[Hiring] Senior Insurance Product Compliance Professional @Humana

Role Description

The Senior Insurance Product Compliance Professional serves as a subject matter expert and primary resource for ensuring Humana's Member Marketing and Communication materials follow all federal and state regulatory requirements. You will oversee compliance activities for insurance products and focus on the comprehensive approval and filing of marketing and communication materials. You will mentor compliance associates, implement process improvement plans and engage directly with regulators and internal leadership to guide compliance excellence.

• Oversee the review of Member Marketing and Communication materials for compliance with CMS and State regulations providing expert guidance and approval.
• Implement filing of materials with CMS and State agencies including complex and escalated submissions.
• Be the primary liaison with internal teams (Product, Marketing, Legal, Sales) and external regulatory bodies for compliance matters.
• Monitor and interpret regulatory changes providing strategic guidance to partners and ensuring rapid adaptation of materials and processes.
• Develop enhanced documentation and record-keeping systems for compliance reviews and filings.
• Strategize and deliver responses to compliance audits, investigations, and regulatory inquiries related to marketing and communications.
• Identify, design, and implement process improvement plans to strengthen compliance controls and efficiency at the enterprise level.
• Mentor Insurance Product Compliance staff, sharing best practices and facilitating knowledge transfer.

Qualifications

• At least 5 years of experience in Medicare and/or Medicaid, insurance, marketing, business, law, communications, or related field.
• Knowledge of CMS marketing guidelines and/or Medicaid marketing requirements.
• Demonstrated project leadership skills and the ability to manage complex compliance projects.
• Exceptional attention to detail and organizational abilities.
• Excellent written and verbal communication skills, including experience presenting to senior leadership and regulators.
• Ability to work independently and collaboratively with cross-functional teams.
• Proficient in Microsoft Office Suite and compliance management tools.

Requirements

• Bachelor's Degree (preferred).
• Regulatory compliance, product compliance, auditing or consulting experience (preferred).
• Metrics and dashboard development experience (preferred).
• Background in Medicaid and/or Dual Eligible Special Needs (DSNP) Plans or products (preferred).
• Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Benefits

• Competitive benefits that support whole-person well-being.
• 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 and many other opportunities.

Company Description

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.