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Humana · 2 days ago

Insurance Product Compliance Lead

United States

Full-time

Remote

Senior Level

$95K/yr - $130K/yr

Humana Inc. is committed to putting health first, and they are seeking an Insurance Product Compliance Lead. This role involves researching and consulting on regulations related to Insurance Products, partnering with stakeholders to ensure compliance, and advising executives on significant matters.

Health CareHealth InsuranceInsuranceVenture Capital

Responsibilities

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), licensure or corporate structure

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, all while safeguarding Humana’s brand

Supports implementation and maintenance of compliant insurance products in collaboration with responsible business owners

Advises executives to develop functional strategies (often segment specific) on matters of significance

Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision

Uses independent judgment requiring analysis of variable factors and determining the best course of action

Qualification

Medicare Advantage experienceStateFederal RegulationsMicrosoft Office proficiencyProject management experienceChange managementCommunication skillsIndependent work