Senior Compliance Professional

Senior Compliance Professional

The Senior Compliance Professional ensures compliance with governmental, legal, contractual, statutory and regulatory requirements. The role involves moderately complex to complex assignments requiring in-depth evaluation of variable factors.

• Develop and implement compliance policies and procedures.
• Research compliance issues and recommend changes to ensure contract compliance.
• Maintain relationships with government agencies.
• Coordinate site visits for regulators and manage implementation of corrective action plans.
• Influence department strategy and make decisions on technical approaches for project components.
• Exercise latitude in determining objectives and approaches to assignments.
• Ensure accurate, timely, and complete deliverables for contractual and regulatory requirements.
• Review documentation diligently and communicate complex issues clearly and logically, verbally and in writing.
• Demonstrate leadership with integrity and a willingness to accept responsibility and implement process improvements.
• Build relationships with internal and external partners through consistency, reliability, and teamwork.
• Participate on camera for meetings, actively collaborate, lead calls, drive discussions, ask critical questions, and recommend strategies.
• Work remotely; attend office for at least one day per month and as needed for training.

• Bachelor’s degree.
• Minimum 5 years’ experience in healthcare compliance and cross‑functional collaboration.
• Knowledge of laws and regulations governed by the Department of Insurance and CMS Audit, consolidating, compliance experience.
• Intermediate or advanced proficiency in MS Office Suite (Word, Excel).
• Experience applying laws, regulations, and contracts to achieve daily business solutions.

• J.D. or other graduate/advanced degree.
• Experience with metrics and reporting.
• Experience communicating with state regulatory agencies.

• Remote Work at Home; location flexibility within Louisville, KY or surrounding states.
• Schedule:
  
  Monday through Friday 8‑5 Eastern.
• Travel: about once a month or as business needs.
• Driving Statement:
  Requires valid state driver’s license and personal vehicle liability insurance per state minimum.
• Work‑at‑Home requirements: minimum download speed of 25
  
  Mbps and upload speed of 10
  
  Mbps; dedicated space without interruptions to protect PHI / HIPAA information.

Pay Range: $86,300 – $118,700 per year. The role is eligible for a bonus incentive plan based on company and/or individual performance.

Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, paid time off (including company and personal holidays, paid parental and caregiver leave), short‑term and long‑term disability, life insurance, and other opportunities.

Humana is an equal opportunity employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Humana takes affirmative action and bases employment decisions only on valid job requirements.