Senior Compliance Professional

Humana

. Develop and implement compliance policies and procedures .

Posted 11/10/2026full-timeRemote • United StatesSenior💰 $86,300 - $118,700 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in compliance policy development, regulatory analysis, and risk management within the healthcare industry. Proficient in managing compliance oversight, particularly related to CMS Stars rating programs and Medicare Advantage communications.

Highest-signal resume keywords

Compliance Policy DevelopmentRegulatory AnalysisRisk ManagementCMS Stars Rating Program OversightHealthcare Regulations Knowledge

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Compliance ProceduresAuditingMonitoring ActivitiesCorrective Action PlansRegulatory Requirements AnalysisProcess ImprovementMetrics and ReportingCompliance OversightMedicare Advantage Review

Soft Skills

Strong Written CommunicationStrong Verbal CommunicationAttention to DetailAbility to Manage PrioritiesIndependent Decision-Making

Industry Keywords

Regulatory LawComplianceAuditRisk ManagementManaged CareHealth Care Industry RegulationsPHI/HIPAA Compliance

About the role

Key responsibilities & impact

Develop and implement compliance policies and procedures
Research compliance issues and recommend changes to ensure compliance with contractual obligations and state and federal law
Perform auditing and monitoring activities and issue corrective action plans as needed
Identify enterprise risk and compliance concerns
Maintain relationships with operational business areas
Serve as a subject matter expert and provide guidance on various matters
Make decisions on moderately complex to complex issues with little to no direction
Determine objectives and approaches to assignments with considerable latitude
Report to an Associate Director of Compliance
Work as an individual contributor

Requirements

What you’ll need

Bachelor's degree in related field
5+ years of experience working in regulatory law, compliance, audit, or risk management field
Experience working in a Compliance-related or managed care-related field
Experience working with regulatory agencies
Experience with compliance oversight of CMS Stars rating program
Ability to analyze regulatory requirements and assist business areas with understanding impacts of requirements on their operations
Experience with Medicare Advantage marketing and communication material review
Experience with compliance oversight of agents and brokers
Knowledgeable in process improvement
Demonstrated knowledge in regulations governing health care industries
Strong written and verbal communication skills
Strong attention to detail
Ability to manage multiple or competing priorities and meet deadlines
Ability to perform work assignments without direction and exercise considerable latitude in determining objectives and approaches to assignments
Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Home internet service with at least 25 Mbps download and 10 Mbps upload speed
Preferred: Graduate or advanced degree
Preferred: Audit or consulting experience
Preferred: Experience with metrics and reporting

Benefits

Comp & perks

Bonus incentive plan based on company and/or individual performance
Medical benefits
Dental benefits
Vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Work-from-home arrangement
No domestic travel; occasional travel to Humana offices for training or meetings may be required