Sr. Claims Compliance Professional

Become a part of our caring community Be a part of Compliance – Use your business knowledge to help analyze and develop policies, procedures and programs supporting our compliance initiatives. As a Senior Compliance Professional, you will perform oversight audits of our claims delegates to ensure compliance with current state/federal regulations, as well as Humana standards. You will serve as the primary point of contact for assigned claims’ delegates, auditing medical, mental health and vision claims and driving corrective actions through resolution to help keep Humana and our delegates audit ready. Humana is seeking a Senior Compliance Professional to develop and maintain key relationships by working with internal and external business partners to evaluate and maintain compliance.…