Become a part of our caring community and help us put health first
 

Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. 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

·       Researches compliance issues and recommends changes that assure compliance with contract obligations

·       Maintains relationships with government agencies

·       Coordinates implementation and compliance with corrective action plans, as needed

·       Begins to influence department’s strategy

·       Makes decisions on moderately complex to complex issues regarding technical approach for project components

·       Managing state reporting for assigned Medicaid market(s) (contracts and gathering data for reports)

Use your skills to make an impact
 

Required Qualifications

• Must reside in the eastern or central time zones within the contiguous United States

• Bachelor's Degree OR 5+ Years of Equivalent Work Experience of healthcare, insurance, and/or financial services experience

• 3+ years of Compliance, Policy, Risk, and/or Audit experience

• Comprehensive working knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint

• Proven experience collaborating with various departments to build, collect, validate, and communicate large sets of data

• Strong attention to detail and ability to work in a deadline-driven organization

• Success in developing and managing working relationships within a highly matrixed business environment

Preferred Qualifications

• Graduate or advanced degree

• Prior Medicaid health insurance industry experience

• Prior experience analyzing data and metrics to influence change in departmental processes

• Experience in data visualization tools (Power BI, Tableau, etc.)

• Experience with Enterprise Solution Point (ESP)

Additional Information

WAH Internet Statement

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 recommended; wireless, wired cable or DSL connection is suggested.

• Satellite, cellular and microwave connection can be used only if approved by leadership.

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

• Health benefits effective day 1

• Paid time off, holidays, volunteer time and jury duty pay

• Recognition pay

• 401(k) retirement savings plan with employer match

• Tuition assistance

• Scholarships for eligible dependents

• Parental and caregiver leave

• Employee charity matching program

• Network Resource Groups (NRGs)

• Career development opportunities

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

SSN Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is n