Senior Medicaid Compliance Lead — Remote

Humana Inc; Honolulu (HI); Remote; USD 86,000 - 119,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana Inc. is seeking a Senior Compliance Professional for Medicaid to ensure adherence to state and federal requirements. You will work on complex issues with in-depth evaluation of data and regulatory impacts.

The role is fully remote within the United States, with opportunities to interact with enterprise compliance leaders and regulators. A bachelor's degree and 5+ years in regulatory/compliance are required along with strong communication and detail orientation.

Qualifications

• Bachelor’s degree in related field.
• 5+ years in regulatory law, compliance, audit, or risk management.
• Experience in compliance or managed care.
• Experience with regulatory agencies.
• Ability to analyze regulatory requirements and impacts.

Responsibilities

• Develop audit methodology and auditing to prevent noncompliance.
• Present findings to business partners and track remediation.
• Oversee remediation progress.
• Review documents to evidence regulatory compliance.
• Coordinate compliance communications with regulators.
• Provide backup to Medicaid Regulatory Compliance team.

Skills

Regulatory knowledge

Communication

Attention to detail

Time management

Regulatory analysis

Education

Bachelor’s degree

JD or MBA preferred

Job description

Humana Inc. is seeking a Senior Compliance Professional for Medicaid to ensure adherence to state and federal requirements. You will work on complex issues with in-depth evaluation of data and regulatory impacts.

The role is fully remote within the United States, with opportunities to interact with enterprise compliance leaders and regulators. A bachelor's degree and 5+ years in regulatory/compliance are required along with strong communication and detail orientation.