Compliance Professional 2 - Medicaid State Reporting

Profile

Description

The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Compliance Professional 2 develops and implements compliance policies and procedures. Researches compliance issues and recommends changes that assure compliance with contract obligations. Maintains relationships with government agencies. Coordinates site visits for regulators, coordinates implementation and compliance with corrective action plans, as needed. Understands department, segment, and organizational strategy and operating objectives, 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. Follows established guidelines/procedures.

Required Qualifications


Bachelor's degree
3 to 5 years (Intermediate/Advanced) technical, and computer navigation skills using multiple systems, platforms, and an ability to troubleshoot and resolve general technical difficulties (Systems and platforms)
Ability to manage multiple or competing priorities and meet deadlines
Strong attention to detail
Intermediate or Advanced knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Excellent organizational skills and attention to detail
Aptitude for establishing working relationships with associates within the department and the business


Additional Requirements/Adherence:

Location: Louisville KY, preferred

Alternate Locations: Remote U.S., prefer central/eastern time zones

Hours: 8:00- 5:00 PM Eastern Monday through Friday

Travel: none

Work at Home Requirements:


Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information


Preferred Qualifications


Compliance regulations experience
Analytical experience
Experiennce with ESP or Power BI
Experience running queries and ad hoc reports in Access and/or SQL
Graduate degree


Additional Information:

Covid:


Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.


Interview Format


As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor.This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre- recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5- 10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.


Scheduled Weekly Hours

40

Company info

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