Talent.com
Senior Insurance Product Compliance Professional

Senior Insurance Product Compliance Professional

Utah StaffingSalt Lake City, UT, US
11 hours 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 : $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.

    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

    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 • Salt Lake City, UT, US

    Related jobs
    • Promoted
    • New!
    Work From Home - Take Surveys and Earn!

    Work From Home - Take Surveys and Earn!

    Prime InsightsCottonwood Heights, UT, US
    Remote
    Full-time
    Join thousands of members already earning with top-paying surveys and offers.Get started today and enjoy competitive rewards, fast payouts with no waiting periods, and the flexibility to participat...Show moreLast updated: 10 hours ago
    • Promoted
    • New!
    Senior Director Products

    Senior Director Products

    Utah StaffingSalt Lake City, UT, US
    Full-time
    Senior Director, Product For Real ID Strategy.The Senior Director, Product for Real ID Strategy is responsible for defining and driving Acxiom's comprehensive Real ID product strategy, spanning con...Show moreLast updated: 11 hours ago
    • Promoted
    • New!
    Take Surveys Get Paid!

    Take Surveys Get Paid!

    Prime InsightsGrantsville, UT, US
    Full-time
    Join thousands of members already earning with top-paying surveys and offers.Get started today and enjoy competitive rewards, fast payouts with no waiting periods, and the flexibility to participat...Show moreLast updated: 10 hours ago
    • Promoted
    Work from Home

    Work from Home

    HomeJobFinderStockton, UT
    Remote
    Full-time
    Remote Opportunity : Link Posting Marketing Rep (No Experience Needed!) Are you self-driven, reliable, and ready to earn from anywhere? We’re looking for motivated individuals to jo...Show moreLast updated: 27 days ago
    • Promoted
    Remote Mental Health Therapist

    Remote Mental Health Therapist

    SonderMindStockton, UT, USA
    Remote
    Full-time
    SonderMind is a leading mental health care platform revolutionizing therapy services.We are seeking compassionate and highly skilled licensed mental health therapists to join our expanding network....Show moreLast updated: 30+ days ago
    • Promoted
    Product Analyst

    Product Analyst

    WCF InsuranceSandy, UT, US
    Full-time
    WCF Insurance is growing, and the Product team has an immediate opening for someone who can demonstrate the WCF values to join their team as a Product Analyst. This is a full-time, exempt position t...Show moreLast updated: 14 days ago
    • Promoted
    • New!
    Senior Product Director, Mars United

    Senior Product Director, Mars United

    Utah StaffingLehi, UT, US
    Full-time
    Senior Product Director for Mars United.Mars United? Commerce is a global commerce marketing practice that aligns people, technology, and intelligence to make the business of our clients better tod...Show moreLast updated: 11 hours ago
    • Promoted
    Pharmacy Tech

    Pharmacy Tech

    Ridley's Family Markets, Inc.Morgan, UT, US
    Full-time
    Assist the Pharmacist in the operations of the pharmacy; provide patient counseling, assist with prescription transfers, provide other prescription products, and appropriate customer service in com...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Senior Specialist, Compensation

    Senior Specialist, Compensation

    Utah StaffingProvo, UT, US
    Full-time
    At Qualtrics, we create software the world's best brands use to deliver exceptional frontline experiences, build high-performing teams, and design products people love. But we are more than a platfo...Show moreLast updated: 11 hours ago
    • Promoted
    • New!
    Earn Money Playing Games, Answering Surveys & Testing Apps

    Earn Money Playing Games, Answering Surveys & Testing Apps

    AttaPollHolladay, UT, US
    Full-time
    Get paid to answer surveys, play games, test apps, and do tasks.Make extra money on your phone and instantly cash out to PayPal, Revolut, or with gift cards from $3.Show moreLast updated: 3 hours ago
    • Promoted
    • New!
    Senior Provider Payment Professional

    Senior Provider Payment Professional

    Utah StaffingSalt Lake City, UT, US
    Full-time
    Senior Payment Integrity Professional.Become a part of our caring community and help us put health first.The Senior Payment Integrity Professional uses technology and data mining, detects anomalies...Show moreLast updated: 11 hours ago
    • Promoted
    Senior Project Manager, Claims Operations

    Senior Project Manager, Claims Operations

    Molina HealthcareLayton, UT, US
    Full-time
    Manages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design proce...Show moreLast updated: 10 days ago
    • Promoted
    • New!
    Senior Accreditation Professional

    Senior Accreditation Professional

    Utah StaffingSalt Lake City, UT, US
    Full-time
    We are seeking a Senior Accreditation Professional who will work in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation stan...Show moreLast updated: 11 hours ago
    • Promoted
    Restaurant Delivery - Flexible Onboarding

    Restaurant Delivery - Flexible Onboarding

    DoorDashMorgan, UT, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show moreLast updated: 30+ days ago
    • Promoted
    Delivery Driver - Flexible Onboarding

    Delivery Driver - Flexible Onboarding

    DoorDashMorgan, UT, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show moreLast updated: 30+ days ago
    • Promoted
    Online Survey Taker. Earn up to $25 per survey. - Remote

    Online Survey Taker. Earn up to $25 per survey. - Remote

    Earn HausRush Valley, Utah, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show moreLast updated: 30+ days ago
    • Promoted
    Restaurant Delivery - Sign Up in Minutes

    Restaurant Delivery - Sign Up in Minutes

    DoorDashMorgan, UT, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Fully Remote Survey Participant

    Fully Remote Survey Participant

    Prime InsightsCottonwood Heights, UT, US
    Remote
    Full-time
    Join thousands of members already earning with top-paying surveys and offers.Get started today and enjoy competitive rewards, fast payouts with no waiting periods, and the flexibility to participat...Show moreLast updated: 10 hours ago