Remote Senior Medicaid Compliance Leader

Humana Inc; Hartford (CT); Remote; USD 86,000 - 119,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off

Job summary

Humana Inc. seeks a Senior Compliance Professional for Medicaid to ensure regulatory compliance. The role involves complex analysis across state and federal laws, auditing, remediation, and coordination with regulators.

It is a fully remote position within the U.S., with limited travel based on business needs. The incumbent will lead audits, interpret regulatory requirements, support external audits, and work with Humana operational leaders to strengthen compliance controls and mitigate

Qualifications

• Bachelor’s degree in related field.
• 5+ years of experience in regulatory law, compliance, audit, or risk management.
• Experience in a Compliance-related or managed care-related field.
• Experience working with regulatory agencies.
• Ability to analyze regulatory requirements and assist business areas with understanding impacts on operations.

Responsibilities

• Develop audit methodology and perform auditing/monitoring to prevent noncompliance and guide remediation.
• Present findings to business partners and track issues to remediation.
• Oversee development and progress of issue remediation.
• Review documents/data to evidence regulatory compliance.
• Interpret regulatory and contract requirements for Humana departments/external partners.
• Provide ongoing oversight to ensure full compliance and minimize risk.
• Support external audits and regulatory communications.
• Back up other Medicaid Regulatory Compliance team members.

Skills

Strong written and verbal comms

Analytical thinking

Regulatory knowledge

Education

Bachelor’s degree in related field

Job description

Humana Inc. seeks a Senior Compliance Professional for Medicaid to ensure regulatory compliance. The role involves complex analysis across state and federal laws, auditing, remediation, and coordination with regulators.

It is a fully remote position within the U.S., with limited travel based on business needs. The incumbent will lead audits, interpret regulatory requirements, support external audits, and work with Humana operational leaders to strengthen compliance controls and mitigate