Senior Compliance Professional analyzing business requirements for Medicare compliance, conducting research, and implementing auditing plans for pharmacy operations. Cultivating relationships to minimize compliance risk across Humana’s pharmacy services.
Responsibilities
Ensure adherence to governmental regulations and requirements
Analyze business requirements, conduct research, and provide regulatory interpretation
Develop and implement monitoring and auditing plans for business processes
Cultivate relationships with key partners to ensure compliance alignment
Conduct risk assessments and perform auditing and monitoring activities
Develop and track compliance metrics
Present findings of monitoring and auditing efforts
Requirements
Bachelor’s degree in related field or equivalent work experience
2 plus years of experience in Health Plan Compliance or Health Plan Operations
Experience working with regulatory agencies
Knowledgeable in process improvement and metrics development
Knowledgeable in regulations governing health care industries
Strong communication skills
3 plus years of experience with pharmacy operations and/or claims processing in a pharmacy setting
Intermediate Microsoft Excel, Word and PowerPoint proficiency
Demonstrated ability to work independently
Benefits
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)
Werkstudent:in im Corporate Compliance Team bei BASF, Unterstützen von Compliance - Prozessen und Risiko - Dialogen. Evaluierung und Entwicklung von Compliance - Richtlinien und - Trainings in einem internationalen Umfeld.
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