Compliance Professional, Medicaid Managed Care

About the role

Become a part of our caring community Humana Healthy Horizons is hiring a Compliance Professional who will support efforts for overall Medicaid business by joining the team overseeing the facilitation of Policy Governance.

Responsibilities

• Effectively working with business partners from all levels and all business areas throughout Humana.
• Performing ad hoc and annual updates to policies and ensuring assigned state-specific reporting is completed timely and accurately.
• Becoming an expert in using the designated system for ad hoc and annual policy updates, so to be able to perform trainings for business partners on use of the system and answer business partner questions.
• Approaching Policy Governance with a lens of process improvement of how the team can continue driving efficiency and standardization in policies and procedures.
• Aiding with drafting and sending policy-related communications to business partners.
• Escalate to management any policy-related questions or situations, as necessary.
• Other related activities, as assigned by management.

Requirements

• Bachelor's degree or 2 years of equivalent professional experience.
• 2+ years of project management experience.
• 2+ years of experience in an audit, compliance, or regulatory role within a managed care environment.
• Medicaid experience.
• Written and verbal communication skills with the ability to communicate information clearly and effectively.
• Demonstrated organizational skills, including the ability to manage multiple projects simultaneously and ensure timely, accurate deliverables.
• Demonstrated ability to build and maintain positive cross-functional relationships and facilitate collaboration and consultation across teams.