Kansas Works Veterans Jobs

Kansas Works Logo

Job Information

Humana Compliance Lead - Compliance Program Effectiveness in Overland Park, Kansas

Description

The Compliance Lead ensures compliance with governmental requirements and works on problems of diverse scope and complexity ranging from moderate to substantial. Exercises independent judgment and decision making on complex issues requiring analysis of variable internal and external factors and determining the best course of action.

Responsibilities

  • Responsible for effectiveness of compliance program which includes metrics, reporting, issue tracking and resolution, and quality assurance

  • Focuses on process improvement and standardization

  • Accountable for delivering process improvements and automation to compliance scorecard

  • Tracks issues and opportunities to closure

  • Monitors compliance assessment activity and work plans

  • Supports readiness of the compliance program for regulatory audits and reviews

  • Advises and makes recommendations to leadership

  • Serves as a technical leader for regulatory compliance team

  • Exercises independent judgment and decision making on complex issues requiring analysis of variable internal and external factors and determining the best course of action

  • Deploys a proactive and consultative approach to providing strategic thought leadership to identify and address complex issues

  • Works under minimal supervision

Required Qualifications

  • Bachelor's Degree

  • 8+ years of technical experience

  • 2+ years of project leadership experience

  • Advanced experience with building, collecting, validating, and communicating large sets of data

  • Proficiency in understanding Healthcare-related data and Centers for Medicare and Medicaid Services (CMS and/or OIG) regulations

  • Excellent oral and written communication skills, previous experience presenting and interacting with executive leadership

  • WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet Service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Advanced graduate degree

  • Project Management Professional (PMP) certification

  • Six sigma certification

  • Experience in an audit or compliance role for a Health Plan or provider-based industry

  • Leadership experience

Additional Information

Scheduled Weekly Hours

40

DirectEmployers