Direct reports include:** **VP, Physician Leadership** **Clinical contracting, physician review, quality improvement, legal MDs** **Director, Physician Leadership** **MD vendors, grievance and appeals** **AVP, UM Nursing** **UM RNs (transplant, behavioral health, appeals, etc.)** **Lead Dental Director** **Dental MD/RN review, bid season benefit review** **Director, Strategy Advancement** **Market liaison, provider/facility relationships** **AVP, UM Administration** **UM intake, vendor management, administrative support** **Role Impact:** - Drive the formation, execution, and sustainability of Humana's Utilization Management strategy. 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.