Senior Medicaid Compliance Leader — Remote

Humana Inc; Denver (CO); Remote; USD 86,000 - 119,000; Full time

Benefits offered by this job

Health benefits

401(k) retirement savings

Job summary

Humana Inc. is seeking a Senior Compliance Professional for Medicaid to ensure adherence to state and federal laws. You will develop audit methodologies, monitor compliance, and guide remedial actions with a focus on risk reduction.

The role involves presenting findings to partners, overseeing remediation, and coordinating with regulators while supporting external audits. Remote work within the U.S. is available.

Qualifications

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

Responsibilities

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

Skills

Regulatory knowledge

Analytical thinking

Attention to detail

Communication

Education

Bachelor’s degree in related field

Juris Doctor

Master of Business Administration

Job description

Humana Inc. is seeking a Senior Compliance Professional for Medicaid to ensure adherence to state and federal laws. You will develop audit methodologies, monitor compliance, and guide remedial actions with a focus on risk reduction.

The role involves presenting findings to partners, overseeing remediation, and coordinating with regulators while supporting external audits. Remote work within the U.S. is available.