Associate Director, Insurance Product Compliance

About the Role

Become a part of our caring community and help us put health first. Guidance, evaluates risk, and offers expertise on rules, regulations, and sub-regulatory guidance applicable to insurance products, including Medicare Advantage, Part D, Group Specialty, and Individual Specialty, as well as matters related to licensure and corporate structure. This role requires a comprehensive understanding of how organizational capabilities intersect and collaborate across various departments.

The Associate Director of Insurance Product Compliance provides expert consultation and research on regulatory policies, assessing risks related to insurance products such as Medicare Advantage, Part D, Group Specialty, and Individual Specialty. This role involves advising on applicable rules, regulations, licensure, and corporate structure while collaborating with state and federal agencies to secure policy and contract approvals. The Associate Director supports the implementation and ongoing maintenance of compliant insurance product policies and certificates, making decisions to address complex technical and operational challenges. This position requires a strong understanding of cross-departmental organizational capabilities and may involve leading multiple managers or specialized professional teams.

Use your skills to make an impact.

Required Qualifications

• Bachelor’s Degree or equivalent
• 6+ years of technical experience
• 2+ years of management experience
• Experience with Medicare Advantage and/or Medicaid
• Comprehensive knowledge of Microsoft Office applications: Word, Excel, PowerPoint, Adobe and Visio
• Ability to summarize complex information and tailor communication based on audience (i.e., contracts, federal and state regulations)
• Provide oversight and guidance to DSNP Regulatory team while managing deliverables to meet critical internal and external deadlines
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers

Preferred Qualifications

• Experience in working with State Agencies
• Understanding of State and Federal Regulations
• Experience with Medicare Advantage plan and benefit offerings
• Experience specific to Dual Eligible members and healthcare plans for MA DSNP product offerings
• Knowledge of Humana’s internal policies, procedures and systems

Employment Type

• Full time

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

• $115,200 - $158,400 per year
• This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or 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.

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.