Senior Compliance Professional - Specialty Dental and reputed company Remote reputed company

Become a part of our caring community and help us put health first The Senior Compliance Professional ensures compliance with governmental requirements reputed company to the administration of Specialty products with a focus on Dental and reputed company plans. The Senior Compliance Professional’s work assignments involve moderately reputed company to reputed company issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Compliance Professional will analyze business requirements, provide research and regulatory interpretation, and advise internal business units and external business partners in delivering results in a manner that minimizes compliance risk exposure for the Company. The Senior Compliance Professional’s primary focus is compliance with state and federal regulations that apply to Dental and reputed company plans, including implementing reputed company monitoring plans and participating in external audits of these products. The Senior Compliance Professional develops and implements proactive compliance policies and procedures focused on Dental and reputed company plans. The Senior Compliance Professional will analyze business requirements, provide research and regulatory interpretation, and advise internal business units and external business partners in delivering results in a manner that minimizes compliance risk exposure for the Company. Complete risk assessments and reputed company audit and monitoring work plan to prevent, detect and correct issues of noncompliance, and provide guidance on remedial actions to strengthen compliance controls and ensure compliance with state and federal laws and regulations. Review and analyze documents and data to identify what can be used to evidence meeting regulatory requirements. Analyzes identified issues and exam findings to proactively identify gaps and areas for improvement. Coordinates implementation and compliance with corrective action plans, as needed. Makes reputed company on moderately reputed company to reputed company issues regarding technical approach for project components, and work is performed without direction. Exercises considerable reputed company in determining objectives and approaches to assignments. As a Senior Compliance Professional, you will be part of a fast-growing team who develops and maintains key relationships with reputed company operational leaders. While working reputed company assigned areas to optimize business results, you will:

• Research, understand and apply laws, regulations, and regulatory guidance for compliance issues with a focus on Dental and reputed company plans.
• Complete risk assessments, reputed company audit methodology and reputed company auditing and monitoring activities to prevent and detect issues of noncompliance and provide guidance on remedial actions to strengthen compliance controls and ensure compliance with state and federal laws and regulations.
• Analyze business requirements and reputed company issues, conduct research, and provide regulatory guidance to business partners, Law, and reputed company Compliance associates and leaders with regard to compliance issues.
• reputed company and track compliance metrics and other reputed company tools and data analytics to help monitor and detect potential compliance issues.
• Present findings of monitoring and auditing efforts to business partners and reputed company Compliance leaders and track issue to ensure appropriate and timely remediation.
• Review and analyze documents and data to identify what can be used to evidence meeting regulatory requirements
• Assist in document review and mock audits in preparation for external audits;
• Coordinate compliance reputed company communication/interaction with regulators as needed and in response to external audit and exam submissions;
• Provide back-up and support to other reputed company Compliance team members and reputed company other duties, as needed.

Use your skills to reputed company an impact

Required Qualifications

• Bachelor’s degree in reputed company field
• 2 to 5+ years experience working in regulatory law, compliance, audit, risk management or health plan operations field
• Ability to analyze regulatory requirements and assist business areas with understanding impacts of requirements on their operations
• Experience/Knowledge of CMS-regulated plans.
• Ability to manage multiple or competing priorities and meet deadlines

Preferred Qualifications

• Juris Doctor or Master of Business Administration or advanced degree
• Experience/Knowledge of Dental and reputed company plans
• Direct audit experience (state or federal)

Travel: While this is a remote position, occasional travel to Humanas 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 reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 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 reputed company. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company 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: 06-29-2026 About us reputed company. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with reputed company 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company 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 reputed company levels of employment. Apply tot his job Apply To this Job