Senior Compliance Professional

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

📋 Description

• Create and execute compliance policies and procedures.

• Investigate compliance issues and propose modifications to ensure adherence to contractual obligations as well as state and federal regulations.

• Conduct auditing and monitoring activities, issuing corrective action plans as necessary.

• Recognize enterprise risk and compliance issues.

• Foster relationships with operational business units.

• Act as a subject matter expert, providing guidance on various topics.

• Make decisions regarding moderately complex to complex matters with minimal supervision.

• Define objectives and methods for assignments with significant freedom.

• Report to an Associate Director of Compliance.

• Operate as an individual contributor.

⛳️ Requirements

• Bachelor's degree in a relevant field.

• Over 5 years of experience in regulatory law, compliance, audit, or risk management.

• Experience in a compliance-related or managed care-related environment.

• Familiarity with regulatory agencies.

• Knowledge of compliance oversight pertaining to the CMS Stars rating program.

• Ability to interpret regulatory requirements and assist business areas in understanding their operational impacts.

• Experience in reviewing Medicare Advantage marketing and communication materials.

• Competence in compliance oversight for agents and brokers.

• Proficient in process improvement methodologies.

• Comprehensive knowledge of regulations governing the healthcare industry.

• Excellent written and verbal communication abilities.

• Strong attention to detail.

• Capability to handle multiple or competing priorities and meet deadlines.

• Ability to perform tasks autonomously while exercising significant discretion in setting objectives and approaches.

• A dedicated workspace free from ongoing interruptions to safeguard member PHI/HIPAA information.

• Home internet connection with a minimum of 25 Mbps download and 10 Mbps upload speeds.

• Preferred: Graduate or advanced degree.

• Preferred: Experience in audit or consulting.

• Preferred: Familiarity with metrics and reporting.

🏝️ Benefits

• Bonus incentive plan based on individual and/or company 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.