Compliance Professional 2

Location: Remote Nationwide

Become a part of our caring community

Humana is seeking a Compliance Professional 2 to support Medicare and Medicaid compliance activities with a primary focus on Payment Integrity financial recovery processes. This role is responsible for helping ensure adherence to regulatory, contractual, and internal requirements through proactive monitoring, reporting, and collaboration across business areas.

Compliance Professional 2 will serve as a liaison to CAPI business areas and other cross-functional partners to promote clear communication, effective oversight, and operational consistency.

Success in this role requires strong attention to detail, timely execution, sound judgment, and working knowledge of Medicare and Medicaid requirements. This position also supports continuous improvement efforts, including identifying and assisting with automation opportunities that enhance compliance monitoring and reporting.

Where you Come In

This role supports Humana’s strategic initiative of enhancing the Payment Integrity Compliance framework with a focus on financial recovery related processes. The addition of a Compliance Professional 2 is essential for ensuring effective compliance monitoring, process improvement, operational efficiency, and risk mitigation.

Success in this role requires timely execution, strong attention to detail, and familiarity with the Medicare and Medicaid lines of business.