Senior Insurance Product Compliance Professional

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $78.4k - $107.8k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

🦅 H1B Visa Sponsor

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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

• researches and analyzes rules, regulations, and sub-regulatory guidance that apply to Insurance Products such as Medicare Advantage, Part D, Group Specialty, and Individual Specialty • assess risk and consult on licensure or corporate structure • partners with team members and serves as a Humana liaison • drafting, filing, and negotiating approval with state and federal regulators for service area expansions • preparing product-specific documents, contracts, licenses, member communications, or marketing materials • safeguard Humana's brand and support the implementation and maintenance of compliant insurance products in collaboration with responsible business owners

🎯 Requirements

• 3+ years of experience with Medicare Advantage and/or Medicaid plan and benefit offerings • Comprehensive knowledge of Microsoft Office applications such as Word, Excel, PowerPoint, Adobe and Visio • Experience communicating complex technical concepts to a variety of audiences and tailoring communication based on audience (i.e., contracts, federal and state regulations) • Ability to work independently while maintaining focus and managing deliverables to meet critical internal and external deadlines • Ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers • Experience with Medicare and/or Medicaid compliance (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) • Prior project management or product management experience (Preferred)

🏖️ 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 and many other opportunities