Senior Insurance Product Compliance Professional

Become a part of our caring community
 

The Senior Insurance Product Compliance Professional researches and analyzes rules, regulations, and sub-regulatory guidance. These apply to Insurance Products, such as Medicare Advantage, Part D, Group Specialty, and Individual Specialty. You will also assess risk and consult on licensure or corporate structure.

The Senior Insurance Product Compliance Professional partners with team members and serves as a Humana liaison. Your role will involve drafting, filing, and negotiating approval with state and federal regulators for service area expansions. It also involves preparing product-specific documents, contracts, licenses, member communications, or marketing materials. Throughout these processes, 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 plan and benefit offerings

• Comprehensive knowledge of Microsoft Office applications such as Word, Excel, PowerPoint, Adobe and Visio

• Experience communicating complex technical concepts to a variety of audiences and tailoring 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 with Medicare and/or Medicaid compliance

• 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

• Prior project management or product management experience

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.

 

$78,400 - $107,800 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: 06-10-2026

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.