Senior Compliance Professional

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Are you passionate about navigating complex regulations and turning compliance into a strategic advantage? Join our team as a Senior Compliance Professional, where you’ll play a critical role in ensuring adherence to governmental and regulatory requirements while helping protect and strengthen the organization.
In this dynamic role, you’ll tackle moderately complex to highly complex compliance initiatives, analyzing policies, data, and evolving regulations to identify risks and drive solutions. Your work will require deep critical thinking, sound judgment, and an in-depth evaluation of variable factors to resolve sophisticated issues and support informed decision-making across the organization.
This is an opportunity to make a meaningful impact—partnering with key stakeholders, influencing compliance outcomes, and contributing to an environment where integrity and accountability are at the forefront.

The Senior Compliance Professional is responsible for supporting organizational compliance by developing and maintaining effective relationships with internal stakeholders and external business partners. This role plays a key part in evaluating, monitoring, and sustaining adherence to all applicable regulatory and legislative requirements.

Key Responsibilities:

• Establish and maintain productive working relationships with internal departments and assigned external delegates to support ongoing compliance objectives.
• Track, analyze, report, and communicate audit activities and findings to delegates and relevant internal stakeholders in a timely and accurate manner.
• Review and evaluate delegates’ policies, procedures, and operational practices to ensure alignment with regulatory and contractual requirements.
• Identify compliance gaps and develop corrective action plans, partnering with delegates through resolution to ensure issues are addressed effectively and sustained.
• Serve as a compliance subject matter resource, providing consultation and guidance to support consistent and compliant business operations.
• Participate in special projects and process improvement initiatives designed to enhance departmental efficiency and effectiveness.

This position requires strong analytical skills, attention to detail, and the ability to work independently on moderately complex to complex compliance matters while collaborating across functional teams.

Use your skills to make an impact
 

Required Qualifications

• 5 or more years of demonstrated experience and understanding of regulations governed by the Department of Insurance and CMS
• 2-3 years of Audit or consulting experience
• Experience with metrics and reporting
• 2-3 years of Managed Care experience

Preferred Qualifications

• Active RN
• Care coordination/ care management experience
• Graduate or advanced degree

Additional Information

Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

WAH Internet Statement
To 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; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
 

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$86,300 - $118,700 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 04-15-2026

About us
 

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.