Senior Compliance Professional

Humana; United States; Remote; USD 86,000 - 119,000; Full time

Job summary

Humana is seeking a Senior Compliance Professional to ensure compliance with governmental requirements in a fully remote role within the United States. The position involves handling moderately complex to complex issues through in-depth evaluation and independent decision-making, with responsibilities spanning policy development, issue research, auditing, and enterprise risk identification.

Key duties include developing and implementing compliance policies, researching regulatory requirements,

Qualifications

• Bachelor's degree in related field
• 5+ years of experience working in regulatory law, compliance, audit, or risk management
• 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 knowledge

Communication skills

Multitasking

Attention to detail

Education

Bachelor's degree in related field

Job description

Become a part of our caring community

The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Compliance Professional role includes, but is not limited to, the following:

• 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

The Senior Compliance Professional must make decisions on moderately complex to complex issues, perform work with little to no direction; and exercise considerable latitude in determining objectives and approaches to assignment.

What makes you successful in this role:

• Being knowledgeable in process improvement
• Demonstrated knowledge in regulations governing health care industries
• Strong written and verbal communication skills
• Strong attention to detailBeing able to manage multiple or competing priorities and meet deadlines
• Performing work assignments without direction and exercising considerable latitude in determining objectives and approaches to assignments

Use your skills to make an impact

Required 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

Preferred Qualifications

• Graduate or advanced degree
• Audit or consulting experience
• Experience with metrics and reporting

Additional information:

• This role is an individual contributor.
• This role will not have any domestic travel.
• This role is fully remote within the U.S.
• In this role you will report to an Associate Director of Compliance.

Work at Home Requirements:

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel:

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

$86,300 - $118,700 per year

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 11-16-2026

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more abo