Humana Inc. is looking for a Compliance Professional to ensure adherence to governmental requirements for Medicaid State reporting. You will tackle moderately complex to complex issues requiring in-depth evaluation, helping us put health first for our members.
What You'll Do
- Manage state reporting for assigned Medicaid market(s), including contracts and data gathering.
- Research compliance issues and recommend changes to meet contract obligations.
- Maintain relationships with government agencies.
- Coordinate implementation and compliance with corrective action plans.
- Begin to influence department strategy.
- Make decisions on moderately complex to complex issues regarding technical project approaches.
What We're Looking For
- Must reside in the Eastern or Central time zones within the contiguous United States.
- Bachelor's degree or equivalent work experience (5+ years in healthcare, insurance, or financial services).
- Two (2) or more years of compliance and/or health insurance experience.
- Three (3) or more years of technical and computer navigation experience using multiple systems and platforms.
- Proficiency in Excel, Word, PowerPoint, and other Microsoft Office applications.
- Experience managing multiple or competing priorities and meeting deadlines.
Nice to Have
- Analytical experience.
- Medicaid state reporting experience.
- Experience with ESP.
- Graduate degree.
Technical Stack
- Excel, Word, PowerPoint, and other Microsoft Office applications.
Benefits & Compensation
- Compensation: $65,000 - $88,600 per year.
- 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 insurance.
- Life insurance.
Work Mode
This is a remote position. Candidates must reside in the Eastern or Central time zones within the contiguous United States.
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.
