Compliance Lead

Compliance Lead page is loaded## Compliance Lead locations:
Remote Nationwide time type:
Full time posted on:
Posted Todayjob requisition :
R-402156#
** Become a part of our caring community and help us put health first
** The Compliance Lead plays a pivotal role in ensuring that our compliance program not only meets governmental requirements but also drives process improvements across the compliance organization. We are looking for a candidate who is curious, analytical, and passionate about making a difference in the healthcare industry.
** Key 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.#
** Use your skills to make an impact
*
* Required Skills:

* ** Educational Background**:
Bachelor’s Degree
* ** Experience**:  + Minimum of 3 years in an audit or compliance role within a health plan, provider-based industry, or consulting firm.  + A total of 6+ years of professional experience.  + At least 2 years in a project leadership capacity.
* ** Data Proficiency**:
Experience in building, collecting, validating, and communicating large datasets.
* ** Technical Skills**:
Advanced proficiency in Excel and PowerPoint, experience with CMS Program Audits, and familiarity with compliance program operations risk assessments.
* ** Healthcare Knowledge**:
Strong understanding of healthcare-related data and Centers for Medicare and Medicaid Services (CMS) regulations.
* ** Communication Skills**:
Excellent oral and written communication skills, with prior experience in presenting to and engaging with executive leadership.
** Additional Information
** We believe in the power of curiosity and innovation. By joining our team, you will be part of a forward-thinking organization that values your insights and encourages continuous improvement. If you are passionate about compliance and are eager to contribute to an organization focused on enhancing consumer experiences, we would love to hear from you.
** Work From Home Requirements
*** Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet Service is NOT allowed for this role).
* A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
** Scheduled Weekly Hours
** 40
* * Pay Range
** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$115,200 - $158,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
** Description of Benefits
** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and…