Sr. Compliance Professional Position Available In Washington, Vermont

Sr. Compliance Professional
at Humana in Montpelier, Vermont, United States
Job Description
Become a part of our caring community and help us put health first
The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Compliance Professional 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. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
Use your skills to make an impact
Senior Compliance Professional
+ Job Description SummaryThe Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
+ Job DescriptionThe Senior Compliance Professional 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. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
+ Manage, Organize and Monitor the internal Humana Ohio Medicaid mailbox
+ Create reports, spreadsheets and Power Point presentations
+ Execute intake and tracking process and ensure changes are centrally documented in the Regulatory Repository
+ Coordinate and compose time sensitive responses to incoming regulatory inquiries and issues reflective of compliance with program requirements
+ Collaborate with internal business owners to ensure accurate and timely delivery of documents, including reports, prior to submission to regulatory agencies
+ Develop and maintain schedules of state and Federal deadlines and deliverables and ensure timely submission of accurate deliverables
+ Provide interpretation and guidance to the organization in regard to regulatory requirements and government contract administration
+ Lead the communication of annual and interim contract amendments in conjunction with appropriate business owners
+ Interact with regulators within the scope of responsibilities
+ Participate in Regulatory audits and site visits
+ Works collaboratively to develop and deliver compliance training programs, ensuring organizational workforce are knowledgeable of applicable laws
+ Establish and maintain collaborative working relationship with assigned regulatory agency and other key industry stakeholders.
+ Develop and maintain relationships with key internal and external stakeholders to ensure successful collaboration
+ Identify and recommend performance improvement opportunities
+ Report potential risks, non-compliance or alleged violations to Leadership. Required Qualifications
+ Bachelor’s degree
+ PMP Certification and experience
+ 3-5 or more years of managed care
+ 5 or more years of technical experience
+ Knowledgeunderstanding of laws and regulations governed by the Ohio Department of Medicaid and CMS Preferred Qualifications
+ Advanced or graduate degree
+ Compliance and Risk Management experience
+ Audit or consulting experience
+ Experience with metrics and reporting
+ Well organized
+ Ability to work independently and multi-task with efficiencyAs 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.

To ensure Home or Hybrid HomeOffice employees’ ability to work effectively, the self-provided internet service of Home or Hybrid HomeOffice 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 HomeOffice employees with telephone equipment appropriate to meet the business requirements for their positionjob.

Work from a dedicated space lacking ongoing interruptions to protect member

PHI HIPAA

information.

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 year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company andor 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:

06-29-2025
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.
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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 b and