Vice President, Clinical Technology UM Portfolio Management
Core
Lead enterprise Utilization Management (UM) portfolio strategy and governance, driving AI-enabled technology deployment and product innovation across prior authorization and clinical correspondence workflows.
Role type
Senior executive (Vice President), strategy & product leadership
Builds
Scalable, compliant, and AI-enabled UM technology solutions for 28 million members
Domain
Health insurance / Clinical technology / Utilization Management
Deliverable
production ML models
Required skills
Enterprise UM portfolio strategy, AI-enabled technology deployment, ROI and KPI measurement, product roadmap development, strategic partnership management, clinical technology experience
Preferred skills
Deep understanding of member journey, product development experience
Technologies
AI-enabled tools, automation frameworks
Responsibilities
Lead enterprise UM portfolio strategy and governance; Drive deployment of AI-enabled capabilities across the UM lifecycle; Own the enterprise ROI and KPI measurement framework; Develop and oversee product roadmap alignment with strategic goals; Partner with business unit leadership to manage priorities and resources; Build an effective product organization; Drive efficiency in RFP and client implementation processes; Monitor and measure strategic partners.
Seniority
Executive, strategy & mentorship