Remote Director, Sales Compliance & Risk

Humana Inc

Lincoln (NE)

Remote

USD 150,000 - 206,000

Full time

3 days ago

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Benefits offered by this job

Bonus plan

Medical benefits

Dental benefits

Vision benefits

401(k)

Paid time off

Disability Insurance

Life Insurance

Parental leave

Job summary

Humana Inc in the United States is seeking a highly experienced Director of Innovative Financial Group (IFG) Sales Compliance to lead the development and oversight of sales compliance programs, ensuring adherence to CMS, Medicare, Medicaid, HIPAA, and insurance regulations while enabling business growth.

The role oversees agent and agency monitoring, audits, and regulatory liaison with carriers and agencies, shaping policies and corrective action plans, and collaborating with executives to

Qualifications

Bachelor's degree required in a related field.
5+ years leading teams in compliance, healthcare, or insurance.
3+ years in compliance or regulatory affairs.
Extensive CMS regulations, Medicare/Medicaid knowledge.
Experience with regulatory agencies and audits.

Responsibilities

Lead sales compliance strategy and governance.
Oversee agent and agency monitoring and audits.
Collaborate with executives, operations, legal and carriers.
Develop policies and controls for compliant sales.
Direct investigations and corrective action plans.
Escalate compliance concerns as needed.

Skills

Regulatory knowledge

Healthcare compliance

Leadership

Stakeholder influence

Auditing

Education

Bachelor's degree

Master's degree

Juris Doctor (JD)

Job description

The role oversees agent and agency monitoring, audits, and regulatory liaison with carriers and agencies, shaping policies and corrective action plans, and collaborating with executives to

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