Compliance Fellow

Job Listing ID:

4493418

Job Title:

Compliance Fellow Application Deadline:

Open Until Filled

Job Location:

Salem

Date Posted:

05/16/2026

Hours Worked Per Week:

Not Provided Shift:

Not Provided Duration of Job:

Either Full or Part Time, more than 6 months You may contact this employer directly. (Obtain the contact information to print or add to your jobs.)

Job Summary:

Become a part of our caring community The Compliance Fellow ensures compliance with governmental requirements. The Compliance Fellow contributes through a combination of (a) necessary technical expertise and (b) technical/process leadership that provides functional guidance to professional associates. Apply advanced in-depth and broad knowledge and considered top "go to" resource in their field. Humana must improve its advocacy work on future risk adjustment methodology to support the long-term success and financial viability of the Medicare Advantage program. The Risk Adjustment Compliance Fellow will lead horizontal teams throughout the Risk Adjustment organization. These teams will also include members from Actuarial, Government Affairs, and the Clinical organizations. The Fellow will create engagement to evaluate risk adjustment policies and program changes proposed by CMS. You will also be an expert. This expert will increase proactive evaluations of risk adjustment program policies and industry ideas. These evaluations will inform Humana's Government affairs and public policy team, along with senior leaders at Humana, of how proposed policies may improve Humana's insurance segment. More importantly, they will inform them of the impact on customer experiences and outcomes. Also, the Risk adjustment Compliance Fellow will increase creative idea generation when considering the possibilities that CMS's Medicare Advantage Risk Adjustment program will undergo regarding future changes. You will be an important advisor to several senior leaders at Humana, including the President of Insurance, SVP of Risk Adjustment, and Humana's Chief Actuary. These leaders also include the VP of Public Policy. You will allow Humana to position themselves as an industry leader in influencing future Risk Adjustment policy and methodology through industry channels. The Risk Adjustment Compliance Fellow will to prepare Humana for future Risk Adjustment changes to minimize impact to customer experiences and outcomes. You will report to Associate VP, Risk Adjustment and be a part of the Risk Adjustment team.

Detailed responsibilities will include:

Work within broad goals to evaluate and propose risk adjustment program policies and to communicate impacts to the enterprise's financial and business operations Inform and influence senior leaders on evaluation and influence of risk adjustment policies and methodologies while considering approach to influence industry to shape future risk adjustment policy Introduce solutions to complex risk adjustment problems that has impact on Humana's insurance segment and future risk adjustment policy Lead Humana to become a stronger in the industry to support future risk adjustment policy

Required Skills:

Experience assembling and leading team members Experience leading complex work and problems that are typically undefined but that have substantial and long-term impact on the insurance segment Experience navigating complex issues and exercising Apply to influence future risk adjustment policy and methodology through partnership with Government affairs and public policy team Exercise independent to grow overall future risk adjustment policy Executive-level Use your skills to make an impact Required Qualifications Bachelor's degree with at least 15 years of related experience 10+ years of project/people leadership Previous experience influencing policy and industry bodies Experience with Medicare Advantage bid process Medicare Risk Adjustment Knowledge Expert known outside of Humana for involvement in supporting Humana regulatory...

Job Classification:

Managers, All Other Access our statewide or regional occupation report for more information about wages, employment outlooks, skills, training programs, related occupations, and more. Compensation

Salary:

Not Provided Job Requirements

Experience Required:

 See Job Summary

Education Required:

None

Minimum Age:

N/A Gender:

N/A