Now Hiring - Healthcare Senior Compliance Professional (Marketing/Agent/Sales) in Louisville, KY

Responsibilities

The Senior Compliance Professional develops and implements compliance policies and procedures, researches compliance issues, and recommends changes that ensure compliance with regulatory and contract obligations. Coordinates business partner engagement for regulators, coordinates implementation and compliance with corrective action plans, as needed. Provides compliance guidance, direction and compliance risk assessment to assigned business partners, conducts periodic compliance reviews of business partner operations. Monitors metrics and other oversight tools that indicate business area compliance. Recommends new measures of compliance performance. Works with systems to track issues and corrective actions, when needed. Begins to influence department - s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components. Work is often performed with limited direction. Exercises considerable latitude in determining objectives and approaches to assignments.

The Senior Compliance Professional - s primary focus will be to develop and implement a plan to monitor and audit business processes to prevent, detect, and resolve compliance issues to help ensure an effective compliance program for marketing, sales, agents, and web content for the specialty and group medical lines of business.

Key responsibilities may include:

• Research, understand and apply laws, regulations, and regulatory guidance for marketing, sales, agents, and web content for the specialty and group medical lines of business.
• Serving as a key consultant and subject matter expert for resolving business compliance issues.
• Developing audit methodology and conducting auditing and monitoring activities to prevent and detect issues of noncompliance and provide guidance on remedial actions to strengthen compliance controls and ensure compliance with state and federal laws and regulations.
• Analyzing business requirements and complex issues, conducting research, and providing regulatory guidance to business partners, Law, risk, enterprise compliance associates, and leaders with regard to marketing, sales, and agent issues.
• Developing and tracking compliance metrics to help monitor and detect potential compliance issues.
• Partnering with Enterprise Compliance team members on regulatory outreach and inquiry resolution.
• Serving as the Regulatory Compliance subject matter expert during audits and exams.
• Leading onsite program audit preparation and activity and perform oversight of business audit preparation to ensure timely, accurate and complete submission of required data and documentation to regulators.
• Presenting findings of monitoring and auditing efforts to business partners and Enterprise Compliance leaders and track issue to ensure appropriate and timely remediation.
• Leading and participating on committees, providing compliance guidance and direction.
• Providing back-up and support to other Enterprise Compliance team members and perform other duties, as needed.

Additional Information

Vaccine Policy:

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field. Every associate and contractor who work inside a Humana facility or in the field, regardless of vaccination status, must complete a daily health-screening questionnaire.

Work-At-Home Requirements:

• WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
• Satellite and Wireless Internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Why Humana? You'll experience the following perks as a full-time Humana employee:

Compensation and Financial Security - - Our pay philosophy is designed to motivate and reward associates for their skills and contributions to the company. We provide options to help you plan for your future and protect your assets: Competitive base pay, Recognition pay, 401(k) retirement savings plan (125% match for the first 6% contributed by an associate), etc.

Your Whole Health - - Humana's health products and services are designed to encourage personal wellness and smart healthcare decisions for you and your family: Medical, dental, and vision benefits, Health plan incentives, Paternity leave, etc.

Work Perks - - Humana knows your life extends outside of work. We have many options to support your interests and needs. Some departments have the flexibility to allow associates to work from home, and we offer all associates: Paid time off, holidays, volunteer time, jury duty pay, Associate charity matching program, Discount programs with major retailers, etc.

Grow With Us - - Humana provides growth and career opportunities that can help you develop your skills and build your future with the organization: Internal and external learning events, Tuition assistance, Inclusion and diversity training, etc.

Social Security Task:

Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from [please apply online] with instructions to add the information into the application at Humana - s secure website.

Interview Format:

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

More info on Why Humana.

Why Humana?

At Humana, we know your well-being is important to you, and it - s important to us too. That - s why we - re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:

• Work-Life Balance
• Generous PTO package
• Health benefits effective day 1
• Annual Incentive Plan
• 401K - Immediate company match
• Well-being program
• Paid Volunteer Time Off
• Student Loan Refinancing

If you share our passion for helping people, we likely have the right place for you at Humana.

COMPANY OVERVIEW

For more than 60 years, Humana has been a proven leader and innovator in the health and wellness industry. A passionate emphasis on people, choice, well-being, and innovation guide our business practices and culture. We're not just a health insurance company. Our diverse lines of business position us to serve millions of people with a wide range of needs, including seniors, military members, and self-employed individuals.

If you're looking for a career that provides opportunities for growth and development in a stable industry, Humana might be the right fit for you.

60 - We have been committed to seniors' health and care for nearly 60 years.

46K - We have 46,000+ associates.

#56 - Ranked #56 on the Fortune 500 list in 2019.

16.6M+ - We have 16.6+ million medical members across all 50 states.

12M - Since 2001, we have awarded more than $12 million in scholarships to children of Humana associates.

Required Qualifications

• Bachelor's degree
• 5+ years of experience in regulatory law, compliance, audit, consulting and/or risk management.
• Demonstrated ability to run large -scale, highly-visible programs with responsibility for multiple project teams
• High level of emotional intelligence
• Knowledge/understanding of laws and regulations governed by the Department of Insurance and other regulatory agencies
• Strong communication skills with the ability to influence effectively
• Comprehensive knowledge of MS Word, Power Point, Excel
• Excellent communication skills, both oral and written

Preferred Qualifications

• J.D. or other graduate degree
• Knowledge of the healthcare insurance industry
• Experience interacting with governmental agencies
• Experience with metrics and reporting
• Experience with document review
• Experience using Adobe In-design

Scheduled Weekly Hours