researches and analyzes rules, regulations, and sub-regulatory guidance that apply to Insurance Products such as Medicare Advantage, Part D, Group Specialty, and Individual Specialty
assess risk and consult on licensure or corporate structure
partners with team members and serves as a Humana liaison
drafting, filing, and negotiating approval with state and federal regulators for service area expansions
preparing product-specific documents, contracts, licenses, member communications, or marketing materials
safeguard Humana's brand and support the implementation and maintenance of compliant insurance products in collaboration with responsible business owners
Requirements
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
Experience with Medicare and/or Medicaid compliance (Preferred)
Experience working with State Agencies (Preferred)
Understanding of State and Federal Regulations (Preferred)
Experience specific to Dual Eligible members and healthcare plans for MA DSNP product offerings (Preferred)
Prior project management or product management experience (Preferred)
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)