Humana

Senior Compliance Professional – Medicaid State Reporting

Humana

full-time

Posted on:

Location Type: Remote

Location: Remote • Kentucky • 🇺🇸 United States

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Salary

💰 $86,300 - $118,700 per year

Job Level

Senior

About the role

  • Ensures compliance with governmental requirements as they relate to Medicaid State reporting
  • Researches compliance issues and recommends changes that assure compliance with contract obligations
  • Maintains relationships with government agencies
  • Coordinates implementation and compliance with corrective action plans, as needed
  • Begins to influence department’s strategy
  • Makes decisions on moderately complex to complex issues regarding technical approach for project components
  • Managing state reporting for assigned Medicaid market(s) (contracts and gathering data for reports)

Requirements

  • Must reside in the eastern or central time zones within the contiguous United States
  • Bachelor's Degree OR 5+ Years of Equivalent Work Experience of healthcare, insurance, and/or financial services experience
  • 3+ years of Compliance, Policy, Risk, and/or Audit experience
  • Comprehensive working knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint
  • Proven experience collaborating with various departments to build, collect, validate, and communicate large sets of data
  • Strong attention to detail and ability to work in a deadline-driven organization
Benefits
  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities

Applicant Tracking System Keywords

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

Hard skills
compliancepolicyrisk managementauditdata analysisMedicaid reportingcontract managementcorrective action plansMicrosoft Officedata validation
Soft skills
attention to detailcollaborationcommunicationdecision makingstrategic influencerelationship managementdeadline management
Certifications
Bachelor's Degree5+ Years of Equivalent Work Experience
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