Senior Compliance Professional

Humana

. Develop audit methodology and perform auditing and monitoring activities to prevent and detect noncompliance .

Posted 11/11/2026full-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 regulatory compliance, audit methodology, and risk management within the healthcare sector, with a strong focus on ensuring adherence to state and federal laws. Capable of analyzing regulatory requirements and providing actionable guidance to minimize compliance risks.

Highest-signal resume keywords

Regulatory ComplianceAudit MethodologyRisk ManagementHealth Plan ComplianceStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Regulatory AnalysisAudit ExperienceProcess ImprovementMetrics and ReportingDocument ReviewData AnalysisCompliance MonitoringRemediation TrackingIssue ResolutionHealth Care Regulations

Soft Skills

Attention to DetailAbility to Manage PrioritiesSelf-DirectionVerbal CommunicationWritten Communication

Certifications & Qualifications

Bachelor's DegreeJuris DoctorMaster of Business Administration

Industry Keywords

Medicaid OperationsCompliance RiskRegulatory AgenciesHealth Care IndustryPHI/HIPAA Compliance

About the role

Key responsibilities & impact

Develop audit methodology and perform auditing and monitoring activities to prevent and detect noncompliance
Provide guidance on remedial actions to strengthen compliance controls and ensure compliance with state and federal laws and regulations
Present audit and monitoring findings to business partners and Enterprise Compliance leaders
Track issues to ensure appropriate and timely remediation
Oversee development and progress of issue remediation
Review and analyze documents and data to identify evidence of meeting regulatory requirements
Interpret and define regulatory and contract requirements for implementation by Humana departments and external business partners
Provide ongoing oversight and monitoring of Medicaid business operations
Provide support in external audits
Coordinate compliance-related communication and interaction with regulators
Provide backup and support to other Medicaid Regulatory Compliance team members
Advise internal business units and external business partners to minimize compliance risk exposure
Report to an Associate Director of Compliance
Perform other duties as needed

Requirements

What you’ll need

Bachelor’s degree in related field
5+ years of experience working in regulatory law, compliance, audit, risk management, or a managed care-related field
Experience working with regulatory agencies
Ability to analyze regulatory requirements and assist business areas with understanding impacts of requirements on their operations
Knowledge of process improvement
Demonstrated knowledge of 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
Audit experience preferred
Experience with metrics and reporting preferred
Experience in Health Plan Compliance or Health Plan Operations preferred
Juris Doctor, Master of Business Administration, or advanced degree preferred
Ability to work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information
Self-provided internet service with at least 25 Mbps download and 10 Mbps upload

Benefits

Comp & perks

Bonus incentive plan based upon 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
Limited travel based on business needs
Fully remote work within the U.S.