Humana
Health Insurance (Payers)
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The Compliance Professional will be responsible for coordinating and submitting required state reports for the Medicaid State Reporting team. Reporting to the Compliance Manager, you will partner with market leadership, business owners, and other stakeholders to support accurate and timely state reporting. Responsibilities may include educating business owners and market partners on state reporting processes, coordinating the collection and validation of required data, and identifying and escalating gaps in data availability that may impact reporting requirements.
Key Responsibilities
o Coordinate, prepare, review, and submit required Medicaid state reports in accordance with established requirements and timelines.
o Partner with business owners, market partners, and other stakeholders to obtain information and data needed for state reporting.
o Educate and support business owners and market partners on state reporting processes, requirements, and expectations.
o Review and validate reporting data for completeness and accuracy prior to submission.
o Identify and escalate data gaps, reporting issues, or process concerns that may impact timely and accurate reporting.
o Support the implementation of new and amended state reporting requirements and guidance.
o Maintain reporting documentation and support process improvements to promote consistency, accuracy, and efficiency.
Required Qualifications
o Must reside in the eastern or central time zones within the contiguous United States
o Bachelor's degree or 5+ years of healthcare industry, insurance services and/or regulated services.
o 3 plus years compliance or project/process management experience
o Comprehensive working knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Preferred Qualifications
o Medicaid state reporting experience
o Medicaid experience/knowledge
o Prior experience analyzing data and metrics to influence change in departmental processes
o Prior health insurance industry experience
o Experience using Microsoft Copilot
Additional Information
o Location: Remote US - Must reside in the eastern or central time zones within the contiguous United States
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
Scheduled Weekly Hours
40Pay 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.$65,000 - $88,600 per yearThis 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 10-26-2026
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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