Marketing Compliance Manager
Omada HealthSalary not specified
- Full Time
- Entry Level & New Grad
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Health InsuranceIndustries
Requirements
Candidates should possess a minimum of 3 years of experience in compliance within the insurance industry, specifically with a focus on Medicare Advantage, and demonstrate a strong understanding of Medicare regulations, CMS guidelines, and compliance best practices. They must also have at least 1 year of audit or consulting experience and possess excellent analytical skills, including the ability to assess complex regulatory requirements and develop actionable strategies. Strong communication and interpersonal skills are required, along with the ability to work independently and manage multiple priorities in a fast-paced environment.
Responsibilities
The Senior Compliance Professional will monitor and oversee insurance agents and agencies for compliance with policies and procedures, as well as federal and state regulations. This role involves researching and investigating allegations of agent/agency misconduct, assigning appropriate corrective actions, analyzing trends in complaints, identifying solutions to systemic problems, and responding to interdepartmental inquiries. The Senior Compliance Professional will also conduct compliance audits and assessments, develop and deliver agent training, review marketing materials for compliance, prepare documentation, and collaborate with cross-functional teams to ensure compliance across Medicare Advantage initiatives. Furthermore, they will monitor changes in Medicare regulations and policies, provide insights and recommendations to leadership, and handle urgent sensitive work expeditiously.
Skills
Medicare regulations
Compliance monitoring
Agent/agency oversight
Investigation and corrective action
Trend analysis
Regulatory knowledge
Relationship management
Problem-solving
Humana
Health insurance provider for seniors and military
About Humana
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.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees