Remote Medicaid State Reporting Specialist

Humana Inc; Topeka (KS); Remote; USD 65,000 - 89,000; Full time

Job summary

Humana Healthy Horizons seeks a Compliance Professional for Medicaid State Reporting to ensure regulatory adherence and timely submissions. The role collaborates with market leadership and stakeholders to gather and validate data, educate teams, and implement evolving reporting requirements.

Remote US position within eastern/central time zones, 40-hour weeks, standard benefits. The position entails coordinating Medicaid reports, maintaining documentation, and elevating data gaps to improve

Qualifications

• Bachelor's degree or 5+ years of healthcare industry, insurance services and/or regulated services.
• 3+ years of 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 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.

Skills

Healthcare industry experience

Compliance knowledge

Project/process management

Education

Bachelor's degree or 5+ years relevant experience

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Humana Healthy Horizons seeks a Compliance Professional for Medicaid State Reporting to ensure regulatory adherence and timely submissions. The role collaborates with market leadership and stakeholders to gather and validate data, educate teams, and implement evolving reporting requirements.

Remote US position within eastern/central time zones, 40-hour weeks, standard benefits. The position entails coordinating Medicaid reports, maintaining documentation, and elevating data gaps to improve