Humana · 19 hours ago
Senior Compliance Professional - Specialty Dental and Vision
United States
Full-time
Remote
Mid, Senior Level
$86K/yr - $119K/yr
2+ years expHumana Inc. is committed to putting health first and is seeking a Senior Compliance Professional to ensure compliance with governmental requirements related to Specialty Dental and Vision plans. This role involves analyzing business requirements, providing regulatory guidance, and developing compliance policies to minimize risk exposure for the company.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Research, understand and apply laws, regulations, and regulatory guidance for compliance issues with a focus on Dental and Vision plans
Complete risk assessments, develop audit methodology and perform 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
Analyze business requirements and complex issues, conduct research, and provide regulatory guidance to business partners, Law, and Enterprise Compliance associates and leaders with regard to compliance issues
Develop and track compliance metrics and other oversight tools and data analytics to help monitor and detect potential compliance issues
Present findings of monitoring and auditing efforts to business partners and Enterprise Compliance leaders and track issue to ensure appropriate and timely remediation
Review and analyze documents and data to identify what can be used to evidence meeting regulatory requirements
Assist in document review and mock audits in preparation for external audits
Coordinate compliance related communication/interaction with regulators as needed and in response to external audit and exam submissions
Provide back-up and support to other Enterprise Compliance team members and perform other duties, as needed
Qualification
Required
Bachelor's degree in related field
2 to 5+ years' experience working in regulatory law, compliance, audit, risk management or health plan operations field
Ability to analyze regulatory requirements and assist business areas with understanding impacts of requirements on their operations
Experience/Knowledge of CMS-regulated plans
Ability to manage multiple or competing priorities and meet deadlines
Preferred
Juris Doctor or Master of Business Administration or advanced degree
Experience/Knowledge of Dental and Vision plans
Direct audit experience (state or federal)
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
Recent News
2026-01-16
2026-01-16
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