Medicaid Compliance Lead — Remote

Humana Inc; Lincoln (NE); Remote; USD 86,000 - 119,000; Full time

Benefits offered by this job

Fully remote within the U.S.

Travel may be required occasionally

Job summary

Humana Inc. seeks a Senior Compliance Professional for Medicaid to ensure compliance with governmental requirements and oversee complex regulatory matters.

This individual will join a fast-growing team, collaborating with Humana leaders to strengthen compliance controls and mitigate risk. The role includes auditing, monitoring, and coordinating with regulators, with remote work options within the United States.

Qualifications

• Bachelor's degree in related field required.
• 5+ years in regulatory law, compliance, audit, or risk management.
• Experience in compliance- or managed care-related field.
• Experience working with regulatory agencies.
• Ability to analyze regulatory requirements and advise business areas on impact.

Responsibilities

• Develop audit methodology and perform auditing and monitoring to prevent/detect noncompliance and guide remedial actions.
• Present findings to business partners and Enterprise Compliance leaders and track issues for remediation.
• Oversee development and progress of issue remediation.
• Review documents and data to evidence regulatory compliance.

Skills

Process improvement

Regulatory knowledge

Written communication

Verbal communication

Attention to detail

Multitasking

Education

Bachelor's degree in related field

Job description

Humana Inc. seeks a Senior Compliance Professional for Medicaid to ensure compliance with governmental requirements and oversee complex regulatory matters.

This individual will join a fast-growing team, collaborating with Humana leaders to strengthen compliance controls and mitigate risk. The role includes auditing, monitoring, and coordinating with regulators, with remote work options within the United States.