Talent.com
No longer accepting applications
Senior Insurance Product Compliance Professional

Senior Insurance Product Compliance Professional

Idaho StaffingBoise, ID, US
1 day ago
Job type
  • Full-time
Job description

Senior Insurance Product Compliance Professional

Become a part of our caring community and help us put health first. The Senior Insurance Product Compliance Professional researches, analyzes, assesses risk and consults on rules, regulations and sub-regulatory guidance that apply to Insurance Products (i.e., Medicare Advantage, Part D, Group Specialty, and Individual Specialty), licensure or corporate structure. The Senior Insurance Product Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Insurance Product Compliance Professional partners with internal stakeholders and serves as Humana liaison while drafting, filing and negotiating approval with state and federal regulators for service area expansions; product-specific documents, contracts, licenses, member communications or marketing materials, all while safeguarding Humana's brand. Supports implementation and maintenance of compliant insurance products in collaboration with responsible business owners. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications :

  • Experience with Medicare Advantage and / or Medicaid
  • Comprehensive knowledge of Microsoft Office applications : Word, Excel, PowerPoint, Adobe and Visio
  • Ability to summarize complex information and tailor 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
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers

Preferred Qualifications :

  • Experience in working with State Agencies
  • Understanding of State and Federal Regulations
  • Experience with Medicare Advantage plan and benefit offerings
  • Experience specific to Dual Eligible members and healthcare plans for MA DSNP product offerings
  • Knowledge of Humana's internal policies, procedures and systems
  • 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. $71,100 - $97,800 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 : 10-31-2025

    About Us : Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

    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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services.

    Create a job alert for this search

    Insurance Professional • Boise, ID, US

    Related jobs
    • Promoted
    Senior Principal Product Manager

    Senior Principal Product Manager

    Idaho StaffingBoise, ID, US
    Full-time
    The Health Data Intelligence organization at Oracle is focused on developing cutting-edge solutions that empower healthcare organizations to improve patient outcomes, optimize operations, and accel...Show moreLast updated: 1 day ago
    • Promoted
    Principal Product Manager - Oracle Health, Shared Functional Services

    Principal Product Manager - Oracle Health, Shared Functional Services

    Idaho StaffingBoise, ID, US
    Full-time
    Building off Oracle's Cloud momentum, Oracle Health Applications & Infrastructure (OHAI) is driving the modernization of healthcare software with a unified, cloud-native platform.Shared Functional ...Show moreLast updated: 1 day ago
    • Promoted
    Senior Product Manager - Rapid Prototyping

    Senior Product Manager - Rapid Prototyping

    Idaho StaffingBoise, ID, US
    Full-time
    Senior Product Manager - Rapid Prototyping.At MMIT, we simplify the complexities of healthcare to smooth access to life saving therapies. Our collective teams achieve this through prioritizing culti...Show moreLast updated: 1 day ago
    • Promoted
    Senior Product Manager, Zoom Revenue Accelerator

    Senior Product Manager, Zoom Revenue Accelerator

    Idaho StaffingBoise, ID, US
    Full-time
    What you can expect : Zoom Revenue Accelerator (ZRA) is evolving into a leading Revenue Orchestration platform, helping sellers and revenue leaders turn every interaction into business impact.We're ...Show moreLast updated: 1 day ago
    • Promoted
    Insurance Service Professional 92712

    Insurance Service Professional 92712

    Idaho StaffingBoise, ID, US
    Full-time
    Customer Service Representative.Join our Field Service Team, the driving force behind the delivery of exceptional experiences for New York Life's agents and clients. As part of our diverse team, you...Show moreLast updated: 1 day ago
    • Promoted
    Claims Advisor, Environmental (Professional Liability)

    Claims Advisor, Environmental (Professional Liability)

    Idaho StaffingBoise, ID, US
    Full-time
    By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your c...Show moreLast updated: 1 day ago
    • Promoted
    Senior Product Manager, Security

    Senior Product Manager, Security

    Idaho StaffingBoise, ID, US
    Full-time
    Ready to be pushed beyond what you think you're capable of? At Coinbase, our mission is to increase economic freedom in the world. It's a massive, ambitious opportunity that demands the best of us, ...Show moreLast updated: 1 day ago
    • Promoted
    Senior Principal Product Manager - Regulatory & Clinical Programs

    Senior Principal Product Manager - Regulatory & Clinical Programs

    Idaho StaffingBoise, ID, US
    Full-time
    Senior Principal Product Manager.Oracle Health Data Intelligence (HDI) is building the next generation of intelligent, cloud-based healthcare platformscombining clinical, payer, and regulatory data...Show moreLast updated: 1 day ago
    • Promoted
    Senior Product Manager - Risk and Policy

    Senior Product Manager - Risk and Policy

    Idaho StaffingBoise, ID, US
    Full-time
    Ready to be pushed beyond what you think you're capable of? At Coinbase, our mission is to increase economic freedom in the world. It's a massive, ambitious opportunity that demands the best of us, ...Show moreLast updated: 1 day ago
    • Promoted
    Senior Product Manager, HCP Marketing, ADHD

    Senior Product Manager, HCP Marketing, ADHD

    Idaho StaffingBoise, ID, US
    Full-time
    Manage the tactical development and execution of HCP peer-to-peer medical education (DSE and brand), congress presence, as well as other promotional initiatives such as NPP digital media, to suppor...Show moreLast updated: 1 day ago
    • Promoted
    Product Manager

    Product Manager

    WebMDBoise, ID, US
    Full-time
    Senior Product Manager For Patient And Member Experience.WebMD Ignite, a division of WebMD and Internet Brands, is the growth partner for healthcare organizations. We guide people to better health a...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Program Manager, Compliance

    Senior Program Manager, Compliance

    Idaho StaffingBoise, ID, US
    Full-time
    Join Coinbase : Senior Program Manager For Compliance.Ready to be pushed beyond what you think you're capable of? At Coinbase, our mission is to increase economic freedom in the world.It's a massive...Show moreLast updated: 1 day ago
    • Promoted
    Senior Claims Representative

    Senior Claims Representative

    Brown & BrownMeridian, ID, US
    Full-time
    Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Senior Claims Representative to...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Product Manager, International Derivatives

    Senior Product Manager, International Derivatives

    Idaho StaffingBoise, ID, US
    Full-time
    Coinbase Institutional Product Manager.Ready to be pushed beyond what you think you're capable of? At Coinbase, our mission is to increase economic freedom in the world. It's a massive, ambitious op...Show moreLast updated: 1 day ago
    • Promoted
    Senior Product Manager

    Senior Product Manager

    Cox EnterprisesMeridian, ID, US
    Full-time
    NextGear Capital, a Cox Automotive company, is hiring a Senior Product Manager.This innately curious and forward-thinking individual will lead discovery and strategy for a mission-critical product ...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Product Manager - Consumer Onchain

    Senior Product Manager - Consumer Onchain

    Idaho StaffingBoise, ID, US
    Full-time
    Ready to be pushed beyond what you think you're capable of? At Coinbase, our mission is to increase economic freedom in the world. It's a massive, ambitious opportunity that demands the best of us, ...Show moreLast updated: 1 day ago
    • Promoted
    Senior Product Manager - Consumer Trading (Coinbase Advanced)

    Senior Product Manager - Consumer Trading (Coinbase Advanced)

    Idaho StaffingBoise, ID, US
    Full-time
    Join Coinbase Advanced Trading Team.Ready to be pushed beyond what you think you're capable of? At Coinbase, our mission is to increase economic freedom in the world. It's a massive, ambitious oppor...Show moreLast updated: 1 day ago
    • Promoted
    Senior Product Manager Hybrid Cloud

    Senior Product Manager Hybrid Cloud

    Idaho StaffingBoise, ID, US
    Full-time
    Senior Product Manager Hybrid Cloud.At Ensono, our purpose is to be a relentless ally, disrupting the status quo and unleashing our clients to Do Great Things! We enable our clients to achieve key...Show moreLast updated: 1 day ago