VP, Physician Review and Market Insights

**Become a part of our caring community**

Provides executive leadership to Humana.

The Chief Medical Officer, Utilization Management (UM) will serve as the clinical strategist, operator, and visionary for Humana’s Utilization Management organization. This executive role is responsible for integrating and overseeing all Outpatient and Inpatient based MDs and RNs and non-clinical support for UM functions in Medicaid and Medicare, with a focus on streamlining processes, ensuring consistent clinical practices, driving trend savings, improving Star Ratings, and enhancing operational efficiency. The CMO, UM will ensure alignment with Humana’s strategic objectives and enterprise operating model.

**Use your skills to make an impact**

**Key Responsibilities:**
• Set clinical strategy and lead the Utilization Management organization.
• Oversee the integration of medical doctors and registered nurses in UM across Medicaid and Medicare.
• Prov...