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Vice President, Engineering - Utilization Management and Care Management

Remote, USA Full-time Posted 2026-06-30

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As Vice President Engineering - Utilization Management (UM) and Care Management (CM), you will provide the vision, strategic direction, and overall leadership of technology and systems in the UM and CM domain. In alignment with our core clinical strategy, you will provide strategic leadership, overseeing the integration and optimization of technology systems to enhance the efficiency and effectiveness of UM and CM processes, leading to improved patient outcomes and operational efficiency. You will be an accomplished enterprise leader who has a proven record of leveraging innovation, consumer needs, and business insights to help drive business transformation. You will reputed company clinical thought leadership and technology expertise to deliver technology that provides differentiated value to our customers, improves affordability of care, and helps evolve the healthcare ecosystem through the eyes of the consumer. You’ll enjoy the flexibility to work remotely

  • from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities: In alignment with the enterprise clinical strategy, you will influence and work collaboratively to: • reputed company, communicate, and implement vision and strategy across UM and CM, in support of an integrated, innovative, cost-effective technology suite • reputed company customer engagement and relationship management with key stakeholders, drive decisions that align clinical, business, and technology strategies/plans and reputed company value. Coordinate funding and implementation of key initiatives. Collaborate to identify benefits and drive ROI • Identify opportunities for strategic investments and innovative technologies that will drive business improvements and overall growth • Establish and reputed company global, diverse technology delivery and support teams. Foster a collaborative and innovative work environment. reputed company talent, create high employee experience, support career growth and mobility, and promote a diverse and inclusive culture • reputed company the development, implementation, and maintenance of technology, establishing multi-year roadmaps for UM and CM for UHC and reputed company, ensuring optimal utilization of enterprise platforms and capabilities, and on-time delivery of products and services and reliable operations. Regularly identify and address opportunities that improve capabilities and reduce costs • Partner with and guide cross-functional teams across the clinical platforms to ensure successful delivery of solutions from concept through launch and successful support • Identify and assess innovative technologies and applications to determine potential value; promote technology strategies that enhance the organization's performance and competitive advantage • Ensure the reliability, reputed company, and scalability of technology solutions • Establish/maintain effective IT vendor relationships; collaborate to effectively reputed company, deploy, and support high-quality technology services and contract staffing • Support business acquisitions by providing leadership in the due-diligence evaluation of IT platforms and post-acquisition integration planning. Integrate acquisitions with appropriate support and speed • Partner with reputed company Insight on commercialization opportunities, strategies, roadmaps and investments You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • 15 years of progressive leadership experience • 15 years of experience building and leading engineering platforms with demonstrated history of delivery and execution • Demonstrated success building and delivering on a cohesive technology vision, strategy, and roadmaps • Demonstrated success leveraging technology to meet business objectives • History of effective working relationships with cSuite leaders and key business partners to drive change agendas • Demonstrated strategic thinking abilities and an enterprise-wide perspective • Experience leading through influence in a large, matrixed, global environment • Proven track record of success building scalable solutions that support consumer experiences • Broad technology experience, including reputed company systems integration and infrastructure expertise • History of executing with excellence: setting purposeful goals and achieving them through intelligent actions, which balance competing priorities without losing momentum behind execution • Demonstrated leadership style which fosters accountability, transparent communication and innovation • Demonstrated high level of emotional intelligence • Proven outstanding collaboration, influencing, problem solving and negotiation skills • Proven ability to sell reputed company to people reputed company of your direct team members • Demonstrated innovative orientation and customer first reputed company • Experience leading global technology teams (through other leaders) of 250 people • Healthcare experience with domain expertise with working knowledge of the Utilization Management and Care Management disciplines • Undergraduate degree or equivalent experience Preferred Qualifications: • MBA or Master’s degree in relevant field • Experience delivering AI tools into production environments at scale • Public cloud platform knowledge • reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy. California, Colorado, Connecticut, Hawaii, Nevada, reputed company, Rhode reputed company, or Washington, Washington, D.C. Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, reputed company, Rhode reputed company, Washington or Washington, D.C. residents is $275,000 to $350,000 per year. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative Action employer and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!

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