Become a part of our caring community and help us put health first

Humana Healthy Horizons is seeking a Senior Compliance Professional to support audit preparation, internal controls evaluation, and compliance efforts across the organization. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This role is pivotal in ensuring organizational readiness for external audits.

The Senior Compliance Professional key responsibilities include:

Develops and maintains detailed project plans, timelines, and status reports for all audit activities.
Manages audit readiness initiatives for operational and compliance audits.
Collaborates across departments to assess, design, and implement improvements.
Coordinates with internal stakeholders to gather and validate audit documentation and evidence.
Maintains a centralized repository of audit findings, management responses, and evidence of corrective actions.
Tracks and reports audit metrics.
Coordinates site visits for regulators, coordinates implementation and compliance with corrective action plans, as needed.
Serves as point of contact for auditors during fieldwork and onsite phases.
Begins to influence department’s strategy while maintaining current knowledge of best practices in audit and compliance.
Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
Exercises considerable latitude in determining objectives and approaches to assignments.

Use your skills to make an impact

Required Qualifications

Must reside in the Eastern or Central time zone in the Unites States.
Bachelors degree or 3+ years of managed care work experience.
3+ years of Compliance experience.
Demonstrated experience in an audit, compliance, or regulatory role in health insurance.
Proven ability to work in a deadline-driven organization with a strong attention to detail.
Demonstrated ability to manage multiple projects/assignments while working with various departments to obtain data, and ensure deliverables are timely and accurate.
Success in developing and managing working relationships within a highly matrixed business environment.
Strong written and verbal communication skills; able to effectively communicate in a clear manner.

Preferred Qualifications

Medicaid experience/knowledge.
Audit or consulting experience.
Experience in data visualization tools (Power BI, Tableau, etc.).

Work at Home Requirements

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Additional information

Workstyle: Remote, work at home.
Core workdays and hours: Monday through Friday, 8:00 am-5:00 pm Eastern Standard Time (EST).
Travel: Up to 15% within the United States.
Benefits: Benefits are effective on day 1. Full-time associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more…

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to the next round of interviews.

Travel: While this is a remote position, occasional travel to Humanas offices for training or meetings may be required.

Scheduled Weekly Hours

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.

$86,300 - $118,700 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: 07-30-2025

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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.