Remote Senior Accreditation & Compliance Leader

Humana Inc; Frankfort (KY); Remote; USD 78,000 - 108,000; Full time

Job summary

Humana Inc. seeks a Senior Accreditation & Licensing Professional to lead accreditation readiness, licensing, and compliance initiatives, ensuring regulatory alignment and quality improvement. The role collaborates across the organization, analyzes data, and drives corrective actions to mitigate risks.

The position supports remote work with occasional travel to Humana offices. It emphasizes data-driven decision making, strategic partnership, and continuous quality enhancement within a complex

Qualifications

• Bachelor's degree required.
• 5+ years in accreditation, compliance, licensing, or related healthcare ops.
• 3+ years in process improvement, analytics, or program management.
• Strong analytical, problem-solving, and technical skills.
• Advanced Excel, Access, and database management.
• Ability to translate data into actionable insights.
• Experience working with cross-functional teams and stakeholders.
• Excellent written, verbal, organizational, and project management skills.
• Ability to manage multiple priorities and drive results independently.
• Commitment to continuous improvement and better consumer experiences.

Responsibilities

• Lead accreditation readiness activities and support external reviews, audits, and surveys.
• Monitor compliance with accreditation standards, regulatory requirements, and organizational policies.
• Analyze performance measures and quality outcomes to identify improvement opportunities.
• Develop and implement corrective action plans to address compliance gaps.
• Serve as a subject matter expert on accreditation standards and quality management practices.
• Partner with Corporate Licensing to obtain, maintain, and renew licenses.
• Coordinate licensing applications, renewals, and regulatory filings across applicable states.
• Lead governance meetings to monitor licensing status, timelines, and compliance requirements.
• Collaborate with Legal, Compliance, Risk Management, and operational teams to assess licensure needs.

Skills

Strong analytical skills

Excel proficiency

Data analytics

Project management

Cross-functional collaboration

Communication skills

Education

Bachelor's degree

Advanced degree in Healthcare Administration or related field

Tools

SQL

Tableau/Power BI

Qlik

Job description

Humana Inc. seeks a Senior Accreditation & Licensing Professional to lead accreditation readiness, licensing, and compliance initiatives, ensuring regulatory alignment and quality improvement. The role collaborates across the organization, analyzes data, and drives corrective actions to mitigate risks.

The position supports remote work with occasional travel to Humana offices. It emphasizes data-driven decision making, strategic partnership, and continuous quality enhancement within a complex