Compliance Professional 2

Position Overview

• Location Type: Remote (with occasional travel)
• Job Type: Full-time
• Salary: $65,000 - $88,600 per year (eligible for bonus incentive plan)

The Compliance Professional 2 ensures compliance with governmental requirements. This role involves developing and implementing compliance policies and procedures, researching compliance issues, recommending changes, and maintaining relationships with government agencies. The position requires interpretation and independent determination of appropriate courses of action, coordination of site visits for regulators, and implementation of corrective action plans. The Compliance Professional 2 must understand department, segment, and organizational strategy and operating objectives, and make decisions regarding work methods with minimal direction.

Requirements

• Minimum Associate's degree (RN)
• Minimum 1+ year of Home Health Services experience
• Minimum of 1+ years of DME experience
• Minimum of 1+ years of UM review with CGX experience
• Ability to manage multiple or competing priorities and meet deadlines
• Prior Auditing Experience
• Passion for contributing to an organization focused on continuously improving consumer experiences
• Strong attention to detail
• Strong written and verbal communication skills
• Demonstrated ability to be efficient in a fast-paced environment

Preferred Qualifications

• Compliance regulations experience
• Analytical experience
• Experience running queries and ad hoc reports in Access and/or SQL

Additional Information

• Internet Requirements: A minimum download speed of 25 Mbps and an upload speed of 10 Mbps is required for remote work. Wired cable or DSL connection is suggested. Satellite, cellular, and microwave connections may be used if approved by leadership. California, Illinois, Montana, or South Dakota residents will receive a bi-weekly internet expense payment.
• Work Environment: Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Interview Format: Interviews will be conducted using HireVue technology.
• Travel: Occasional travel to Humana's offices for training or meetings may be required.

Company Information

Humana, Inc. and its affiliated subsidiaries offer competitive benefits designed to encourage personal wellness and smart healthcare decisions for associates and their families.