Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Strategic VP, Clinical Policy & Risk Management

Humana

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

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Strategic VP, Clinical Policy & Risk Management in Louisville, KY vacancy
  •  ...Broughton Group in Louisville, KY is seeking a Vice President, Clinical Policy and Risk Management to oversee the CM/UM Risk Management department. This role involves leading 5 direct reports and ensuring operational compliance with Medicare and Medicaid regulations. We... 
    Policy
    Full time

    Broughton Group

    Louisville, KY
    2 days ago
  •  ...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... 
    Policy
    Apprenticeship

    Humana

    Louisville, KY
    2 days ago
  •  ...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... 
    Policy
    Full time
    Work experience placement
    Work at office
    Local area
    Day shift

    Covenant Health

    Louisville, KY
    1 day ago
  •  ...organization, the VP will oversee multiple...  ...and execute the strategic vision for HUB...  ...programs, and nursing/clinical support (as...  ...directors and program managers responsible for day...  ...Compliance, Quality, & Risk Management...  ...company compliance policies (HIPAA, FDA, OIG,... 
    Policy
    Contract work

    VALERIS

    Jeffersonville, IN
    2 days ago
  •  ...provides the data and strategic insights, patient...  ...organization, the VP will oversee...  ...programs, and nursing/clinical support (as...  ...directors and program managers responsible for day...  ...Compliance, Quality, & Risk Management...  ...company compliance policies (HIPAA, FDA, OIG,... 
    Policy
    Contract work
    Work at office

    Mercalis

    Jeffersonville, IN
    9 days ago
  •  ...Job Description The Vice President of Strategic Public & Private Partnerships is a senior...  ...government and adjacent markets. Build, manage, and convert a robust, qualified sales pipeline...  ...deep understanding of government policy, funding cycles, and procurement trends.... 
    Policy
    Contract work
    For subcontractor
    Local area

    Equus

    Louisville, KY
    6 days ago
  •  ...Vice President of Risk Management Churchill Downs Incorporated ("CDI")...  ...participation in mediations. The VP monitors liability exposure...  ..., problem solving, and strategic thinking skills. Ability to analyze...  ...with commercial insurance policies. Experience working with a captive... 
    Policy
    Contract work

    Churchill Downs Race Track

    Louisville, KY
    9 days ago
  •  ...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... 
    Policy
    Contract work
    Shift work
    Day shift

    UofL Health

    Louisville, KY
    6 days ago
  •  ...market expertise to support our strategic growth initiative....  ...specific U.S. states. Our current policies are based on the laws in states...  ...objectives. Effectively manage their agency distribution channel...  ...from the individual risk to portfolio levels using models... 
    Policy
    Work experience placement
    Remote work
    Flexible hours

    Encova Insurance

    Louisville, KY
    5 days ago
  • $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... 
    Policy
    Temporary work
    Work at office
    Immediate start

    PharmaCord

    Jeffersonville, IN
    5 days ago
  • Chief Operating Clinical Officer job at ScionHealth....  ...~ Responsible for managing, directing, coordinating...  ...ensure attainment of strategic objectives and the delivery...  ...organization-wide policies and procedures that support...  ...patient population, risk factors and the scope... 
    Policy
    Temporary work
    Work at office
    Local area

    ScionHealth

    Louisville, KY
    2 days ago
  •  ...physician and offer 24-hour clinical care 7 days a week so...  ...Responsible for managing, directing, coordinating...  ...ensure attainment of strategic objectives and the delivery...  ...organization-wide policies and procedures that...  ...the patient population, risk factors and the scope... 
    Policy
    Temporary work
    Work at office
    Local area

    ScionHealth

    Louisville, KY
    5 days ago
  •  ...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 pay
    Local area

    Trilogy Health Services

    Louisville, KY
    2 days ago
  •  ...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... 
    Policy
    Work experience placement
    Remote work
    Work from home
    Flexible hours

    Encova Insurance

    Louisville, KY
    6 days ago
  •  ...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

    BrightSpring Health Services

    Louisville, KY
    14 days ago
  •  ...(CFO) and working in close, strategic partnership with the Executive...  ...collaboration with the EVPHA, HSC deans, clinical practice plans, UofL Health,...  ...for employment. It is the policy of the University that no...  ...is not available to hiring managers/committees and is not... 
    Policy
    Contract work

    The Chronicle of Higher Education

    Louisville, KY
    2 days ago
  • $160k

     ...Job Summary Volare Health is seeking an experienced and strategic Vice President of Accounting to lead all accounting operations...  ...with GAAP Maintain strong internal controls and accounting policies Lead the annual external audit process and coordinate tax... 
    Policy
    Full time
    Work at office

    Volare Health LLC

    Louisville, KY
    6 days ago
  •  ...responsibility for the financial management, reporting, budgeting, strategic financial planning, provider compensation...  ...with financial and accounting policies and procedures. In...  ...timely patient and payor billing, clinical coding, collections and analysis of... 
    Policy
    Contract work
    Temporary work
    Locum

    Zingaro, Fidler, Wolfe & Co.

    Louisville, KY
    7 days ago
  • $238.83k - $341.19k

     ...plays a key role as part of the clinical operations team providing...  ...education, specialty referrals, case management referrals, follow-up and...  ...along with participating in risk and quality management...  ...patient care compliance, and policies and procedures. ESSENTIAL... 
    Policy
    Hourly pay
    Full time
    Work at office
    Immediate start

    ChenMed

    Louisville, KY
    6 hours ago
  •  ...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,... 
    Policy
    Full time
    Local area

    Centra Corporation

    New Albany, IN
    3 days ago
  • $10 per hour

     ..., then a role as a Business Relationship Manager is for you. As a Business Relationship Manager...  ...with a focus on client experience and risk management while deepening existing...  ...sound risk management protocols and control policies and adhering to regulatory requirements Required... 
    Policy
    Work experience placement
    Work at office

    Fairygodboss

    Louisville, KY
    2 days ago
  •  ...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

    Confidential

    Louisville, KY
    4 days ago
  •  ...This executive will serve as a strategic partner to the CFO and...  ...and retains top talent. The VP of HR will build scalable HR...  ...leadership development, and change management. Lead the HR function to operate...  ...& Compliance Ensure all HR policies, procedures, and practices comply... 
    Policy
    Local area

    Denton Floyd Real Estate Group

    Jeffersonville, IN
    3 days ago
  • $120k - $180k

     .... This role oversees both the Workforce Management (WFM) team and store operations Continuous...  ...improvement. ~ Strong analytical, strategic, and executive communication skills. ~...  ...U.S. Benefits. Bp has a parental leave policy as well, which offers up to 8 weeks' paid... 
    Policy
    Full time
    Part time
    Work at office
    Local area
    Remote work
    Relocation
    Relocation package

    BP

    Louisville, KY
    10 days ago
  •  ...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... 

    Memorial Physician Practices

    Louisville, KY
    4 days ago
  •  ...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... 

    Trilogy Health Services

    Louisville, KY
    2 days ago
  •  ...VP, Strategy and Transformation UofL Health Louisville...  ...of the transformation management office, this leader is...  ...for translating strategic priorities into a coordinated...  ..., milestone tracking, risk mitigation, and...  ...advisor to executive, clinical, and operational leaders... 
    Full time
    Work at office

    EXACTO Inc

    Louisville, KY
    5 days ago
  •  ...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 Bank
    Policy

    Fifth Third Bank

    Louisville, KY
    4 days ago
  •  ...healthcare facilities. This role drives strategic financial initiatives, ensures strong financial...  ..., HIPAA). Skilled in the application of policies and procedures. How you'll contribute...  ...presentations to department or middle management. Routine Business Problems -... 
    Policy
    Full time
    Temporary work
    Part time
    For contractors
    Work at office

    LifePoint Health

    Louisville, KY
    7 days ago
  •  ...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... 
    Policy
    Full time
    Temporary work
    Local area
    Immediate start
    Remote work
    Shift work
    Weekend work
    Afternoon shift

    Spalding University

    Louisville, KY
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Strategic VP, Clinical Policy & Risk Management. Be the first to apply!