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
HealthcareIndustries
Requirements
Candidates should possess a Bachelor’s degree and a PMP certification, along with a minimum of 3-5 years of experience in managed care, and at least 5 years of technical experience. Knowledge and understanding of laws and regulations governed by the Ohio Department of Medicaid and CMS are required.
Responsibilities
The Senior Compliance Professional will develop and implement compliance policies and procedures, research compliance issues and recommend changes to ensure compliance with contract obligations, maintain relationships with government agencies and regulators, coordinate site visits for regulators, coordinate implementation and compliance with corrective action plans, create reports and spreadsheets, execute intake and tracking processes, compose time-sensitive responses to regulatory inquiries, develop and maintain schedules of deadlines, provide interpretation and guidance on regulatory requirements, lead communication of contract amendments, participate in regulatory audits, develop and deliver compliance training programs, identify and recommend performance improvement opportunities, report potential risks and violations, and collaborate with internal and external stakeholders.
Skills
Compliance policies
Government regulations
Regulatory relationships
Policy development
Corrective action plans
Regulatory site visits
Data analysis
Project management
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.
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees