Key skills
PMPProject Management
About this role
Role Overview
- assist with incoming regulatory inquiries/requests
- coordinates inquiry responses
- coordinates site visits for State and Federal agencies
- monitors corrective action plans
- research regulatory issues/requests
- partners with subject matter experts to provide responses
- interacts with other professionals throughout the enterprise on significant healthcare compliance topics
- assists with reviews of Critical Incidents
- responsible for monthly, quarterly, and annual Critical Incident (CI) reporting to the regulator
- supports multiple external regulatory requests
- monitors and reports on audit status to Law, Risk, and Compliance stakeholders
- records regulatory request information in internal Humana systems and external agency systems
Requirements
- Must reside in the commonwealth of Virginia or within a 40-mile radius from Virginia in a bordering state/district (Washington DC, MD, WV, KY, TN & NC)
- Bachelor’s or associate degree
- Two (2) – five (5) years of healthcare or managed care experience
- Two (2) years of work-related experience (auditing, risk, compliance, regulatory or related experience)
- Regulatory or Medicare/Medicaid compliance experience
- Auditing experience working with auditing functions within compliance or other related experience
- Professional certifications such as CPA, CIA, CISA, CISSP, CFA or PMP
- Certified Health Compliance (CHC) professional, Certified in Healthcare Privacy Compliance (CHPC) via HCCA
- Two (2) years of law, risk, compliance, internal audit, public audit, or project management experience
- Knowledge of Humana’s cultural values, products, policies, and procedures
Tech Stack
- PMP
Benefits
- 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