Associate Director, Compliance - Specialty and Military Products
Apply NowCompany: Appcast
Location: Louisville, KY 40214
Description:
Become a part of our caring community and help us put health first
The Associate Director, Regulatory Compliance Specialty Products ensures compliance with governmental requirements. The Associate Director manages a team that implements compliance programs in support of Humana's Dental, Vision, Life, Disability and Medicare Supplement products, maintains annual auditing and monitoring work plans, researches compliance issues and recommends changes that assure compliance with regulatory and contract obligations. The Associate Director maintains relationships with government agencies and participates in external audits. Manages implementation and compliance with corrective action plans, as needed.
The Associate Director is responsible for compliance associates who implement compliance programs in support of dental, vision, life, disability, Medicare Supplement and other ancillary products as applicable to Medicare and Commercial segments. The team is responsible for analyzing business requirements, providing research and regulatory interpretation, and advising internal business units and external business partners in delivering results in a manner that minimizes compliance risk exposure for the Company. Responsible for completion of risk assessments and annual work plans to audit and monitor performance. As an Associate Director, you will be part of a fast-growing team who develops and maintains key relationships both internally with Humana operational leaders as well as externally with our business partners and regulators. While working within assigned areas to optimize business results, you will:
Use your skills to make an impact
Required Qualifications
Preferred Qualifications
Location:
The preferred working location is Louisville, KY - The Compliance team operates on a hybrid work arrangement (in office approximately 3 days per week).
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.
$138,900 - $191,000 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.
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.
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.
The Associate Director, Regulatory Compliance Specialty Products ensures compliance with governmental requirements. The Associate Director manages a team that implements compliance programs in support of Humana's Dental, Vision, Life, Disability and Medicare Supplement products, maintains annual auditing and monitoring work plans, researches compliance issues and recommends changes that assure compliance with regulatory and contract obligations. The Associate Director maintains relationships with government agencies and participates in external audits. Manages implementation and compliance with corrective action plans, as needed.
The Associate Director is responsible for compliance associates who implement compliance programs in support of dental, vision, life, disability, Medicare Supplement and other ancillary products as applicable to Medicare and Commercial segments. The team is responsible for analyzing business requirements, providing research and regulatory interpretation, and advising internal business units and external business partners in delivering results in a manner that minimizes compliance risk exposure for the Company. Responsible for completion of risk assessments and annual work plans to audit and monitor performance. As an Associate Director, you will be part of a fast-growing team who develops and maintains key relationships both internally with Humana operational leaders as well as externally with our business partners and regulators. While working within assigned areas to optimize business results, you will:
- Provide ongoing oversight and monitoring of Specialty products and contracts to promote compliance and minimize risk for the Enterprise;
- Manage completion of annual risk assessments and work plans to audit and monitor performance across products and segments;
- Manage compliance associates to audit and monitor performance, report to leadership top risks, complete remediation plans and other information as appropriate;
- Review and analyze policies and process documents and data to identify what can be used to evidence meeting compliance and regulatory standards;
- Research compliance issues and recommends changes that assure compliance with regulatory and contract obligations;
- Manage compliance associates in the interpretation of regulatory and contract requirements to be implemented by appropriate Humana Departments and/or external business partners;
- Work across Humana operational units and product lines to enhance data analytics and operational improvement efforts;
- Present at compliance oversight committee meetings as required regarding risk mitigation and remediation plans as needed;
- Build relationships with segment leadership and shared services business units;
- Communicate with and present to outside regulators as needed;
- Participate in external audits as needed, working with business partners and other compliance teams.
Use your skills to make an impact
Required Qualifications
- Bachelor's Degree
- 2 or more years of experience working in compliance, risk management, or managed-care field
- 2 or more years of management experience
- Strong communication skills with the ability to influence effectively
Preferred Qualifications
- MBA, Juris Doctor, or other graduate degree
- Knowledge of insurance products
- Experience or knowledge of industry regulators
Location:
The preferred working location is Louisville, KY - The Compliance team operates on a hybrid work arrangement (in office approximately 3 days per week).
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.
$138,900 - $191,000 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.
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.
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.