Remote Director, Sales Compliance & Risk

Humana Inc; Trenton (NJ); Remote; USD 150,000 - 206,000; Full time

Job summary

Humana Inc. is seeking a Director, Innovative Financial Group (IFG) Sales Compliance to lead development and oversight of sales compliance programs, ensuring adherence to CMS, Medicare, Medicaid rules and insurance requirements while enabling business growth.

The role supervises agent and agency compliance teams, partners with regulators and carrier partners, and drives governance, risk monitoring, and investigations. Travel may be required; remote work is available.

Qualifications

• Bachelor's degree required.
• 3+ years of experience in compliance, regulatory affairs, healthcare, insurance, financial services, or related field.
• 5+ years of leadership experience managing teams and operations.
• Extensive knowledge of CMS regulations, Medicare Advantage, Medicare marketing guidelines, Medicaid, HIPAA, and insurance compliance.
• Experience with regulatory agencies, carrier partners, and conducting compliance audits.
• Proven ability to influence stakeholders and drive organizational change.

Responsibilities

• Lead IFG's sales compliance strategy and governance programs.
• Oversee teams responsible for agent and agency monitoring, auditing, and regulatory adherence.
• Serve as liaison between IFG, carrier partners, and regulatory agencies.
• Develop and maintain policies, procedures, and controls for compliant sales operations.
• Lead compliance investigations and direct corrective action plans when issues are identified.
• Escalate emerging compliance concerns internally and externally as appropriate.

Skills

Leadership

Regulatory knowledge

Auditing

Stakeholder influence

Education

Bachelor's degree

Master's degree / MBA / JD

Job description

Humana Inc. is seeking a Director, Innovative Financial Group (IFG) Sales Compliance to lead development and oversight of sales compliance programs, ensuring adherence to CMS, Medicare, Medicaid rules and insurance requirements while enabling business growth.

The role supervises agent and agency compliance teams, partners with regulators and carrier partners, and drives governance, risk monitoring, and investigations. Travel may be required; remote work is available.