Insurance Product Compliance Professional

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $59.3k - $80.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

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

• Research, analyze, and assess risk related to rules, regulations, and sub-regulatory guidance applying to Medicare Insurance Products, specifically Dual Eligibles • Consult applicable rules, regulations, and sub-regulatory guidance • Partner with internal stakeholders and assist with upcoming deliverables • Review product-specific documents, contracts, licenses, member communications, and marketing materials while safeguarding Humana's brand • Support maintenance of compliant insurance products in collaboration with responsible business owners • Understand department, segment, and organizational strategy and operating goals and their linkages to related areas • Make decisions regarding own work methods in occasionally ambiguous situations with minimal direction • Follow established guidelines and procedures • Participate in a case study assessing critical thinking, regulatory reasoning, risk judgment, and structured recommendations for Medicare Advantage DSNP products if advancing in the interview process

🎯 Requirements

• 3+ years' experience working with Medicare Advantage and/or Medicaid plans • 1+ years' experience summarizing complex information and tailoring communication based on audience, including contracts and federal and state regulations • Ability to work independently while maintaining focus and managing deliverables to meet critical internal and external deadlines • Comprehensive knowledge of Microsoft Office applications: Word, Excel, PowerPoint, and Adobe • Compliance experience (preferred) • Experience working with State Agencies (preferred) • Understanding of State and Federal Regulations (preferred) • Experience specific to Dual Eligible members and healthcare plans for MA DSNP product offerings (preferred) • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Ability to travel occasionally to Humana offices for training or meetings

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Self-provided internet service for remote work, with required minimum speeds of 25 Mbps download and 10 Mbps upload • Occasional travel to Humana offices for training or meetings