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Insurance Product Compliance Lead

Humana Inc

Springfield, Missouri, United States

Springfield, Missouri, United States

Über

The Insurance Product Compliance Lead researches, analyzes, assesses risk and consults on rules, regulations and sub‑regulatory guidance that apply to Insurance Products (i.e., Medicare Advantage, Part D, Group Specialty, and Individual Specialty), licensure or corporate structure. The role addresses problems of diverse scope and complexity ranging from moderate to substantial. The Lead partners with internal stakeholders and serves as the Humana liaison while drafting, filing, and negotiating approvals with state and federal regulators for service area expansions, product‑specific documents, contracts, licenses, member communications or marketing materials, safeguarding Humana’s brand. Supports implementation and maintenance of compliant insurance products in collaboration with responsible business owners. Advises executives to develop functional strategies on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, working under minimal supervision. Required Qualifications
Experience with Medicare Advantage and/or Medicaid Comprehensive knowledge of Microsoft Office applications (Word, Excel, PowerPoint, Adobe and Visio) Ability to summarize complex information and tailor communication based on audience (e.g., contracts, federal and state regulations) Ability to work independently while maintaining focus and managing deliverables to meet critical internal and external deadlines Passion about contributing to an organization focused on continuously improving consumer experiences Ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision‑makers Preferred Qualifications
Experience working with State Agencies Understanding of State and Federal Regulations Experience with Medicare Advantage plan and benefit offerings Experience specific to Dual Eligible members and healthcare plans for MA DSNP product offerings Knowledge of Humana’s internal policies, procedures and systems Prior project management or product management experience Benefits
Medical, Dental, Vision and other supplemental insurances Paid time off (PTO) and paid holidays 401(k) retirement savings plan Tuition reimbursement and/or scholarships for qualifying dependent children Travel Requirements
While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required. Work Schedule
40 hours per week Pay Range
$94,900 - $130,500 per year Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services.
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Springfield, Missouri, United States

Sprachkenntnisse

English

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