Compliance Analytics & Innovation Professional

HumanaWork at Home - Kentucky, KY
$65,000 - $88,600Hybrid

About The Position

Become a part of our caring community We are seeking a curious, analytical, and growth-minded individual to join our team as a Compliance Professional 2. In this role, you will help drive compliance program innovation through data analytics, dashboard development, process improvement, automation, and technology adoption. The ideal candidate enjoys solving complex business problems, translating data into actionable insights, and identifying opportunities to improve efficiency and effectiveness through emerging technologies. Our team: We are the Compliance Oversight and Program Advancement team, and our mission is to ensure the highest standards of compliance through continuous process improvement and the strategic use of advanced technologies. Our work is highly collaborative and project-based, partnering closely with teams across Regulatory Compliance to identify, develop, and implement innovative processes, analytics, and technology solutions that enhance efficiency, strengthen oversight, and improve management of key compliance risks. Position overview: We are seeking a curious, analytical, and growth-minded individual to join our team as a Compliance Professional 2. In this role, you will help drive compliance program innovation through data analytics, dashboard development, process improvement, automation, and technology adoption. The ideal candidate enjoys solving complex business problems, translating data into actionable insights, and identifying opportunities to improve efficiency and effectiveness through emerging technologies.

Requirements

  • Bachelor's degree in Business, Engineering, Data Science, Computer Science, Information Systems, Healthcare Administration, or a related field
  • Experience designing, developing, and maintaining dashboards and visualizations that translate complex data into actionable business insights
  • Demonstrated success identifying and implementing process improvements that enhance efficiency, effectiveness, quality, or risk management
  • Strong analytical and problem-solving skills, with the ability to interpret complex datasets and communicate insights to both technical and non-technical audiences
  • Proficiency with data analysis and visualization tools, including Power BI and SQL; experience with Excel, Tableau, ThoughtSpot, or similar analytics platforms
  • Experience working with Databricks-hosted data sources, including data exploration, SQL-based querying, data validation, and supporting reporting and analytics solutions
  • Experience partnering with business stakeholders to gather requirements and translate business needs into analytical solutions, reports, and dashboards
  • Strong written and verbal communication skills, with the ability to present findings and recommendations to leaders at multiple organizational levels

Nice To Haves

  • Master's degree (e.g., MBA, MHA, MPH, Data Analytics, Information Systems, or a related field)
  • Experience developing workflow automation solutions using Microsoft Power Automate or similar automation platforms
  • Experience using generative AI tools to improve productivity, automate business processes, analyze data, or support decision-making
  • Knowledge of healthcare regulatory requirements, including Medicare Advantage, Medicaid, CMS regulations, and Department of Insurance requirements
  • Experience in compliance, audit, risk management, healthcare operations, or a similarly regulated environment
  • Experience working with large-scale enterprise data platforms and cloud-based analytics environments
  • Familiarity with Databricks Genie, Azure data services, or other modern AI-enabled analytics platforms
  • Experience developing executive dashboards, KPI reporting, and business performance metrics for senior leadership audiences

Responsibilities

  • Evaluate emerging technologies and analytics capabilities to identify opportunities that improve compliance oversight, risk monitoring, decision-making, and operational efficiency
  • Collaborate with cross-functional teams to identify and implement process improvement opportunities across Regulatory Compliance
  • Develop Power BI dashboards and analytical solutions using data housed in Databricks, including data exploration, SQL-based querying, data validation, dashboard design, and translating complex datasets into executive-level reporting and actionable business insights
  • Conduct quantitative and qualitative analyses to identify trends, anomalies, emerging risks, and opportunities for improvement
  • Support the implementation of strategies that streamline processes, reduce manual effort, and enhance operational effectiveness while maintaining compliance standards
  • Identify opportunities to leverage automation and generative AI capabilities to improve the efficiency, effectiveness, and scalability of compliance activities
  • Monitor and evaluate the effectiveness of implemented solutions, dashboards, and process improvements, making recommendations for ongoing refinement
  • Partner with stakeholders to gather business requirements and translate them into practical reporting, process, and technology solutions
  • Collaborate with team members to provide support, documentation, and training related to new processes, dashboards, and technologies
  • Assist with change management efforts by developing process documentation, PowerPoint presentations, job aids, and training materials to support adoption of new capabilities

Benefits

  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
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