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Humana · 3 days ago

Compliance Lead

United States

Full-time

Remote

Mid, Senior Level

$115K/yr - $158K/yr

6+ years exp

Humana Inc. is committed to putting health first and is seeking a Compliance Lead to enhance their compliance program and drive process improvements in the healthcare industry. The role involves developing metrics, ensuring regulatory readiness, and providing strategic advice to leadership while maintaining accountability for compliance issues.

Health CareHealth InsuranceInsuranceVenture Capital

Responsibilities

Enhance Compliance Effectiveness: Advance the effectiveness of our compliance program by developing metrics, reporting frameworks, issue tracking, resolution strategies, and quality assurance processes

Drive Process Improvement: Focus on standardizing and improving compliance processes, ensuring they are efficient and effective

Issue Tracking and Resolution: Monitor and ensure the closure of compliance issues and opportunities, maintaining accountability throughout the process

Support Regulatory Readiness: Prepare the compliance program for regulatory audits (e.g., CMS Program Audits), reviews, and requests for proposals and information, ensuring we meet and exceed expectations

Strategic Advisory: Provide expert advice and recommendations for leadership, contributing to informed decision-making

Technical Leadership: Serve as a technical leader for the regulatory compliance team, guiding them through complex compliance issues

Proactive Approach: Employ a consultative strategy to identify and address compliance challenges with innovative solutions

Qualification

Compliance program managementHealthcare regulations knowledgeData analysis proficiencyExcel proficiencyPowerPoint proficiencyProject leadership experienceCommunication skills