Remote Compliance Investigator & QA Specialist

Humana; Frankfort (KY); Remote; USD 65,000 - 89,000; Full time

Job summary

Humana is seeking a Compliance Professional to support its compliance program through investigations, corrective actions, and QA reviews. The role requires handling multiple priorities, strong attention to detail, and a focus on improving consumer experiences.

The position is remote with occasional travel to Humana offices for training or meetings. It offers a 40‑hour work week, a base salary in a broad range, and eligibility for a performance bonus based on company and individual results.

Qualifications

• Bachelor’s degree or equivalent experience.
• 2 to 5 years of compliance, investigations, audit, or regulatory experience.
• Ability to manage multiple priorities and meet deadlines.
• Passionate about improving consumer experiences.
• Strong attention to detail.

Responsibilities

• Conduct routine and moderately complex compliance investigations following established procedures.
• Issue corrective actions based on investigation results.
• Collect documentation, conduct interviews, and summarize findings.
• Maintain complete, accurate investigation files and case documentation.
• Escalate high‑risk or complex issues to senior compliance leadership.
• Support corrective action planning and follow‑up activities.
• Perform QA reviews of investigations, monitoring activities, and compliance documentation.
• Identify errors, inconsistencies, and procedural gaps.
• Document QA outcomes and assist with trend analysis and reporting.
• Track corrective actions and validate closure.

Skills

Prioritization

Customer focus

Attention to detail

Time management

Education

Bachelor's degree or equivalent experience

2-5 years compliance experience

Job description

Humana is seeking a Compliance Professional to support its compliance program through investigations, corrective actions, and QA reviews. The role requires handling multiple priorities, strong attention to detail, and a focus on improving consumer experiences.

The position is remote with occasional travel to Humana offices for training or meetings. It offers a 40‑hour work week, a base salary in a broad range, and eligibility for a performance bonus based on company and individual results.