Humana

About Humana

 

Job Category:

Risk & Compliance - Compliance

Country:

United States

Postal Code:

33101

Approximate Salary:

Not Specified

Position Type:

Full Time

Compliance Lead

Humana - Miami, Florida

Posted: 12/17/2018

Description

The Compliance Lead 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 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. May be over privacy staff also. Responsible for hiring, training, and firing staff. 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.

               

Required Qualifications

  • 5+ years of experience working in a healthcare related agency (CMS, CDC, NIH, Health plans, etc.)
  • Experience reading and interpreting technical documents
  • Experience in an audit or compliance role
  • Ability to present and communicate with all levels of leadership
  • Must be self motivated with strong problem solving skills

Preferred Qualifications

  • Bachelor's Degree
  • Project Management Professional (PMP) certification
  • Six Sigma certification
  • Leadership experience

Scheduled Weekly Hours

40

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