Base: $65,000 - $88,600 py; bonus: eligible for in...
Hybrid
Medicaid regulatory compliance experience
Critical incident reporting to regulators
Audit request review and monitoring
CarePlus Health Plans Inc. is seeking a Compliance Professional to join their Humana Healthy Horizons team in Virginia. This hybrid position involves managing regulatory inquiries, coordinating responses, and ensuring compliance with healthcare regulations, particularly concerning Medicaid and Medicare
Job Summary
The role involves assisting with incoming regulatory inquiries and coordinating responses for State and Federal agencies such as CMS.
Candidates will be responsible for monthly, quarterly, and annual Critical Incident reporting to the regulator while reviewing audit requests.
Humana offers competitive benefits including medical, dental, vision, 401(k) retirement savings, and paid time off.
Matching Summary
Match Score: 85
CarePlus Health Plans Inc. is seeking a Compliance Professional to join their Humana Healthy Horizons team in Virginia. This hybrid position involves managing regulatory inquiries, coordinating responses, and ensuring compliance with healthcare regulations, particularly concerning Medicaid and Medicare.
Salary
Base: $65,000 - $88,600 per year; Bonus: Eligible for incentive plan based on performance; Benefits: Medical, dental, vision, 401(k), paid time off
Skills & Requirements
Must-have
Medicaid regulatory compliance experience
Critical incident reporting to regulators
Audit request review and monitoring
State and federal agency interaction
Corrective action plan monitoring
Nice-to-have
Influence department strategy through recommendations
Collaboration with subject matter experts
Knowledge of Humana cultural values
Experience with internal and external audits
Key Requirements
Bachelor's or associate degree required
2-5 years healthcare or managed care experience
2 years auditing, risk, or compliance experience
Must reside in Virginia or within 40-mile radius
Regulatory or Medicare/Medicaid compliance experience