Compliance Lead

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.

• 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.

• 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.

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.

• 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.

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

40

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.

Final date to receive applications: 04-29-2026

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 smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off…