Remote Medicaid State Reporting Specialist

Humana; États-Unis; À distance; USD 65 000 - 89 000; Plein temps

Résumé du poste

Humana is seeking a Compliance Professional (Medicaid State Reporting) to ensure regulatory alignment for Medicaid state reporting. The role involves coordinating reports, collaborating with stakeholders, and validating data for accuracy while supporting evolving reporting requirements.

The position is remote within the United States and requires expertise in compliance and MS Office tools. The candidate will work with cross-functional teams to ensure timely submission of state reports and

Qualifications

• Must reside in the eastern or central time zones within the contiguous United States.
• Bachelor's degree or 5+ years healthcare industry, insurance services and/or regulated services.
• 3 plus years compliance or project/process management experience.
• Comprehensive working knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint.

Responsabilités

• 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 escalating gaps in data availability that may impact reporting requirements.
• 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.

Connaissances

Compliance experience

Data analysis

Formation

Bachelor's degree or 5+ years healthcare/insurance/regulatory experience

Outils

Word

Excel

PowerPoint

Description du poste

Humana is seeking a Compliance Professional (Medicaid State Reporting) to ensure regulatory alignment for Medicaid state reporting. The role involves coordinating reports, collaborating with stakeholders, and validating data for accuracy while supporting evolving reporting requirements.

The position is remote within the United States and requires expertise in compliance and MS Office tools. The candidate will work with cross-functional teams to ensure timely submission of state reports and