Senior Risk Management Professional

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

Job summary

A leading healthcare company is seeking a Senior Risk Management Professional to identify and analyze potential sources of loss and minimize risk. The ideal candidate possesses strong project management and compliance management skills. This position involves managing a portfolio of compliance metrics associated with Medicare and Medicaid, requiring in-depth understanding of regulatory standards and best practices.

Benefits

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off, including holidays

Short-term and long-term disability

Life insurance

Qualifications

• 5 or more years of technical experience.
• Proficient in project management.
• Ability to work independently.

Responsibilities

• Oversee an internal compliance metrics portfolio.
• Collaborate across the enterprise to resolve compliance challenges.
• Utilize project management expertise to oversee project execution.

Skills

Project Management

Organizational Skills

Compliance Management

Analytical Skills

Education

Bachelor's degree or equivalent experience

Job description

Become a part of our caring community and help us put health first

The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Become a part of our caring community and help us put health first

The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

As a Senior Risk Management Professional, you are responsible for managing a portfolio of compliance metrics associated with Medicare and/or Medicaid, ensuring adherence to regulatory standards and best practices.

Your responsibilities include:

• Complete Ownership: Oversee an internal compliance metrics portfolio, focusing on specific operational areas.
• Collaboration: Work across the enterprise to effectively resolve complex compliance challenges.
• Operational Understanding: Ensure a thorough understanding and consensus regarding regulations and their related internal processes.
• Project Management: Utilize project management expertise, demonstrating robust organizational and leadership skills to effectively oversee project execution and delivery.
• Synergy Identification: Identify and leverage synergies to enhance overall effectiveness and efficiency.
• Reporting: Ensure timely and accurate reporting of metrics to support informed decision-making, taking appropriate escalation steps when necessary.
• Risk Mitigation: Engage in other efforts as needed to mitigate risk to Humana’s business.

Use your skills to make an impact

Required Qualifications

• Bachelor's degree or equivalent experience.
• 5 or more years of technical experience.
• A passion for contributing to an organization focused on continuously improving consumer experiences.
• Proficient in project management.
• Demonstrates strong organizational skills.
• Ability to work independently.
• Comfort with facilitating meetings effectively.

Additional Information

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.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [e-mail] with instructions on how to add the information into your official application on Humana’s secure website. 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

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.$86,300 - $118,700 per yearThis 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 06-05-2025

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

About the company

Humana looks at every facet of your life and works with you to create a path to health that fits your unique needs

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