Remote Senior Accreditation & Compliance Leader

Humana Inc

Kentucky

Hybrid

USD 78,000 - 108,000

Full time

3 days ago
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Benefits offered by this job

Bonus incentive plan

Job summary

Humana Inc. is seeking a Senior Accreditation & Licensing Professional to lead readiness activities, licensing operations, internal audit, and continuous quality improvement.

The role partners with cross-functional teams to drive regulatory compliance and risk mitigation while shaping department strategy with data-driven insights. The position supports a remote work model in the United States, with occasional travel to Humana offices for training or meetings.

Qualifications

  • Bachelor’s degree required.
  • Minimum 5 years in accreditation, compliance, licensing, healthcare operations, quality management, risk management, analytics, process improvement, or program implementation.
  • Minimum 3 years in process improvement, data analytics, compliance, risk management, or program management.
  • Strong analytical, problem-solving, and technical skills are essential.
  • Advanced proficiency in Excel, Access, and database management.

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.

Skills

Analytical skills
Problem solving
Technical skills
Excel
Access
Database management
Cross functional collaboration

Education

Bachelor’s degree
Advanced degree in Healthcare Administration or related field

Tools

SQL
Tableau
Power BI
Qlik

Job description

Humana Inc. is seeking a Senior Accreditation & Licensing Professional to lead readiness activities, licensing operations, internal audit, and continuous quality improvement.

The role partners with cross-functional teams to drive regulatory compliance and risk mitigation while shaping department strategy with data-driven insights. The position supports a remote work model in the United States, with occasional travel to Humana offices for training or meetings.

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