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Compliance Fellow
HumanaCompliance Fellow role supporting Humana in ensuring compliance with governmental requirements and aiding in Risk Adjustment policies evaluation. Leading engagement with senior leaders for insurance segment improvements.
About the role
Key responsibilities & impact- Ensure compliance with governmental requirements
- Contribute through technical expertise and leadership for professional associates
- Lead horizontal teams and evaluate risk adjustment policies
- Inform senior leaders on proposed policies and their impact on customer experiences
- Prepare Humana for future Risk Adjustment changes
- Introduce solutions to complex risk adjustment problems
Requirements
What you’ll need- Bachelor's degree with at least 15 years of related experience
- 10+ years of project/people leadership
- Previous experience influencing policy and industry bodies
- Experience with Medicare Advantage bid process
- Medicare Risk Adjustment Knowledge
- Expert known outside of Humana for involvement in supporting Humana regulatory/compliance-focused work
- Strategic business acumen
- Knowledge of the healthcare environment and managed care.
Benefits
Comp & perks- 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 and many other opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicare Advantage bid processMedicare Risk Adjustment Knowledge
Soft Skills
technical expertiseleadershipinfluencing policystrategic business acumen
Certifications
Bachelor's degree