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Humana
United States · remote · USD 138900-191000 annual
In this role, you are responsible for managing sales compliance oversight over call center and field agents, ensuring compliance with federal and state regulations. You will also oversee issue resolution, mitigation and remediation, supporting creation of robust monitoring program. While working within assigned areas to optimize business results you will:
Lead and develop a team of 4 Senior Compliance Professionals aligned with Health Plan carriers to ensure carrier expectations are met
Develop strategy and provide ongoing oversight and monitoring of agent and agency sales to ensure compliance and minimize risk for the Enterprise
Oversee processes to review agent/agency sales and allegations and determine the most appropriate and effective course of corrective action
Collaborate with Senior Sales leaders, Carriers/Payors, Agency Partners, Agents, and other Enterprise business partners
Provide consultation and guidance to sophisticated contracted sales partners
Research compliance issues and recommends changes that ensure compliance with contract obligations
Maintain relationships with Health Plan carriers
Coordinate carrier compliance implementations, as needed
To be successful in this role, you will have a proven track record as a strong, effective communicator with Senior Leadership. Additionally, the ability to thrive in a very fast-paced environment is also critical to success.
3+ years of work experience with Medicare Advantage
Apply on source siteListed via Himalayas
5+ years of management experience leading and developing a team of direct reports
Strong communication skills with the ability to influence effectively
MBA, Juris Doctor, or other graduate degree
It 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
Originally posted on Himalayas