Compliance Professional - Investigations and Corrective Actions

Humana

1d • $65,000 - $88,600 • Remote

About The Position

The Compliance Professional supports Humana’s compliance program by conducting sales and/or marketing investigations, issuing corrective actions, performing quality assurance (QA) reviews, and assisting with monitoring activities. Work assignments are routine to moderately complex, requiring application of established compliance principles, policies, and regulatory standards with guidance from senior compliance professionals.

Requirements

• Bachelor's degree or equivalent experience
• 2 to 5 years of compliance, investigations, audit, or regulatory experience.
• Ability to manage multiple or competing priorities and meet deadlines
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Strong attention to detail
• Self-provided internet service must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• Bilingual (Spanish)
• Compliance regulations experience
• Prior sales agent

Responsibilities

• Conduct routine and moderately complex compliance investigations following established procedures.
• Issue associated corrective actions based on investigation results.
• Collect documentation, conduct interviews, and summarize investigative findings.
• Maintain complete, accurate investigation files and case documentation.
• Escalate high‑risk or complex issues to senior compliance leadership.
• Support corrective action planning and follow‑up activities.
• Perform QA reviews of investigations, monitoring activities, and compliance documentation.
• Identify errors, inconsistencies, and procedural gaps.
• Document QA outcomes and assist with trend analysis and reporting.
• Track corrective actions and validate closure.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level