Compliance Professional

Humana

10d • $65,000 - $88,600 • Remote

About The Position

Become a part of our caring community and help us put health first Humana Healthy Horizons is seeking a Compliance Professional who will ensure compliance with governmental requirements as they relate to Medicaid State reporting. The Compliance Professional’s work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Compliance Professional: Manages state reporting for assigned Medicaid market(s) (contracts and gathering data for reports). 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. Use your skills to make an impact

Requirements

• Must reside in the Eastern or Central time zones within the contiguous United States
• Bachelors degree or equivalent work experience (5+ years of healthcare, insurance, or financial services experience)
• Two (2) or more years of compliance and/or health insurance experience
• Three (3) or more years of technical and computer navigation experience using multiple systems and platforms, specifically Excel, Word, PowerPoint and other Microsoft Office applications
• Experience managing multiple or competing priorities and meeting deadlines

Nice To Haves

• Analytical experience
• Medicaid state reporting experience
• Experience with ESP
• Graduate degree

Responsibilities

• Manages state reporting for assigned Medicaid market(s) (contracts and gathering data for reports)
• 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

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees