Humana

Manager, Compliance

Humana(29 days ago)

RemoteFull TimeManager$104,000 - $143,000Compliance
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About this role

The Manager, Compliance ensures organizational compliance with governmental and contractual requirements, focusing on pharmacy and Medicare program areas. The role supports Medicare Pharmacy Regulatory Compliance teams and oversight of CMS audit-focused functions while applying advanced technical knowledge to resolve moderately complex issues. The Manager operates within established guidelines and collaborates across departments and with external regulators.

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Required Skills

  • Compliance
  • Regulatory Interpretation
  • Risk Assessment
  • Audit Monitoring
  • Pharmacy Claims
  • PBM Operations
  • Stakeholder Communication
  • Leadership
  • Data Analytics
  • Policy Development

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Qualifications

  • Bachelor's Degree
  • Graduate Degree (Preferred)
Humana

About Humana

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