Senior Insurance Product Compliance Professional

Humana

1d • $78,400 - $107,800 • Remote

About The Position

The Senior Insurance Product Compliance Professional researches and analyzes rules, regulations, and sub-regulatory guidance that apply to Insurance Products, such as Medicare Advantage, Part D, Group Specialty, and Individual Specialty. You will also assess risk and consult on licensure or corporate structure. The Senior Insurance Product Compliance Professional partners with team members and serves as a Humana liaison. Your role will involve drafting, filing, and negotiating approval with state and federal regulators for service area expansions. It also involves preparing product-specific documents, contracts, licenses, member communications, or marketing materials. Throughout these processes, you will safeguard Humana's brand and support the implementation and maintenance of compliant insurance products in collaboration with responsible business owners. Use your skills to make an impact.

Requirements

• 3+ years of experience with Medicare Advantage and/or Medicaid plan and benefit offerings
• Comprehensive knowledge of Microsoft Office applications such as Word, Excel, PowerPoint, Adobe and Visio
• Experience communicating complex technical concepts to a variety of audiences and tailoring communication based on audience (i.e., contracts, federal and state regulations)
• Ability to work independently while maintaining focus and managing deliverables to meet critical internal and external deadlines
• Ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers

Nice To Haves

• Experience with Medicare and/or Medicaid compliance
• Experience working with State Agencies
• Understanding of State and Federal Regulations
• Experience specific to Dual Eligible members and healthcare plans for MA DSNP product offerings
• Prior project management or product management experience

Responsibilities

• Research and analyze rules, regulations, and sub-regulatory guidance for Insurance Products (Medicare Advantage, Part D, Group Specialty, and Individual Specialty).
• Assess risk and consult on licensure or corporate structure.
• Partner with team members and serve as a Humana liaison.
• Draft, file, and negotiate approval with state and federal regulators for service area expansions.
• Prepare product-specific documents, contracts, licenses, member communications, or marketing materials.
• Safeguard Humana's brand and support the implementation and maintenance of compliant insurance products in collaboration with responsible business owners.

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed