Humana

Senior Insurance Product Compliance Professional

Humana

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Salary

💰 $71,100 - $97,800 per year

Job Level

Senior

About the role

  • researches, analyzes, assesses risk and consults on rules, regulations and sub-regulatory guidance that apply to Insurance Products (i.e., Medicare Advantage, Part D, Group Specialty, and Individual Specialty)
  • partners with internal stakeholders and serves as Humana liaison while drafting, filing and negotiating approval with state and federal regulators for service area expansions; product-specific documents, contracts, licenses, member communications or marketing materials
  • supports implementation and maintenance of compliant insurance products in collaboration with responsible business owners
  • begins to influence department’s strategy
  • makes decisions on moderately complex to complex issues regarding technical approach for project components

Requirements

  • 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)
  • Ability to work independently while maintaining focus and 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
Benefits
  • 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
  • many other opportunities

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
Medicare AdvantageMedicaidrisk assessmentregulatory compliancecontract negotiationproject management
Soft skills
communicationindependent worktime managementstrategic influencechange management
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