Remote Medicaid State Compliance Specialist

Humana Inc; Trenton (NJ); Remote; USD 65,000 - 89,000; Full time

Job summary

Humana Inc. is seeking a Compliance Professional (Medicaid State Reporting) to ensure government reporting compliance and timely submission of Medicaid state reports. You will collaborate with market leadership and stakeholders to collect data, educate teams, and validate accuracy before submission.

The role requires 3+ years in compliance or related fields, with a Bachelor's degree or 5+ years in healthcare/regulatory services. Remote work within US eastern/central time zones is supported.

Qualifications

• Requires a Bachelor's degree or 5+ years in healthcare/regulated services.
• 3+ years of compliance or project/process management experience.
• Proficient with Microsoft 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 elevate 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.

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Humana Inc. is seeking a Compliance Professional (Medicaid State Reporting) to ensure government reporting compliance and timely submission of Medicaid state reports. You will collaborate with market leadership and stakeholders to collect data, educate teams, and validate accuracy before submission.

The role requires 3+ years in compliance or related fields, with a Bachelor's degree or 5+ years in healthcare/regulatory services. Remote work within US eastern/central time zones is supported.