Become a part of our caring community and help us put health firstThe Associate Director, Compliance ensures compliance with governmental requirements. The Associate Director, Compliance requires a solid understanding of how organization capabilities interrelate across department(s).Associate Director Job Description – Medicare Sales Practices, Sales Agencies, and MarketingThe Associate Director, Compliance is expected to develop and implement compliance policies and strategies that help to minimize overall enterprise risk. The individual will be responsible for researching compliance issues and recommending changes that assure compliance with contractual obligations as well as federal and state regulations. The Associated Director maintains relationships with government agencies and is response for the management of staff. The role will require the effective identification of operational and regulatory risk and the resolution of complex technical and operational problems across multiple business areas within Humana.Humana is seeking an Associate Director to oversee compliance programs for Medicare Sales Practices, Sales Agencies, and Marketing. The Associate Director oversees compliance associates and will be ultimately responsible to analyze business requirements, provide research and regulatory interpretation, and advise internal business units and external business partners in delivering results in a manner that minimizes compliance risk exposure for the Company. Responsible for completing risk assessments, creating annual work plans to audit and monitor Sales Practices, Sales Agencies, and Marketing performance. As an Associate Director, you will be part of a fast-growing team who develops and maintains key relationships both internally with Humana operational leaders as well as externally with our business partners. While working within assigned areas to optimize business results, you will:
Develop strategy and provide on-going oversight and monitoring of Medicare Sales Practices, Sales Agencies, and Marketing, and related areas, to ensure full compliance and minimize risk for the Enterprise;
Complete risk assessments and create annual work plans to audit and monitor operational performance;
Interpret and define regulatory and contractual requirements to be implemented by appropriate Humana or Medicare Departments and/or external business partners;
Communicate with and present to outside regulators;
Oversee the review of market documents and data analysis to identify what can be used to evidence meeting compliance and regulatory standards;
Oversee the auditing and monitoring of Medicare Sales Practices, Sales Agencies, and Marketing, and report to RC leadership top risks, remediation plans and other information as appropriate;
Work across Medicare Sales Practices, Sales Agencies, and Marketing, to enhance data analytics and operational improvement efforts;
Perform assessments, develop action plans, and provide guidance to Medicare Sales Practices, Sales Agencies, and Marketing;
Build relationships with aligned leaders and partners; and
Serve as a translator between Humana and assigned business partners and practices to assist with the interpretation of the intention of guidelines and regulatory requirements.
Use your skills to make an impactRequired Qualifications
Bachelor's Degree
6 or more years of technical (healthcare compliance or equivalent)
2 or more years of people management experience
Advanced experience working in compliance, risk management, or managed-care field. Providing oversight and auditing managed care activities
Strong communication skills with the ability to influence effectively
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
MBA, Juris Doctor, or other graduate degree
Additional InformationScheduled Weekly Hours40Pay RangeThe 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.$138,900 - $191,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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: 02-27-2025About usHumana 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 EmployerIt 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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=HumanaWebsite.