Job Details

Senior Compliance Professional-WAH US

Company name
Humana Inc.

Location
Indianapolis, IN, United States

Employment Type
Full-Time

Industry
Compliance, Healthcare, Nursing

Posted on
Jun 15, 2021

Apply for this job






Profile

Description

The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

Seeking Senior Compliance Professional to develop and maintain key relationships by working with internal and external business partners to evaluate and maintain compliance.

Efficiently track, report, and communicate all audit information to delegates and required internal departments.

Review and analyze the delegates' policies and procedures as well as to ensure they are compliant with regulatory and legislative requirements

Issue corrective action plans as applicable. Work with the assigned delegates until the issue has been resolved.

Develop and maintain key relationships with the assigned delegates to optimize business results.

Assist in special projects that promote department efficiency.

Required Qualifications

Active RN License without restriction in state of licensure

Ability to effectively represent Humana, with a high level of professionalism, when working with external delegates

Proficient knowledge of MS Word, Excel and PowerPoint

Knowledge/understanding of regulatory and legislative requirements

Excellent communication skills, both oral and written

Ability to work independently under general instructions and with a team

Ability to travel 20% (one to two times per month, travel is planned)

Preferred Qualifications

Auditing or consulting experience

Project coordination or management experience

Metrics and report development experience

Vendor management experience

Additional Information

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

Similar Jobs:
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursem...
Medical Director - Work at Home
Location : Indianapolis, IN
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-d...
Senior Pre-Authorization Nurse
Location : Indianapolis, IN
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Ma...
The number of jobs listed on EmploymentCrossing is great. I appreciate the efforts that are taken to ensure the accuracy and validity of all jobs.
Richard S - Baltimore, MD
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
HealthcareCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
HealthcareCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2024 HealthcareCrossing - All rights reserved. 169 192