Senior Medicaid Compliance Lead (Remote)

Humana Inc; Carson City (NV); Remote; USD 86,000 - 119,000; Full time

Job summary

Humana Inc. seeks a Senior Compliance Professional for Medicaid to ensure government regulatory compliance across Medicaid operations. This fully remote role performs auditing, monitoring, and remediation to minimize enterprise risk.

You will develop audit methodologies, present findings to enterprise compliance leaders, oversee issue remediation, and coordinate with regulators. A bachelor’s degree and 5+ years in regulatory law or risk management are required.

Qualifications

• Must have strong knowledge of health care regulations and compliance practices.
• Ability to analyze regulatory requirements and advise business areas on impacts.
• Experience with audits, monitoring, and remediation to address noncompliance.

Responsibilities

• Develop audit methodology and perform auditing and monitoring activities.
• Present findings to business partners and track remediation.
• Oversee development and progress of issue remediation.
• Interpret regulatory and contract requirements for Humana Departments or partners.
• Provide ongoing oversight of Medicaid operations to minimize risk.

Skills

Process improvement

Regulatory knowledge

Communication skills

Attention to detail

Multitasking

Education

Bachelor’s degree

Juris Doctor

Job description

Humana Inc. seeks a Senior Compliance Professional for Medicaid to ensure government regulatory compliance across Medicaid operations. This fully remote role performs auditing, monitoring, and remediation to minimize enterprise risk.

You will develop audit methodologies, present findings to enterprise compliance leaders, oversee issue remediation, and coordinate with regulators. A bachelor’s degree and 5+ years in regulatory law or risk management are required.