Job Listing ID:

4579994

Job Title:

Senior Compliance Professional, Medicaid

Application Deadline:

Open Until Filled

Job Location:

Salem

Date Posted:

09/30/2026

Hours Worked Per Week:

Not Provided

Shift:

Not Provided

Duration of Job:

Either Full or Part Time, more than 6 months

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Job Summary Become a part of our caring community The Senior Compliance Professional for Medicaid ensures compliance with governmental requirements. The Senior Compliance Professional's work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities As a Senior Compliance Professional for our Medicaid business, you will be part of a fast-growing team who develops and maintains key relationships with Humana operational leaders. While working within assigned areas to optimize business results, you will: ?Develop audit methodology and perform auditing and monitoring activities to prevent and detect issues of noncompliance and provide guidance on remedial actions to strengthen compliance controls and ensure compliance with state and federal laws and regulations; Present findings of auditing and monitoring efforts to business partners and Enterprise Compliance leaders and track issues to ensure appropriate and timely remediation; Oversee development and progress of issue remediation; Review and analyze documents and data to identify what can be used to evidence meeting regulatory requirements Interpret and define regulatory and contract requirements to be implemented by appropriate Humana Departments and/or external business partners; Provide on-going oversight and monitoring of Medicaid business operations to ensure full compliance and minimize risk for the Enterprise; Provide support in external audits; Coordinate compliance related communication/interaction with regulators; Provide backup and support to other Medicaid Regulatory Compliance team members and perform other duties, as needed. What makes you successful in this role: Being knowledgeable in process improvement Demonstrated knowledge in regulations governing health care industries Strong written and verbal communication skills Strong attention to detail Being able to manage multiple or competing priorities and meet deadlines Performing work assignments without direction and exercising considerable latitude in determining objectives and approaches to assignments Use your skills to make an impact Required Qualifications Bachelor's degree in related field 5+ years of experience working in regulatory law, compliance, audit, or risk management field Experience working in a Compliance-related or managed care-related field Experience working with regulatory agencies Ability to analyze regulatory requirements and assist business areas with understanding impacts of requirements on their operations Preferred Qualifications Juris Doctor or Master of Business Administration or advanced degree Audit experience Experience with metrics and reporting Experience in Health Plan Compliance or Health Plan Operations Additional information: This role is an individual contributor. This role will have limited travel based on business needs. This role is fully remote within the U.S. Work at

Home Requirements:

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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for busi... Accountants and Auditors

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Compensation

Not Provided

Job Requirements

Experience Required:

See Job Summary

Education Required:

None

Minimum Age:

N/A