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

Humana Healthy Horizons is seeking a Senior Compliance Professional who 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.

You will be part of a caring community at Humana. When you meet us, you can tell we started as a hometown company. We’re proud of our Louisville roots and, as we’ve grown, that community feeling has spread across all 50 states and Puerto Rico. No matter where you are—whether you’re working from home, from the field, from our offices, or from somewhere in between—you’ll feel welcome here. We’re a caring community made of close-knit teams, cross-country friendships, and inclusive resource groups, all gathered around one big table where everyone’s voice is heard and respected. Community is a verb here. It’s up to each of us to care for it and maintain it. Because the relationships we form will help us deliver better health outcomes for the people we so proudly serve.

Are you Caring, Curious and Committed? If so, apply today!

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

• Bachelor's degree or Equivalent Work Experience (5+ years of healthcare, insurance, or financial services experience)
• 3 or more years of Compliance and/or project/process management experience
• Ability to work in a deadline-driven organization
• Ability to manage multiple projects/assignments while working with various departments to obtain data
• Comprehensive working knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
• Strong attention to detail
• Success in developing and managing working relationships within a highly matrixed business environment

 

Preferred Qualifications

• Graduate or advanced degree
• Medicaid state reporting experience
• Prior experience analyzing data and metrics to influence change in depar
• Prior health insurance industry experience
• Experience in data visualization tools (Power BI, Tableau, etc.)
• Medicaid experience/knowledge

 

Additional Information

About Humana

Your growth is what drives Humana forward. 

• When you get here, the journey is just beginning. Our leaders are committed to understanding what you need to grow. Because we don’t grow without you.
• This is a place where our nurses influence the C-suite.
• Where software engineers change lives.
• Where every associate can build a professional path where they learn and thrive. 
• Through our commitments to wellbeing and work-life balance, we support each associate’s personal health, purpose, work style, sense of belonging, and security. 
• Because finding new ways to put health first—for our members and patients and  our associates alike—is what we do. 

Work at Home Guidance

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

Interview Format

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