Humana
10,000+ employees
Founded 1961
⚕️ Healthcare Insurance
Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
Compliance Lead
🔥 2 hours ago
🌴 South Carolina – Remote
💵 $115.2k - $158.4k / year
⏰ Full Time
🟠 Senior
🚔 Compliance
🦅 H1B Visa Sponsor
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Humana
10,000+ employees
Founded 1961
⚕️ Healthcare Insurance
Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
📋 Description
• Ensures compliance with governmental requirements • Analyzes business requirements and advises internal business units • Builds relationships with market leadership teams and external regulators • Oversees Medicaid operations to ensure compliance and minimize risk • Performs risk assessments and develops compliance monitoring work plans • Interprets state and federal regulatory requirements
🎯 Requirements
• Bachelor's degree in related field • 3+ years of advanced experience working in a Compliance-related or managed care-related field or Medicaid • 3+ years of interpreting and guiding on regulations and compliance requirements governing the health care industry • 3 or more years analyzing and reviewing metrics related to contract compliance
🏖️ Benefits
• Medical, dental and vision benefits • 401(k) retirement savings plan • Time off (including paid time off, company and personal holidays, paid parental and caregiver leave) • Short-term and long-term disability • Life insurance • Many other opportunities
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