Senior Insurance Product Compliance Professional

🕒 July 10

🇺🇸 United States – Remote

💵 $78.4k - $107.8k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

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Humana

WebsiteLinkedInAll Job Openings

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

• Negotiate with state and federal regulatory agencies to obtain policy and certificate approval for insurance products • Support implementation and maintenance of compliant insurance policies and certificates • Contribute to department strategy and make decisions on handling technical work for complex project components • Develop and maintain group policy and certificate language to support product initiatives and regulatory requirements • Create awareness of current regulatory issues and ensure compliance of policy forms • Monitor and analyze regulatory requirements, providing consultative guidance • Facilitate discussions with operational and compliance partners • Prepare standard policy and certificate forms for regulatory filings • Research and respond to regulatory objections and inquiries • Conduct quality reviews for policy/certificate forms and other materials • Recommend and support process improvements to maximize efficiency • Serve as Subject Matter Expert (SME) for assigned product lines • Conduct research and provide findings regarding contract language or competitor filings.

🎯 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, paid parental and caregiver leave) • Short-term and long-term disability • Life insurance and many other opportunities