Senior Compliance Professional

🔥 48 minutes ago

🇺🇸 United States – Remote

💵 $86.3k - $118.7k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Develop and implement compliance policies and procedures • Research compliance issues and recommend changes to ensure compliance with contractual obligations and state and federal law • Perform auditing and monitoring activities and issue corrective action plans as needed • Identify enterprise risk and compliance concerns • Maintain relationships with operational business areas • Serve as a subject matter expert and provide guidance on various matters • Make decisions on moderately complex to complex issues with little to no direction • Determine objectives and approaches to assignments with considerable latitude • Report to an Associate Director of Compliance • Work as an individual contributor

🎯 Requirements

• Bachelor's degree in related field • 5+ years of experience working in regulatory law, compliance, audit, or risk management field • Experience working in a Compliance-related or managed care-related field • Experience working with regulatory agencies • Experience with compliance oversight of CMS Stars rating program • Ability to analyze regulatory requirements and assist business areas with understanding impacts of requirements on their operations • Experience with Medicare Advantage marketing and communication material review • Experience with compliance oversight of agents and brokers • Knowledgeable in process improvement • Demonstrated knowledge in regulations governing health care industries • Strong written and verbal communication skills • Strong attention to detail • Ability to manage multiple or competing priorities and meet deadlines • Ability to perform work assignments without direction and exercise considerable latitude in determining objectives and approaches to assignments • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Home internet service with at least 25 Mbps download and 10 Mbps upload speed • Preferred: Graduate or advanced degree • Preferred: Audit or consulting experience • Preferred: Experience with metrics and reporting

🏖️ 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 • Work-from-home arrangement • No domestic travel; occasional travel to Humana offices for training or meetings may be required

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