Compliance Lead, Mental Health Parity

This is a fully remote position, open to applicants in United States.

📋 Description

• Formulate strategy and deliver continuous oversight and monitoring for business sectors related to MHPAEA compliance and other enterprise compliance requirements.

• Conduct risk assessments and develop annual work plans to audit and evaluate operational performance.

• Comprehend operational workflows and pinpoint opportunities for risk mitigation.

• Analyze and articulate regulatory and contractual obligations for execution by internal teams and external partners.

• Engage with and present findings to external regulators.

• Supervise and conduct auditing and monitoring for business sectors engaged in MHPAEA compliance and Wellness operations.

• Inform RC leadership about primary risks, remediation strategies, and other critical information.

• Manage the submission of reports, filings, and attestations to both state and federal regulatory bodies.

• Record issues and opportunities in Enterprise Solution Point (ESP/Archer).

• Collaborate across Humana Business Operations to improve data analytics and operational enhancement initiatives.

• Conduct assessments, formulate action plans, and offer guidance to various business areas.

• Influence both enterprise and departmental strategy.

• Report directly to a Director of Compliance as an individual contributor.

⛳️ Requirements

• Bachelor’s Degree.

• A minimum of 7 years of experience in legal or compliance roles.

• At least 2 years of experience in project leadership.

• Capacity to make decisions on moderately and significantly complex matters independently.

• Extensive knowledge of intricate regulatory requirements.

• Capability to provide recommendations to Medicaid market leadership.

• Ability to define objectives and approaches to tasks with substantial autonomy.

• MBA and/or JD preferred.

• Familiarity with healthcare operations and healthcare audits preferred.

• Understanding of MHPAEA and other Mental Health Parity regulations preferred.

• Knowledge of healthcare laws and regulations preferred.

• Proven ability to prioritize and lead individuals in large-scale, high-visibility projects preferred.

• Demonstrated capacity to think strategically and influence business partners and leadership preferred.

• Minimum home internet download speed of 25 Mbps and upload speed of 10 Mbps.

• Dedicated workspace free from continuous interruptions to safeguard member PHI/HIPAA information.

🏝️ Benefits

• Bonus incentive plan.

• 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.

• Personal wellness and smart healthcare decision support.

• Work-from-home arrangement.