Medicaid State Reporting Pro — Remote

Humana Inc; United States; Remote; USD 65,000 - 89,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Job summary

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

You will coordinate and submit state reports, partner with market leadership, and educate stakeholders on processes to ensure accurate, timely reporting across states. The role involves reviewing data for completeness, identifying gaps, and supporting implementation of new reporting requirements.

Qualifications

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

Responsibilities

• Coordinate, prepare, review, and submit required Medicaid state reports in accordance with established requirements and timelines.
• Partner with business owners, market partners, and other stakeholders to obtain information and data needed for state reporting.
• Educate and support business owners and market partners on state reporting processes, requirements, and expectations.
• Review and validate reporting data for completeness and accuracy prior to submission.
• Identify and escalate data gaps, reporting issues, or process concerns that may impact timely and accurate reporting.
• Support the implementation of new and amended state reporting requirements and guidance.
• Maintain reporting documentation and support process improvements to promote consistency, accuracy, and efficiency.

Skills

Microsoft Office

Microsoft Copilot

Education

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

Job description

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

You will coordinate and submit state reports, partner with market leadership, and educate stakeholders on processes to ensure accurate, timely reporting across states. The role involves reviewing data for completeness, identifying gaps, and supporting implementation of new reporting requirements.