Regulatory Compliance and Contracts Administrator
Virta HealthFull Time
Junior (1 to 2 years), Senior (5 to 8 years)
Candidates must possess a Bachelor's degree and have 6 or more years of technical experience, with at least 2 years in management. Advanced experience in compliance, risk management, or the managed-care field is required, along with strong communication and influencing skills, and the ability to exercise sound judgment. Experience in leadership within compliance or risk management is highly preferred, as is an MBA or Juris Doctor degree.
The Associate Director, Regulatory Intake Compliance is responsible for enterprise-wide regulatory monitoring, including communicating new or amended regulations and implementing quality assurance processes. They will oversee a team of subject matter experts, advise business units to reduce compliance risk, and develop/maintain departmental policies and procedures. Responsibilities include managing data within Enterprise Solution Point (ESP), coordinating inter-departmental meetings, maintaining stakeholder relationships, leading complex problem-solving, and developing consistent end-to-end regulatory processes. They will also define metrics for tracking regulatory distribution and implementation, develop post-implementation compliance assessment programs, and build a high-performance team.
Health insurance provider for seniors and military
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.