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Compliance Lead (Pharmacy) at Humana - ApplyBlast

Compliance Lead (Pharmacy)

Humana

4 months ago

3.6 on Glassdoor

Remote

Full Time

Senior

5 applicants

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About this role

The Compliance Lead (Pharmacy) develops and implements compliance policies for Medicare Part B and D operations within Humana's Pharmacy Benefit Manager structure, including mail-order and specialty dispensing. The role involves interpreting complex regulatory guidance, conducting risk assessments, and monitoring pharmacy performance to ensure full compliance and minimize enterprise risk. Reports directly to the Associate Director of Compliance while collaborating across departments and with external government agencies.

Responsibilities

Develop and implement compliance policies for Medicare Parts B and D
Interpret complex regulatory guidance and contract requirements
Conduct risk assessments and monitor pharmacy performance
Coordinate implementation of corrective action plans with regulators
Lead cross-departmental collaboration on delegated partner initiatives

Skills

Qualifications

Bachelor's DegreeFive Years Pharmacy ExperienceFour Years Compliance ExperienceCHC or CCEP CertificationPharmD or Juris Doctorate Preferred

About Humana

humana.com

Headquarters

Louisville, Kentucky, United States

Company Size

10001+ employees

Founded

1961

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