[Hiring] Senior Compliance Professional @Humana

Role Description

The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

• Develop and implement compliance policies and procedures
• Research compliance issues and recommend changes that assure compliance with contractual obligations and state and federal law
• Perform various auditing and monitoring activities and issue corrective action plans, as needed
• Identify risk and compliance concerns to the enterprise
• Maintain relationships with operational business areas and serve as subject matter expert providing guidance on various matters

The Senior Compliance Professional must make decisions on moderately complex to complex issues, perform work with little to no direction; and exercise considerable latitude in determining objectives and approaches to assignment.

Qualifications

• Being knowledgeable in process improvement
• Demonstrated knowledge in regulations governing health care industries
• Strong written and verbal communication skills
• Strong attention to detail
• Being able to manage multiple or competing priorities and meet deadlines
• Performing work assignments without direction and exercising considerable latitude in determining objectives and approaches to assignments

Requirements

• Bachelor's degree in related field
• 5+ years of experience working in regulatory law, compliance, audit, or risk management field
• Experience working in a Compliance-related or managed care-related field
• Experience working with regulatory agencies
• Experience with compliance oversight of CMS Stars rating program
• Ability to analyze regulatory requirements and assist business areas with understanding impacts of requirements on their operations
• Experience with Medicare Advantage marketing and communication material review
• Experience with compliance oversight of agents and brokers

Preferred Qualifications

• Graduate or advanced degree
• Audit or consulting experience
• Experience with metrics and reporting

Benefits

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

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.

$86,300 - $118,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Application Deadline

11-16-2026