Job Description
Become a part of our caring community The Senior Insurance Product Compliance Professional researches and analyzes rules, regulations, and sub-regulatory guidance. These guidelines apply to insurance products, such as Medicare Advantage, Part D, Group Specialty, and Individual Specialty. Additionally, you will assess risk and consult on licensure or corporate structure. The Senior Insurance Product Compliance Professional partners with internal stakeholders and serves as a Humana liaison. You will draft, file, and negotiate approval with state and federal regulators for service area expansions. Additionally, you will prepare product-specific documents, contracts, licenses, member communications, or marketing materials. Throughout these tasks, you will safeguard Humana 's brand and support the implementation and maintenance of compliant insurance products in collaboration with responsible business owners. Use your skills to make an impact Required Qualifications 3+ years of experience with Medicare Advantage and/or Medicaid compliance Ability to summarize complex information and tailor communication based on audience (i.e., contracts, federal and state regulations) Ability to work independently while maintaining focus and managing deliverables to meet critical internal and external deadlines Ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers Preferred Qualifications Experience working with State Agencies Understanding of State and Federal Regulations Experience specific to Dual Eligible members and healthcare plans for MA DSNP product offerings Knowledge of Humana 's internal policies, procedures, and systems Work at Home RequirementsTo ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wirele
