Compliance Professional Position Available In Kennebec, Maine

Compliance Professional at Humana in Augusta, Maine, United States Job Description Become a part of our caring community and help us put health first The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Compliance Professional 2 develops and implements compliance policies and procedures. Researches compliance issues and recommends changes that assure compliance with contract obligations. Maintains relationships with government agencies. Coordinates site visits for regulators, coordinates implementation and compliance with corrective action plans, as needed. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications + Minimum Associate’s degree RN + Minimum 1 + year of Home Health Services experience + Minimum of 1+ years of DME experience + Minimum of 1+years of UM review with CGX experience + Ability to manage multiple or competing priorities and meet deadlines + Prior Auditing Experience + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + Strong attention to detail to include strong written and verbal communication skills + Demonstrated ability to be efficient in a fast-paced environment Preferred Qualifications + Compliance regulations experience + Analytical experience + Experience running queries and ad hoc reports in Access and/or SQL Additional Information WAH Internet Statement 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 equ