Risk Management Lead – Regulatory Compliance - job 3 of 3

Become a part of our caring community and help us put health firstThe Risk Management Lead role with the Contract Management Unit, part of Retail Operational Risk Management team, will be responsible for meticulously reviewing regulatory changes and new rules pertinent to the Medicaid line of business. Your primary focus will be to identify requirements and assess potential impacts on various business areas.Location: remoteThe Risk Management Lead will design, deliver, and drive internal compliance measures by overseeing implementation of operational policies and procedures that ensure adherence to evolving state and federal legislation. The role involves identifying and analyzing potential sources of loss to minimize risk and addressing problems of diverse scope and complexity, ranging from moderate to substantial.The Risk Management Lead will:• Communicate, track and support implementation efforts for applicable state and federal legislative and regulatory guidelines, many with diverse scope and complexity• Develop detailed implementation project plans in accordance with departmental standards• Facilitate work groups with cross functional team leads, utilizing documentation standards within the Legislation Regulation and Requirements (LRR) Database• Serve as backup to the Associate Director, exercising independent judgement and decision making• Review documentation for compliant policies and procedures• Work and influence across the enterprise to improve compliance and operational efficiencies• Work with minimal supervision, use independent judgement requiring analysis of variable factors and determine best course of actionUse your skills to make an impactRequired Qualifications• Bachelor's degree or equivalent experience• 8 or more years of experience in Medicare, Medicaid, risk management and/or legislative/regulatory guidance• Knowledge in regulations governing health care industries• Prior demonstrated experience in leading complex, cross-functional initiatives to improve business results• Meeting facilitation experience• Possess a solid understanding of operations, communications, and processes• Demonstrated strong background in problem-solving and analytical skills• Professional image and excellent communication skills, both oral and written• Acute attention to detail and demonstrated ability to handle deadline-driven situations• Comprehensive knowledge of all Microsoft Office applications, and proficiency with Excel, PowerPoint, Word toolsDesired Qualifications• Master’s Degree in Business Administration or other applicable graduate degree• Understanding of Corporate Policies & Procedures• Experience with Enterprise Solution Point (ESP)• PMP or Six Sigma CertificationAdditional InformationYou will report to the Associate Director of Operational Risk Management. This area is under the leadership of the Retail Segment President..Scheduled 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.$102,200 - $140,700 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.About 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.