Become a part of our caring community
The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Compliance Professional role includes, but is not limited to, the following:
Develop and implement compliance policies and procedures
Research compliance issues and recommend changes that assure compliance with contractual obligations and state and federal law
Perform various auditing and monitoring activities and issue corrective action plans, as needed
Identify risk and compliance concerns to the enterprise
Maintain relationships with operational business areas and serves as subject matter expert providing guidance on various matters
The Senior Compliance Professional must make decisions on moderately complex to complex issues, perform work with little to no direction; and exercise considerable latitude in determining objectives and approaches to assignment.
What makes you successful in this role:
Being knowledgeable in process improvement
Demonstrated knowledge in regulations governing health care industries
Strong written and verbal communication skills
Strong attention to detail
Being able to manage multiple or competing priorities and meet deadlines
Performing work assignments without direction and exercising considerable latitude in determining objectives and approaches to assignments
Use your skills to make an impact
Required Qualifications
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
Preferred Qualifications
Graduate or advanced degree
Audit or consulting experience
Experience with metrics and reporting
Additional information:
This role is an individual contributor.
This role will not have any domestic travel.
This role is fully remote within the U.S.
In this role you will report to an Associate Director of Compliance.
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being.…