Senior Compliance Professional - Disability and Life Insurance

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Job Information
Humana
Senior Compliance Professional - Disability and Life Insurance
in
Green Bay
Wisconsin
Description
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 will be to develop and implement a plan to audit and monitor business processes to prevent, detect, and resolve compliance issues to help ensure an effective compliance program for Humana's Disability and Life insurance products. The Senior Compliance Professional works assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Professional will serve as the Regulatory Compliance subject matter expert for Disability and Life insurance compliance issues.
Responsibilities
The Senior Compliance Professional's primary focus will be to develop and implement a plan to monitor and audit business processes to prevent, detect, and resolve compliance issues to help ensure an effective compliance program for Humana's Disability and Life insurance products.
For our Disability and Life insurance products, the Senior Compliance Professional shall:
Research, understand and apply laws, regulations, and regulatory guidance for Disability and Life insurance compliance issues;
Analyze business requirements and complex issues, conduct research, and provide regulatory guidance to business partners and leaders with regard to Disability and Life insurance compliance issues;
Perform risk assessments, develop and oversee corrective action plans, and provide guidance to operational groups;
Develop audit methodology and perform 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;
Provide on-going oversight monitoring of metrics and business policies, processes and operations to ensure full compliance and minimize risk for the Company;
Review and analyze market documents and data to identify what can be used to evidence compliance with regulatory standards;
Coordinate business partner engagement with external regulators, including audit preparation and oversight of business audit responses to ensure timely, accurate and complete submission of required data and documentation to regulators;
Recommend new measures of compliance performance, as well as new risk governance controls;
Present findings of oversight efforts to business partners and Enterprise Compliance leaders and track issue to ensure appropriate and timely remediation;
Lead and participate on committees, providing compliance guidance and direction;
Provide back-up and support to other Enterprise Compliance team members and perform other duties, as needed; and
Make decisions on moderately complex to complex issues regarding technical approach for project components and be able to work without significant direction.
Required Qualifications:
Bachelor's degree in related field
Advanced experience working in a compliance-related or managed care-related field
Demonstrated ability to analyze regulatory requirements and assist business areas with understanding the impacts of requirements on their operations
Demonstrated ability to utilize analytical skills, data and analytics to understand broad impacts of regulatory requirements
Strong communication skills
Knowledge/understanding of laws and regulations governed by the Department of Insurance and other regulatory agencies
Preferred Qualifications:
J.D. or other graduate degree
3 years of experience in regulatory law, compliance, audit, consulting and/or risk management
Demonstrated ability to run large -scale, highly-visible programs with responsibility for multiple project teams
Experience or knowledge of disability insurance products
Experience or knowledge of life insurance products
Experience interacting with governmental agencies
Work-At-Home Requirements:
WAH 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
Why Humana? You'll experience the following perks as a full-time Humana employee:
Compensation and Financial Security -
Our pay philosophy is designed to motivate and reward associates for their skills and contributions to the company. We provide options to help you plan for your future and protect your assets: Competitive base pay, Recognition pay, 401(k) retirement savings plan (125% match for the first 6% contributed by an associate), etc.
Your Whole Health -
Humana's health products and services are designed to encourage personal wellness and smart healthcare decisions for you and your family: Medical, dental, and vision benefits, Health plan incentives, Paternity leave, etc.
Work Perks -
Humana knows your life extends outside of work. We have many options to support your interests and needs. Some departments have the flexibility to allow associates to work from home, and we offer all associates: Paid time off, holidays, volunteer time, jury duty pay, Associate charity matching program, Discount programs with major retailers, etc.
Grow With Us -
Humana provides growth and career opportunities that can help you develop your skills and build your future with the organization: Internal and external learning events, Tuition assistance, Inclusion and diversity training, etc.
Social Security Task:
Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from **** with instructions to add the information into the application at Humana's secure website.
Interview Format:
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
More info on Why Humana.
Why Humana?
At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:
Work-Life Balance
Generous PTO package
Health benefits effective day 1
Annual Incentive Plan
401K
Well-being program
Paid Volunteer Time Off
Student Loan Refinancing
If you share our passion for helping people, we likely have the right place for you at Humana.
COMPANY OVERVIEW
For more than 60 years, Humana has been a proven leader and innovator in the health and wellness industry. A passionate emphasis on people, choice, well-being, and innovation guide our business practices and culture. We're not just a health insurance company. Our diverse lines of business position us to serve millions of people with a wide range of needs, including seniors, military members, and self-employed individuals.
If you're looking for a career that provides opportunities for growth and development in a stable industry, Humana might be the right fit for you.
60 - We have been committed to seniors' health and care for nearly 60 years.
46K - We have 46,000 associates.
#56 - Ranked #56 on the Fortune 500 list in 2019.
16.6M - We have 16.6 million medical members across all 50 states.
12M - Since 2001, we have awarded more than $12 million in scholarships to children of Humana associates.
Scheduled Weekly Hours
40
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ****

Company info

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