Compliance Professional 2

Become a part of our caring community and help us put health first
 

The Compliance Professional 2 involves managing a range of assignments that require careful analysis, interpretation of regulatory guidance, and independent judgment to determine appropriate actions. You will ensure that all activities and processes comply with applicable government regulations and contractual requirements. Reporting to the Compliance Lead, you will collaborate with team members to assess compliance risks, review procedures, and implement corrective actions to maintain alignment with federal and state requirements.

Responsibilities:

• Help with the collection and review of materials to ensure contractual compliance with Medicaid states.
• Work with Regulatory Compliance and state Medicaid markets to meet Readiness and Audit requirements.
• Will research compliance issues and recommends changes that assure compliance with contract obligations
• Maintain relationships with government agencies.
• Coordinate site visits for regulators, coordinates implementation and compliance with corrective action plans,
• Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas
• Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
• Follow established guidelines/procedures

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree
• Compliance regulations experience
• Must be able to work EST/CST business hours
• Ability to manage multiple or competing priorities and meet deadlines
• Strong attention to detail

Preferred Qualifications

• Analytical experience
• Medicaid experience
• Up to 2 years project management experience

Additional Information

Location: Remote US.

Work-At-Home Requirements

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

We recommend at minimum a download speed of 25 Mbps and an upload speed of 10 Mbps; we suggest a wireless, wired cable or DSL connection.

Satellite, cellular and microwave connection leadership approves only if it can be used.

Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet our requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule.

Social Security Task

Humana values personal identity protection. Please be aware that we may ask applicants to provide their Social Security Number, if we do not already have it on file. When required, Humana will send an email from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$65,000 - $88,600 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

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision 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.

Application Deadline: 03-26-2026

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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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.