Senior Compliance Professional

2 days ago

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Humana

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10,000+

Description

• Ensure compliance with governmental requirements • Analyze business requirements and provide regulatory interpretation • Advise internal and external business units to minimize compliance risk • Develop and maintain key relationships within and outside the company • Monitor and audit business processes for compliance issues • Cultivate compliance alignment on strategic initiatives • Conduct risk assessments and perform auditing activities • Develop and track compliance metrics • Present findings to business partners and compliance leaders • Support resolution of CMS inquiries

Requirements

• Bachelor’s degree in related field or equivalent work experience • Experience working in a Compliance-related or managed care-related field or pharmacy • Experience working with regulatory agencies • Knowledgeable in process improvement and metrics development • Knowledgeable in regulations governing health care industries • Strong communication skills • Experience with pharmacy operations and/or claims processing in a pharmacy setting • Intermediate Microsoft Excel, Word and PowerPoint proficiency

Benefits

• Medical, dental and vision benefits • 401(k) retirement savings plan • Time off (including paid time off) • Company and personal holidays • Volunteer time off • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Many other opportunities