Remote Senior Compliance Officer – Healthcare

Humana; Austin (TX); Remote; USD 86,000 - 119,000; Full time

Job summary

Humana, Inc. is seeking a Senior Compliance Professional to ensure compliance with governmental requirements. The role handles complex issues requiring in-depth evaluation and operates with considerable latitude in objectives and approaches.

The position is fully remote within the U.S., reports to an Associate Director of Compliance, and includes a 40-hour work week with base pay in a wide range depending on location. Travel is minimal.

Qualifications

• Bachelor's degree in related field.
• 5+ years of experience working in regulatory law, compliance, audit, or risk management field.
• Experience working in a Compliance-related or managed care-related field.
• Experience working with regulatory agencies.
• Experience with compliance oversight of CMS Stars rating program.
• Ability to analyze regulatory requirements and assist business areas with understanding impacts of requirements on their operations.
• Experience with Medicare Advantage marketing and communication material review.
• Experience with compliance oversight of agents and brokers.

Responsibilities

• Develop and implement compliance policies and procedures.
• Research compliance issues and recommend changes that assure compliance with contractual obligations and state and federal law.
• Perform various auditing and monitoring activities and issue corrective action plans, as needed.
• Identify risk and compliance concerns to the enterprise.
• Maintain relationships with operational business areas and serves as subject matter expert providing guidance on various matters.

Skills

Process improvement

Regulatory health care knowledge

Written communication

Attention to detail

Managing multiple priorities

Independent work

Education

Bachelor's degree in related field

Job description

Humana, Inc. is seeking a Senior Compliance Professional to ensure compliance with governmental requirements. The role handles complex issues requiring in-depth evaluation and operates with considerable latitude in objectives and approaches.

The position is fully remote within the U.S., reports to an Associate Director of Compliance, and includes a 40-hour work week with base pay in a wide range depending on location. Travel is minimal.