Medicaid State Reporting Compliance Specialist Remote

Humana Inc; Denver (CO); Remote; USD 65,000 - 89,000; Full time

Job summary

Humana Inc. is seeking a Compliance Professional (Medicaid State Reporting) to ensure compliance with government requirements across Medicaid state reporting.

The role involves coordinating and submitting required state reports, and partnering with market leadership to support accurate reporting. Responsibilities include educating stakeholders, validating data, identifying gaps, and implementing new reporting requirements.

Qualifications

• Must reside in the eastern or central time zones within the contiguous United States.
• Bachelor's degree or 5+ years of healthcare industry, insurance services and/or regulated services.
• 3+ years of compliance or project/process management experience.
• Comprehensive working knowledge of Microsoft Word, Excel and PowerPoint.

Responsibilities

• Coordinate, prepare, review, and submit Medicaid state reports on time.
• Partner with business owners, market partners, and stakeholders to obtain data.
• Educate and support on state reporting processes, requirements, and expectations.
• Review and validate reporting data for completeness and accuracy prior to submission.
• Identify and elevate data gaps or issues affecting reporting timelines.
• Support new and amended state reporting requirements and guidance.

Skills

Compliance experience

Project management

Microsoft Office

Education

Bachelor's degree or 5+ years healthcare/regulated services

Tools

Microsoft Office

Job description

Humana Inc. is seeking a Compliance Professional (Medicaid State Reporting) to ensure compliance with government requirements across Medicaid state reporting.

The role involves coordinating and submitting required state reports, and partnering with market leadership to support accurate reporting. Responsibilities include educating stakeholders, validating data, identifying gaps, and implementing new reporting requirements.