weekly hours. #J-18808-Ljbffr Humana Inc
- Become a part of our caring community Humana maintains a robust clinical risk management function to ensure effective risk mitigation, control, and... ...and utilization management. The Vice President, Clinical Policy and Risk Management will oversee a department comprising 5...PolicyApprenticeship
- ...outpatient behavioral clinics as well as consultative... ..., legislative policy, regulatory and reimbursement... ...implements comprehensive strategic initiatives to support... ...skills, facility management, and good organization... ...clinical effectiveness, risk management, medical staff...PolicyFull timeWork experience placementWork at officeLocal areaDay shift
$150k - $227k
...Energy Program VP Remote We are a hybrid,... ...as a senior expert and strategic leader responsible for... ...priced, and aligned with risk and return objectives before... ..., and portfolio management principles. ~ Demonstrated... ...about our Privacy Policy, Affirmative Action Plan...PolicyWork experience placementWork at officeLocal areaRemote work- ...Description: The System VP of Pharmacy is the... ...system, responsible for strategic direction, operational excellence, clinical quality, and financial stewardship... ...Safety, Formulary Management, Antimicrobial... ...adoption, white/brown-bagging policies, site-of-care shifts, and...PolicyContract workShift workDay shift
$50k
...Valeris provides the data and strategic insights, patient support... ...Indiana. The Vice President (VP) of Patient Support Services... ...Development Compliance, Quality, & Risk Management Financial & Operational... ...deadlines for all corporate policies and procedures Ensure all...PolicyTemporary workWork at officeImmediate start- Position Overview Provides executive leadership and strategic oversight of the organization’s resident assessment and clinical reimbursement functions (MDS/RAI/CAAs/Care... ...Assessment Instrument (RAI). Proactively identifies risk areas, leads mitigation strategies, and ensures...Weekly payLocal area
- ...specific U.S. states. Our current policies are based on the laws in... ...Commercial Lines. This position manages the Commercial Lines Segment... ...with delegated authority and strategic direction. This position... ...from the individual risk to portfolio levels using models...PolicyWork experience placementRemote workWork from homeFlexible hours
$327.7k
...community The Regional VP, Health Services relies... ...to create and oversee clinical strategy for the region... ...for trend management. • Oversee regional utilization... ...of various levels of risk bearing contracts and possess... ...It is the policy of Humana not to discriminate...PolicyFull timeTemporary workApprenticeshipWork at officeWork from homeRelocation2 days per week3 days per week- ...VP Commercial Relationship Manager Job Category: Business Services Sales Requisition Number: VPCOM00211... ...Centra's Member Business Lending (MBL) policies and procedures. Responsible for... ...participation. Manages Centra's stated strategic objectives and business plan goals,...PolicyFull timeLocal area
- ...enterprise. The VP will own... ...closely with product, clinical, operations, security... ..., and model usage policies Responsible AI,... ..., compliance, and risk alignment (HIPAA,... ...selection and lifecycle management , ensuring... ...budgets, vendors, and strategic technology...Policy
$10 per hour
..., then a role as a Business Relationship Manager is for you. As a Business Relationship... ...advice with a focus on client experience and risk management while deepening existing... ...sound risk management protocols and control policies and adhering to regulatory requirements...PolicyWork experience placementWork at office- ...successful candidate will provide visionary leadership and strategic direction for the Divisions clinical, educational, and research missions. We seek a... ...Other Functions: Maintain compliance with all company policies, procedures and standards of conduct. Performs...PolicyFull timeTraineeshipImmediate start
$10 per hour
...Business Relationship Manager Senior If you are customer focused, enjoy building relationships... ...with a focus on client experience and risk management while deepening existing... ...sound risk management protocols and control policies and adhering to regulatory requirements...PolicyWork experience placementWork at office- ...Industry Non-Profit Organization Management Type Non Profit... ...The Company is seeking a VP of Resource Development to join... ...staff, establish and implement policies and procedures, and work collaboratively... ...required. The role demands a strategic thinker who can align...Policy
$120k - $180k
.... This role oversees both the Workforce Management (WFM) team and store operations Continuous... ...improvement. ~ Strong analytical, strategic, and executive communication skills. ~... ....S. Benefits . Bp has a parental leave policy as well, which offers up to 8 weeks’ paid...PolicyFull timePart timeWork at officeLocal areaRemote workRelocationRelocation packageNight shift- ...Louisville, KY is seeking a Chief Executive Officer to lead operations. This vital role involves developing strategies, motivating a management team, and ensuring compliance with healthcare regulations. The ideal candidate will have over 5 years of healthcare management...
- ...institution is seeking a Commercial Healthcare Relationship Manager III to oversee profitable business development and manage... ...with internal partners to enhance client relationships while adhering to the bank’s risk management policies. #J-18808-Ljbffr Fifth Third BankPolicy
- ...Vice President for Admissions provides strategic and operational leadership for all recruitment... ...education admissions or enrollment management, with at least three years in a leadership... ...laws. It is the University's policy not to discriminate against any individual...PolicyFull timeTemporary workLocal areaImmediate startRemote workShift workWeekend workAfternoon shift
- ...Leader for their resident assessment and clinical reimbursement functions in Louisville,... ...skills. Responsibilities include leading strategic initiatives, ensuring compliance with regulations... ...involves close partnerships with senior management to drive improvements in assessment...
- ...physician and offer 24-hour clinical care 7 days a week so... ...~ Responsible for managing, directing,... ...ensure attainment of strategic objectives and the delivery... ...enforces organization-wide policies and procedures that support... ...patient population, risk factors and the scope...PolicyTemporary workWork at officeLocal area
- ...physician and offer 24-hour clinical care 7 days a week so you can... ...reassessment. Responsible for managing the referrals and admissions... ...Code of Business Conduct, its policies and procedures, the Corporate... ...Demonstrated competence in strategic business planning and design...PolicyWork experience placementWork from home
- ...Clinical Marketing Liaison Career Opportunity Appreciated for your... ...referral relationships, manages assigned territory and completes... ...Develop business census based on strategic goals. Cultivate strong... ...record according to company policy. Current state professional...PolicyFull timePart timeFlexible hours
$187.8k - $348.3k
...optimization of Vizient’s spend management solutions for the... ...and measurable outcomes.The VP, Regional Leader (VPRL) leads... ...management capabilities across clinical, purchased services, and indirect... ...spend management portfolio.**Strategic Leadership & Client Value***...For contractors$184.8k - $254.1k
Associate VP, CenterWell Facilities page is loaded##... ...is responsible for the strategic and operational... ...locations, and associated clinical and administrative sites... ...operations, maintenance, vendor management, capital planning,... ...maintenance and risk detection system implemented...Weekly payFull timeTemporary workWork at officeRelocation- ...Chief of Pediatric Radiology to provide strategic, clinical, operational, and academic leadership... ...on strategic planning, budgeting, and policy development • Recruit, mentor, and... ...multidisciplinary conferences and day-to-day patient management to ensure optimal, integrated care....PolicyFull time
- ...environment that nurtures you. The Sr. Director/VP, Client Solutions & Design will interface... ...of Designers and Implementation Project Managers. (IPM) Facilitate and manage program... ...to training deadlines for all corporate policies and procedures Ensure all SOPs are...PolicyImmediate start
- ...Dental Services is a senior management position responsible for... ...This role involves setting policies and procedures, strategic planning, ensuring... ...standards. Ensure that all clinical and administrative operations... ...Develop and implement risk management strategies to minimize...PolicyContract workWork at officeImmediate startRemote work
$85k
...role. A Day in the Life As a Principal Territory Manager for Coronary, you will serve as a strategic partner and clinical expert to interventional cardiologists and cath... ...our commitment to diversity here. It is the policy of Medtronic to provide equal employment opportunity...PolicyContract workH1bWork at officeLocal areaRemote workFlexible hoursShift workNight shift$100k - $130k
...overall strategy. In this role, you will manage a supporting staff and be responsible for... ...to enhance our accuracy and mitigate risks. Our growth objectives and strategy are... ...develop a documented system of accounting policies and procedures. Manage growing accounting...PolicyContract workWork at officeLocal area$73.27k - $85k
...Community & Technical College is seeking a strategic and service-oriented Bursar to lead the student... ..., KCTCS Business Procedures and Jefferson policies Essential Duties & Responsibilities Student Billing & Account Management Oversee tuition, fee assessment, and billing...PolicyContract workWork at office
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