Compliance Lead - Sales and Marketing

Profile

Job Information
Humana
Compliance Lead - Sales and Marketing
in
Charleston
West Virginia
Description
The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
Responsibilities
The Compliance Lead: Develops and implements compliance policies and procedures. Researches compliance issues and recommends changes that assure compliance with contract obligations. Maintains relationships with government agencies. Coordinates implementation and compliance with corrective action plans, as needed. May be over privacy staff also. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
Required Qualifications
Bachelor's Degree
8 or more years of technical experience
2 or more years of project leadership experience
Knowledgeable in Centers for Medicare and Medicaid Services (CMS) regulations
Experience in an audit or compliance role for a health plan
Excellent oral and written communication skills
Ability to work independently and manage multiple projects
Experience presenting and interacting with senior leadership
Preferred Qualifications
JD/MBA
Proficiency with CMS regulations related to sales & marketing
Experience using metrics and other data for reporting and identifying improvement opportunities
Knowledge of Power BI and ESP
Additional Information
This position is open to working remote with the ability to accommodate the Eastern and Central Time Zones.
Please Note
For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.
If progressed to offer, you will be required to:
Provide proof of full vaccination OR
Commit to weekly testing, following all CDC protocols, OR
Provide documentation for a medical or religious exemption consideration.
This policy will not supersede state or local laws. Requests for these exemptions should be submitted at least 2 weeks prior to your scheduled first day of work.
Scheduled Weekly Hours
40

Company info

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