Humana logo
Humana

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Compliance Lead

ComplianceComplianceFull TimeRemoteSeniorTeam 10,001+Since 1961H1B SponsorCompany SiteLinkedIn

Location

South Carolina

Posted

17 days ago

Salary

$115.2K - $158.4K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Compliance Lead

Humana

• Ensures compliance with governmental requirements • Analyzes business requirements and advises internal business units • Builds relationships with market leadership teams and external regulators • Oversees Medicaid operations to ensure compliance and minimize risk • Performs risk assessments and develops compliance monitoring work plans • Interprets state and federal regulatory requirements

Job Requirements

  • Bachelor's degree in related field
  • 3+ years of advanced experience working in a Compliance-related or managed care-related field or Medicaid
  • 3+ years of interpreting and guiding on regulations and compliance requirements governing the health care industry
  • 3 or more years analyzing and reviewing metrics related to contract compliance

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
  • Many other opportunities

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