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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in compliance management, including the development and implementation of policies and procedures to ensure adherence to CMS regulations, Medicare Advantage, and HIPAA standards. Proven ability to lead teams, influence stakeholders, and analyze regulatory changes to mitigate compliance risks effectively.
Highest-signal resume keywords
Compliance ManagementCMS RegulationsMedicare AdvantageHIPAA CompliancePeople Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Compliance PoliciesSales Operations OversightRisk MitigationRegulatory AnalysisSales Monitoring
Soft Skills
Strong CommunicationPresentation SkillsStakeholder InfluenceMulti-Priority Management
Certifications & Qualifications
Bachelor's DegreeMBAJuris Doctor (JD)
Industry Keywords
HealthcareInsuranceMedicaidMedicare Marketing GuidelinesRegulated Industries
About the role
Key responsibilities & impact- Oversee compliance activities related to sales operations
- Provide oversight and governance for sales channels
- Ensure adherence to federal, state, and organizational requirements
- Develop, implement, and maintain compliance policies, procedures, and controls for sales monitoring and oversight
- Lead efforts to identify, assess, and mitigate potential compliance risks
- Collaborate with Sales Leadership and Operational teams to address compliance concerns and implement corrective actions
- Analyze emerging regulatory changes and communicate impacts to stakeholders
- Prepare reports and presentations for leadership on compliance performance, findings, and risk mitigation
Requirements
What you’ll need- Bachelor's degree
- 5+ years of experience in compliance
- Extensive knowledge of CMS regulations, Medicare Advantage, Medicare marketing guidelines, Medicaid, HIPAA, and insurance compliance requirements
- 2+ years of people leadership or management experience
- Strong communication and presentation skills
- Ability to effectively influence stakeholders at all levels
- Ability to manage multiple priorities in a fast-paced environment
- Preferred: MBA, Juris Doctor (JD), or other advanced graduate degree
- Preferred: Experience in healthcare, insurance, Medicare, or highly regulated industries
- Home internet service with minimum download speed of 25 Mbps and upload speed of 10 Mbps
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical, dental, and vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
- Work-from-home arrangement
- Occasional travel to Humana offices for training or meetings