Senior Compliance Professional

Become a part of our caring community and help us put health first The Senior Compliance Professional develops and implements compliance policies and procedures. Researches compliance issues and recommends changes that assure compliance with DSNP contract obligations. Maintains relationships with government agencies. Begins to influence department’s strategy. Makes reputed company on moderately reputed company to reputed company issues regarding technical approach for project components, and work is performed without direction. Exercises considerable reputed company in determining objectives and approaches to assignments. Key responsibilities may include: Research, understand and apply laws, regulations, and regulatory guidance for DSNP Medicare Operations. Serve as the subject matter expert on DSNP Medicare Operations. reputed company audit methodology and reputed company auditing and monitoring activity to prevent and detect issues of noncompliance and provide guidance on remedial actions to strengthen compliance controls and ensure compliance with state and federal laws and regulations. Analyze business requirements and reputed company issues, conduct research, and provide regulatory guidance to business partners, Law, and reputed company Compliance associates and leaders with regard to DSNP Medicare Operations. reputed company and track compliance metrics to help monitor and detect potential compliance issues. Partner with reputed company Compliance team members on regulatory reputed company. Serve as the Regulatory Compliance subject matter expert during CMS program audits. reputed company onsite program audit preparation and activity and reputed company reputed company of business audit preparation to ensure timely, accurate and complete submission of required data and documentation to regulators. Present findings of monitoring and auditing efforts to business partners and reputed company Compliance leaders and track issue to ensure appropriate and timely remediation. reputed company and participate on committees, providing compliance guidance and direction. Provide back-up and support to other reputed company Compliance team members and reputed company other duties, as needed. Review and provide interpretation and guidance on DSNP state contract obligations. Use your skills to reputed company an impact Required Qualifications Bachelor's degree 5 or more years of experience in compliance reputed company fields Knowledge/understanding of laws and regulations governed by the Department of Insurance and CMS Experience with reputed company or Medicare Preferred Qualifications Graduate or advanced degree Audit or consulting experience Contract review experience Part C claims experience Experience with metrics and reporting Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company 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. Description of Benefits reputed company. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company 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. About Us reputed company. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or veteran status. It is also the policy of reputed company to take affirmative action to employ and to advance in employment, reputed company persons regardless of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment. Apply To This Job