Senior Insurance Product Compliance Professional

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🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

🐎 Kentucky – Remote

Although this job is listed in Kentucky, this company may be open to hiring remote in other states.

+1 more states

🐊 Florida – Remote 🐎 Kentucky – Remote 🧀 Wisconsin – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

🦅 H1B Visa Sponsor

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Humana

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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.

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

📋 Description

• Consult and research for policy and certificate language development • Monitor and analyze state/federal regulatory requirements • Coordinate legislative updates between Group and Individual products • Collaborate regarding state/federal requirements that impact products • Create awareness of current regulatory issues • Write generic and/or state-specific group contract language • Facilitate discussions with operational and compliance partners • Research and develop written responses to or provide consultative support • Maintain accurate and thorough documentation regarding contract language • Conduct quality reviews of policy/certificate forms • Serve as Subject Matter Expert (SME) for assigned Specialty lines • Assist Professional 2s with drafting state forms and understanding requirements • Support product filings, drafting, filing, and implementing production forms • Recommend and support process improvements • Draft or provide input to work instructions/documentation • Provide training and support to associates

🎯 Requirements

• Bachelor's Degree or equivalent experience in a healthcare/insurance compliance function • Minimum 5 years of healthcare / insurance industry experience • Knowledge of laws and regulations governing the healthcare / insurance industry experience, such as state Departments of Insurance and CMS • Ability to research and analyze state laws and regulations • Understanding of insurance products, including policy/certificate language • Proficient in Adobe Acrobat and Microsoft 365 (Office) applications, including Word, Excel, Teams, and SharePoint • Excellent oral and written communication skills. • Demonstrated attention to detail and accuracy • Proven analytical and problem solving ability • Self-Motivated and task oriented, with an ability to manage multiple priorities and work under pressure to meet deadlines

🏖️ Benefits

• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) • short-term and long-term disability • life insurance • many other opportunities