Description
The Manager, Compliance – Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance – Medicaid State Reporting works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.
How we Value You
Benefits starting day 1 of employment
Competitive 401k match
Generous Paid Time Off accrual
Tuition Reimbursement
Parent Leave
Go365 perks for well-being
Responsibilities
The Manager, Compliance – Medicaid State Reporting develops and implements compliance policies and procedures and researches compliance issues as they relate to reporting; recommends changes that assure compliance with contract obligations.
- Maintains relationships with Market compliance teams.
- Coordinates implementation of new Medicaid markets and compliance with corrective action plans, as needed.
- Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving Medicaid State Reporting.
- Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.
Required Qualifications
- Bachelor’s Degree
- 2 or more years of people or project/process management leadership
- 5 or more years of Compliance experience
- Ability to work in a deadline-driven organization
- Comprehensive working knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
- Ability to manage multiple projects/assignments while working with various departments to obtain data
- Strong attention to detail
- Success in developing and managing working relationships within a highly matrixed business environment
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
- Graduate or advanced degree
- Prior experience analyzing data and metrics to influence change in departmental processes
- Prior health insurance industry experience
- Experience in data visualization tools (Power BI, Tableau, etc.)
- Medicaid experience/knowledge
Additional Information
- Hours- CST or EST
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Work-At-Home Requirements
- WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
- A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.
- Satellite and Wireless Internet service is NOT allowed for this role.
- A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.
Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from [ Email address blocked ] – Click here to apply to Manager, Compliance – Medicaid State Reporting with instructions on how to add the information into your official application on Humana’s secure website.
Scheduled Weekly Hours
40
Recommended Skills
- Attention To Detail
- Corrective And Preventive Action (Capa)
- Data Visualization
- Decision Making
- Leadership
- Medicaid