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Senior Insurance Product Compliance Professional

Key Facts

Remote From: 
Full time
Senior (5-10 years)
English

Other Skills

  • Microsoft Office
  • Consulting
  • Non-Verbal Communication
  • Teamwork
  • Organizational Skills
  • Detail Oriented

Roles & Responsibilities

  • At least 5 years of experience in Medicare and/or Medicaid, insurance, marketing, business, law, communications, or related field
  • Knowledge of CMS marketing guidelines and/or Medicaid marketing requirements
  • Strong project leadership skills and the ability to manage complex compliance projects
  • Excellent written and verbal communication skills, including experience presenting to senior leadership and regulators

Requirements:

  • Oversee the review of Member Marketing and Communication materials for compliance with CMS and State regulations, providing expert guidance and approval
  • Manage the filing of materials with CMS and State agencies, including complex and escalated submissions
  • Serve as primary liaison with internal teams (Product, Marketing, Legal, Sales) and external regulatory bodies for compliance matters and monitor regulatory changes to guide rapid adaptation of materials and processes
  • Develop enhanced documentation and record-keeping systems for compliance reviews and filings, and strategize responses to audits, investigations, and regulatory inquiries

Job description

Become a part of our caring community
 

The Senior Insurance Product Compliance Professional serves as a subject matter expert and primary resource for ensuring Humana's Member Marketing and Communication materials follow all federal and state regulatory requirements. You will oversee compliance activities for insurance products and focus on the comprehensive approval and filing of marketing and communication materials. You will mentor compliance associates, implement process improvement plans and engage directly with regulators and internal leadership to guide compliance excellence.

  • Oversee the review of Member Marketing and Communication materials for compliance with CMS and State regulations providing expert guidance and approval

  • Implement filing of materials with CMS and State agencies including complex and escalated submissions

  • Be the primary liaison with internal teams (Product, Marketing, Legal, Sales) and external regulatory bodies for compliance matters

  • Monitor and interpret regulatory changes providing strategic guidance to partners and ensuring rapid adaptation of materials and processes

  • Develop enhanced documentation and record-keeping systems for compliance reviews and filings

  • Strategize and deliver responses to compliance audits, investigations, and regulatory inquiries related to marketing and communications

  • Identify, design, and implement process improvement plans to strengthen compliance controls and efficiency at the enterprise level

  • Mentor Insurance Product Compliance staff, sharing best practices and facilitating knowledge transfer


Use your skills to make an impact
 

Required Qualifications:

  • At least 5 years of experience in Medicare and/or Medicaid, insurance, marketing, business, law, communications, or related field

  • Knowledge of CMS marketing guidelines and/or Medicaid marketing requirements

  • Demonstrated project leadership skills and the ability to manage complex compliance projects

  • Exceptional attention to detail and organizational abilities

  • Excellent written and verbal communication skills, including experience presenting to senior leadership and regulators

  • Ability to work independently and collaboratively with cross-functional teams

  • Proficient in Microsoft Office Suite and compliance management tools

Preferred Qualifications:

  • Bachelor's Degree
  • Regulatory compliance, product compliance, auditing or consulting experience
  • Metrics and dashboard development experience
  • Background in Medicaid and/or Dual Eligible Special Needs (DSNP) Plans or products

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.


 

$78,400 - $107,800 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: 05-26-2026


About us
 

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.


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.

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