Executive Leader, Clinical Policy & Risk Management
Humana
Humana Inc. is seeking a Vice President for Clinical Policy and Risk Management to oversee a team responsible for risk management within Care Management and Utilization Management. The role involves monitoring compliance, leading audits, and implementing risk mitigation strategies while ensuring alignment with regulatory requirements for Medicare and Medicaid. A Bachelor’s degree and over 10 years of leadership experience in related fields are required. This position is located in Arlington, Virginia. #J-18808-Ljbffr
Vacancy posted 16 hours ago
Similar jobs that could be interesting for youBased on the Executive Leader, Clinical Policy & Risk Management in Arlington, VA vacancy
- ...assisted living industry. Executive VP of Clinical Services The primary function... ...all aspects of clinical management for the company. ESSENTIAL... ...and training in clinical and risk management areas. Develop,... ...meet and align with company policies and procedures. Works with...PolicyTemporary workLocal areaFlexible hours
Priority Life Care
Washington DC16 hours ago - ...You will develop and execute advocacy strategies to... ...trusted advisor to senior leaders; synthesize market... ...consultations, prudent risk mitigation, operational... ...requirements and firm policies. Establish feedback... ...relationship management skills. ~ Executive...PolicyLocal area
Chase
Washington DC5 days ago - Humana Inc in Washington is seeking a Vice President of Clinical Policy and Risk Management to lead a department focused on risk management and compliance in Care Management and Utilization Management. This role involves overseeing operational metrics, ensuring compliance...PolicyFull time
- ...Humana maintains a robust clinical risk management function to ensure effective... ...The Vice President, Clinical Policy and Risk Management will... ..., compliance, and business leaders to ensure learning content... ...Excellent communication skills and executive presence. Preferred...PolicyApprenticeship
- ...the right place. Job Summary: The Clinical Informatics Executive is an integral member of a multidisciplinary... ..., leadership, informatics, change management, and data science skills. With an... ...: Apply institutional knowledge of policies, practices, and legacy systems to...Policy
$273.2k - $358.6k
...Executive Director, Clinical Data Science At Eisai, satisfying unmet medical... ...We are seeking a visionary leader to shape and drive Clinical... ...industry best practices. Risk Management & Problem Solving: ~... ...as such, is committed in policy and in practice to recruit...PolicyEisai
Washington DC3 days ago$120k - $130k
...leading healthcare solutions provider is seeking a Senior Business Consultant to lead change management and performance initiatives. You will ensure compliance with financial policies while providing strategic guidance to leadership. The role requires strong business...Policy- ...Identity & Access Management (IAM) Governance Executive Boston, Massachusetts;Washington... ...Security strategy and policy, manages the Information Security... ...strategy, policy, and risk management within Global Information Security. This leader defines and drives the IAM...PolicyWork at officeShift workDay shift
Bank of America
Washington DC3 days ago - ...Acrnet is seeking a Managing Director of Human Resources to manage comprehensive HR strategies... ...lead various HR functions, ensuring policies support workforce planning, employee... ...The role also involves collaboration with executive leadership and requires a commitment to...Policy
Acrnet
Arlington, VA16 hours ago $115k - $125k
...Plus Programs (Janney+) Executive Director Compensation:... ..., mission-driven leader to serve as Executive... ...with sound operational management. This person will steward... ...as applicable. Safety, Risk Management & Student... ...tools, etc.). Ensure policies, handbooks, and procedures...PolicyFull timePart timeSummer workWork at officeFlexible hoursLeaderFit
Washington DC16 hours ago- ...Position Title Registered Nurse Clinical Team Leader, Postpartum and Pediatrics Job Description Purpose & Scope: The RN Clinical Team Leader... ...Baby, Labor and Delivery De‑escalation training: BHU, ED Per policy ACLS or PALS cards stand as showing competence in BLS Skills...Policy
VHC Health
Arlington, VA16 hours ago - ...operations of the Behavioral Health Unit Provide clinical leadership and support to Registered... ...psychiatric nursing standards, hospital policies, and regulatory requirements Assist with... ..., scheduling, assignments, and workflow management Serve as a clinical resource for...PolicyLocal area
- ...opportunity for a Regional Executive Director -... ..., and operational management for a portfolio of... ...goals related to clinical quality, financial... ...Partner with physician leaders to define... ...Compliance, Quality & Risk Management Ensure... ...to organizational policies, HIPAA, OSHA, CMS,...PolicyLocal area
PE GI Solutions
Silver Spring, MD2 days ago $100k - $215k
...Executive Underwriter or AVP, Underwriting Director - Group... ...will partner with your manager to set a flexible work... .... As one of the leaders in this space, we work... ...requests that come in on policy maintenance Manage broker... ...exposure/analyze risk and pricing on new business...PolicyFull timeTemporary workApprenticeshipCurrently hiringWork at officeLocal areaRemote workVisa sponsorshipFlexible hours3 days per weekZurich NA
Washington DC3 days ago- ...widely regarded as the leading integrated risk management, crisis response, consulting, and... ...Monitor the commercial environment, executive level floor for any pertinent security... ...24 and its stakeholders by adhering to policies, reporting incidents and potential problems...PolicyPart timeLocal areaImmediate startShift workNight shift2 days per week3 days per week
Onsolve by Crisis24
Washington DC3 days ago - ...Braven is seeking a Head of Public Policy in Washington D.C. to lead its policy initiatives across federal, state, and local levels.... ...over 7 years of experience in legislative policy and advocacy, managing relationships and developing strategic communications. This role...PolicyFull timeLocal area
BRAVEN
Washington DC1 day ago - ...altruistic medical research participants. Our Clinical Trial Abundance program seeks to... ...evidence we already have. The clinical trial policy reform ecosystem is wide, diverse, and... ...role complements our Advocacy Director, who manages government-facing relationships with...Policy
1Day Sooner
Washington DC5 days ago $107.9k - $195.05k
...Solutions is seeking an Information System Security Manager (ISSM) to join our team in Arlington, VA. This... ...active DoD TS/SCI clearance. The ISSM will oversee risk assessments and implement information security policies to enhance our cybersecurity posture. Responsibilities...PolicyKoitecc Solutions
Arlington, VA15 hours ago- ..., you belong at HITT . Safety Manager Job Description: The HITT Safety... ...Evaluate project safety policies for effectiveness and identify... ...Collaborates with project team to execute project wide safety stand downs... ...portions of the corporate Risk Management Team as needed Participate...PolicyFor subcontractorLocal areaFlexible hours
Dormont Manufacturing Company
Falls Church, VA15 hours ago $70k - $80k
...Health Quality Improvement Manager is responsible for... ...quality, compliance, and risk management activities... ...quality, client‑centered clinical services and ensure... ...standards, contracts, and policy strongly preferred Skills... ...and independently execute tasks Ability to maintain...PolicyCommunity Connections
Washington DC16 hours ago$178k - $307.05k
...Compliance Job Category People Leader Locations New Brunswick, New... ...MT, partnering closely with executive leadership, regional teams,... ...governance, compliance, and risk management across all business units... ...across MT with J&J Privacy Policies & Standards and global privacy...PolicyLocal areaJohnson & Johnson
Washington DC16 hours ago- ...Emergency Management Evaluations Task Leader (Key) ProSidian Consulting is looking for professionals who... ...spanning six solution areas including Risk Management, Energy & Sustainability,... ...the US Govt. concerned with the US' policies regarding energy and safety in...PolicyFor contractorsWork at office
ProSidian Consulting
Washington DC3 days ago - ...candidate will have over 15 years of senior-level experience in communications and a proven track record in influencing policy outcomes. This executive will act as a brand champion and ensure ClearPath’s credibility across critical stakeholders. The position is based in...Policy
- ...requires extensive knowledge in anti-corruption and third-party risk management, along with a strong ability to advise legal and business... ...supporting internal investigations and developing compliance policies, while also involving AI integration to improve workflows. Located...Policy
- ...Anesthesiology to lead the department at Howard University Hospital in Washington D.C. The role includes both clinical and administrative responsibilities. Key duties involve managing day-to-day operations, ensuring quality patient care, and collaborating with hospital...
US Anesthesia Partners
Washington DC15 hours ago - ...Job Responsibilities Lead the market as its senior executive , with full accountability for news direction,... ...business agreements, exercising sound commercial and risk judgment. Maintain full P&L and financial management responsibility , including budget development, expense...
NAB Leadership Foundation
Washington DC1 day ago $273.6k - $385.01k
...or Full Professor of Clinical Practice- Section Chief... ...Chief will be to lead, manage, and inspire a team of... ...and transplant leaders to ensure alignment with... ...status consistent with UW Executive Order No. 81. Benefits... ...accordance with UW’s Privacy Policy. Disability Services...PolicyFull timeTemporary workTraineeshipH1bWork at office- ...Working with NRECA colleagues and leaders in NRECA’s membership, the... ...opportunities, human capital management, safety, and technology... ..., direct the development and execution of a strategic plan to prioritize... ...in the development of public policy positions and regulatory and...PolicyFor contractorsWork at officeLocal areaRemote work
$149k - $260.05k
Station Leader - SE Utility Operations The Station... ...tactical oversight and execution of all field operations... ...Leadership and Management: Develop and implement... ..., as well as internal policies and procedures. Prioritize... ...employees and the public. Risk Management: Identify...Policy$153.8k - $240.35k
...Responsibilities As Senior Leader/Chief Architect (... ...Evolution Management Lead, you will be a technical... ...technical reviews and risk mitigation and solution... ...defining requirements and policy for alternative technology... ...requirements throughout execution of critical programs....PolicyFull timeContract workPart timeFor contractorsLocal areaRemote workNoblis
Washington DC5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Executive Leader, Clinical Policy & Risk Management. Be the first to apply!
Related searches
- college president Arlington, VA
- chief dental officer Arlington, VA
- store executive Arlington, VA
- assisted living executive director Arlington, VA
- executive director Arlington, VA
- chief industries Arlington, VA
- information technology executive Arlington, VA
- creative executive Arlington, VA
- chief Arlington, VA
- chief executive officer Arlington, VA