Remote MHPAEA Risk & Compliance Senior Professional

Humana; Phoenix (AZ); On-site; USD 86,300 - 118,700; Full time

Benefits offered by this job

Medical, dental, and vision benefits

401(k) retirement savings plan

Paid time off, including parental leave

Job summary

Humana is seeking a Senior Professional for Risk and Compliance in Phoenix, AZ to oversee risks associated with Medicaid programs and ensure adherence to MHPAEA regulations. Responsibilities include risk management strategy development, conducting assessments, and collaborating with various stakeholders.

The position requires a Bachelor's degree, extensive experience in Utilization Management, and strong analytical skills. This role allows for remote work with occasional travel, offers a comprehensive benefits package, and supports employee growth.

Qualifications

• 3+ years of experience with Utilization Management, Care Management or Case Management.
• 2+ years of experience with healthcare or insurance regulations.
• Attention to detail and proactive approach to identifying and mitigating risks.

Responsibilities

• Oversee and manage risks associated with Medicaid utilization management programs.
• Develop and implement comprehensive risk management plans.
• Conduct regular risk assessments to identify potential areas of non-compliance.

Skills

Utilization Management experience

Analytical skills

Risk management

Problem-solving abilities

Education

Bachelor's degree or equivalent experience

Job description

Humana is seeking a Senior Professional for Risk and Compliance in Phoenix, AZ to oversee risks associated with Medicaid programs and ensure adherence to MHPAEA regulations. Responsibilities include risk management strategy development, conducting assessments, and collaborating with various stakeholders.

The position requires a Bachelor's degree, extensive experience in Utilization Management, and strong analytical skills. This role allows for remote work with occasional travel, offers a comprehensive benefits package, and supports employee growth.