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Senior Compliance Professional
Hampton, VA Job Title: Senior Compliance Professional Salary: $84,600 - $116,300 per year Experience: Bachelor's degree in related field, advanced experience in Compliance or managed care, knowledgeable in health care regulations Location: Remote, Virginia Department: Compliance Company: Humana Job ID: R-352830 Remote: Yes H1: Join Our Team as a Senior Compliance Professional in Virginia H2: Make an Impact in Health Care Compliance with Humana Job Description: - Serve as the designated Regulatory Compliance contact for the Virginia Medicaid contract - Analyze business requirements, provide research and regulatory interpretation, and advise internal and external partners to minimize compliance risks - Build relationships with market leadership teams and external regulators - Oversee Medicaid operations to ensure compliance and minimize risk - Conduct risk assessments and develop annual compliance work plans - Interpret state and federal regulatory and contract requirements - Review and analyze market documents to evidence compliance - Participate in external audits and coordinate responses for regulators - Work across operational units to enhance compliance efforts - Manage compliance data and report issues to senior leadership - Chair the Virginia Compliance Committee - Coordinate with the Special Investigations Unit for fraud, waste, and abuse program integrity Responsibilities: - Serve as dedicated Regulatory Compliance Officer for Virginia Medicaid contract - Build relationships with market leadership teams and external regulators - Provide ongoing oversight of Medicaid operations - Perform risk assessments and develop annual compliance work plans - Interpret state and federal regulatory and contract requirements - Review and analyze market documents for compliance evidence - Participate in external audits and coordinate responses - Enhance compliance efforts across operational units - Manage compliance data and report issues to senior leadership - Chair the Virginia Compliance Committee - Coordinate with the Special Investigations Unit for fraud, waste, and abuse program integrity Required Qualifications: - Virginia residency required - Bachelor's degree in related field - Advanced experience in Compliance or managed care - Knowledgeable in health care regulations - Strong communication skills Preferred Qualifications: - Juris Doctor and/or advanced degree - Audit experience - Experience with metrics and reporting - Experience working with regulatory agencies - Knowledgeable in process improvement 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. $84,600 - $116,300 per year Join Our Team as a Senior Compliance Professional in Virginia and make an impact in health care compliance with Humana. As the designated Regulatory Compliance contact for the Virginia Medicaid contract, you will analyze business requirements, provide research and regulatory interpretation, and advise internal and external partners to minimize compliance risks. With your strong communication skills and advanced experience in Compliance or managed care, you will be an essential part of our fast-growing team. Responsibilities: - Serve as the dedicated Compliance Officer for Virginia - Build relationships with market leadership teams and external regulators - Oversee Medicaid operations to ensure compliance and minimize risk - Conduct risk assessments and develop annual compliance work plans - Interpret state and federal regulatory and contract requirements - Review and analyze market documents to evidence compliance - Participate in external audits and coordinate responses for regulators - Enhance compliance efforts across operational units - Manage compliance data and report issues to senior leadership - Chair the Virginia Compliance Committee - Coordinate with the Special Investigations Unit for fraud, waste, and abuse program integrity Qualifications: - Virginia residency required - Bachelor's degree in related field - Advanced experience in Compliance or managed care - Knowledgeable in health care regulations - Strong communication skills Preferred Qualifications: - Juris Doctor and/or advanced degree - Audit experience - Experience with metrics and reporting - Experience working with regulatory agencies - Knowledgeable in process improvement 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. $84,600 - $116,300 per year As a Senior Compliance Professional at Humana, you will have the opportunity to use your skills and experience to make a meaningful impact in the health care industry. With a competitive salary and the ability to work remotely in Virginia, this is an exciting opportunity for a compliance professional looking to join a caring and innovative company. Apply now and join our team! |
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