Hybrid Senior Compliance Professional

Posted 10 hours ago

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About the role

  • 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)
  • short-term and long-term disability
  • life insurance

Job title

Senior Compliance Professional

Job type

Experience level

Senior

Salary

$86,300 - $118,700 per year

Degree requirement

Bachelor's Degree

Location requirements

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