VP, Physician Review, Market Insights
Location
United States
Posted
13 days ago
Salary
0
Seniority
Lead
Job Description
VP, Physician Review, Market Insights
Humana
• Set clinical strategy and lead the Utilization Management organization. • Oversee the integration of medical doctors and registered nurses in UM across Medicaid and Medicare. • Provide leadership in risk management, grievance and appeals, clinical contracting, vendor management, and UM dental review. • Ensure the clinician’s perspective is central to organizational decision-making. • Leverage analytics to inform strategy and performance improvement. • Sponsor the development of clinical talent and leadership pipeline.
Job Requirements
- MD/DO
- Current Board Certification
- Minimum 10 years of combined leadership and/or UM experience
- Passion for improving Star Ratings, review consistency, and health outcomes
- Deep knowledge of medical, clinical, and behavioral science underpinning UM
- Strong interpersonal, leadership, and business acumen
- Proven ability to drive cross-functional results and champion clinical perspectives.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
Related Guides
Related Categories
Related Job Pages
More Vice President Jobs
• Partner-sourced and partner-influenced pipeline and revenue contribution • Development and execution of co-sell and partner-led go-to-market motions • Strategic relationships with key ecosystem partners across multiple routes to market (i.e. distribution, hyperscalers, resellers, global system integrators, MSSPs) • A predictable, scalable partner operating model with clear accountability • Building and leading a high-performing Americas alliances organization • Drive Revenue Through the Ecosystem • Deliver consistent growth in partner-sourced pipeline and partner-led bookings • Establish partners as a core revenue engine, not a parallel motion • Build and scale co-sell motions that are fully integrated into the Sales process • Maintain rigor around pipeline inspection, deal progression, and forecast accuracy • Lead Co-Sell Execution with Sales • Align tightly with Regional Sales Leaders, Sales Representatives, and CrowdStrike leadership to drive joint execution • Ensure partners are engaged early and effectively in the sales cycle • Remove friction between Sales and partners to accelerate deal velocity and win rates • Hold teams accountable to joint pipeline creation and close rates • Build and Scale the Ecosystem • Define and execute the Americas partner strategy aligned to CrowdStrike’s platform and growth priorities • Focus the ecosystem on high-impact partners, use cases, and routes to market • Recruit, develop, and activate partners that can deliver measurable revenue impact • Expand CrowdStrike’s reach through MSSPs, cloud marketplaces, and strategic alliances • Own Strategic Partner Relationships • Build and maintain executive-level relationships with strategic partners • Drive joint business planning with clear outcomes, metrics, and accountability • Develop solution plays and integrations that increase platform adoption and expansion • Ensure CrowdStrike is positioned as a strategic partner and leader within the partner ecosystem • Operate with Discipline and Accountability • Establish a metrics-driven operating cadence (QBRs, pipeline reviews, partner scorecards) • Track and manage KPIs across pipeline, revenue, attach rates, and partner productivity • Partner with RevOps and Partner Operations to build scalable systems and reporting • Drive consistency and execution excellence across regions and partner segments • Lead and Develop the Team • Build, lead, and scale a high-performing team of alliance managers and leaders • Set a high bar for performance, accountability, and execution • Develop leadership bench strength and succession plans • Foster a culture of ownership, accountability, urgency, and continuous improvement
• Account management and wholesale activities • Recruit Key Accounts that meet the stated company profile • Manage Key Accounts to appropriate contract levels • Maintain successful business relationships with Key Accounts • Provide direction to the internal Sales Support team • Identify opportunities for high quality presentations and promotional pieces • Research, monitor and track competitors’ products and pricing • Prepare management reports as requested • Effectively manage National Account Managers
• Manage a defined territory performing external sales functions • Develop consultative relationships with financial advisors • Communicate in depth understanding of Nuveen’s solutions, capital markets and industry trends • Incorporate data analytics into territory • Collaborate and share best practices across regional teams • Conduct discovery work to review opportunities in client's asset allocation
• Develop and communicate a compelling long-term product vision and narrative • Align leadership and teams around clear priorities and outcomes • Simplify complexity into clear strategic direction • Define and lead a cohesive product strategy across hardware, software, and IoT-enabled solutions • Transform the product landscape into a clear, scalable portfolio and platform strategy • Drive prioritisation across competing demands, balancing customer needs, technical feasibility, and business impact • Manage strategic partnerships with external partners • Connect product decisions to commercial outcomes (revenue, adoption, retention, pricing models) • Partner closely with commercial teams to define value propositions and monetisation strategies • Strengthen product-market fit and accelerate customer adoption across segments • Ensure seamless integration between physical containers, IoT infrastructure, and digital platforms • Shape products that combine device, connectivity, and data intelligence into a unified customer and user experience • Leverage real-time data, analytics, and AI to create actionable, high-value insights for customers • Lead and develop a team of Product Managers and Product Owners • Create clarity in roles, decision-making, and ways of working • Foster a culture of collaboration, accountability, and continuous learning • Act as a key partner to the CTO and engineering leadership • Bridge gaps between engineering, hardware, commercial, and operations teams • Ensure product teams remain deeply connected to customer needs




