Compliance Lead - Special Needs Plans SNP

Profile

Description

The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Compliance Lead (SNP) 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. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Performs auditing and monitoring of SNP delegates/vendors.

Required Qualifications

Bachelor's Degree

5 or more years of technical experience

2 or more years of project leadership experience

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Advanced experience with building, collecting, validating, and communicating large sets of data

Strong written and verbal communication skills and ability to provide difficult feedback

Preferred Qualifications

Nursing Degree

Prior Special Needs Plan or Care Management Experience

Project Management Professional (PMP) certification

Six Sigma certification

Experience in an audit or compliance role

Leadership experience

Additional Information

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com