Compliance Professional 1

Profile

Description

The Compliance Professional 1 ensures compliance with governmental requirements. The Compliance Professional 1 work assignments are often straightforward and of moderate complexity.

Responsibilities

The Compliance Professional 1 develops and implements compliance policies and procedures. Maintains relationships with government agencies. Coordinates site visits for regulators, coordinates responses and completion with corrective action plans, as needed. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

Other Responsibilities:


Coordinate various external examinations performed by CMS, state Departments of Insurance, etc.
Review and analyze processes, documentation and data to identify gaps in their effectiveness.
Develop and execute project plans under a set of implementation and delivery time constraints.
Establish priorities, execute multiple projects, and proceed with objectives with minimal supervision.
Constantly monitor and report on project progress to all stakeholders.
Serve as the primary customer interface at all levels of the organization.
Establish and build trusting relationships with internal business partners and external agencies.
Identify key issues and project related decisions for escalation to ensure timely resolution.
Regularly meet to review overall progress and resolve specific project issues.
Identify critical issues and ensure that all are tracked, reported on, and resolved in a timely manner.
Manage time effectively to ensure the consistent execution of time-sensitive deliverables.
All other duties as assigned.


Required Qualifications


Bachelor's Degree
Successful track record in facilitating and collaborating across teams and managing projects
Demonstrates a basic understanding of project management disciplines
Likes to focus on the big picture and thrives in a fast paced, multi-project work environment
Excellent organizational skills and attention to detail
Ability to multi-task
Recognizes issues and escalates appropriately
Computer literate (MS Word, Power Point, Excel, SharePoint)
Excellent communication skills, both oral and written


Preferred Qualifications


Certifications such as CPA, CIA, CISA, CISSP, PMP
Advanced degree preferred
Prior audit or project management experience
Six Sigma Black Belt or other Process Improvement or Quality Control expertise
Knowledge of Humana's internal policies and procedures


Scheduled Weekly Hours

40

Company info

Sign Up Now - ComplianceCrossing.com