
CenterWell PCO, Senior Compliance Professional - Remote
Welcome to CenterWell, where we are dedicated to providing exceptional healthcare services to our patients. We are currently seeking a highly experienced and qualified Senior Compliance Professional to join our team remotely at Humana. As a Senior Compliance Professional, you will play a critical role in ensuring that our organization remains compliant with all regulations and standards. Our ideal candidate is a detail-oriented and knowledgeable individual who is passionate about maintaining ethical and legal standards in the healthcare industry. If you are a self-motivated team player with strong analytical skills and a commitment to excellence, we encourage you to apply for this position.
- Develop and implement compliance policies and procedures in accordance with industry regulations and standards.
- Monitor and assess the effectiveness of existing compliance programs and identify areas for improvement.
- Conduct regular audits and risk assessments to identify potential compliance issues and develop corrective action plans.
- Stay updated on changes in regulations and laws related to the healthcare industry and ensure the organization is in compliance.
- Provide guidance and training to employees on compliance policies and procedures.
- Investigate any reported compliance violations or concerns and take appropriate action to address them.
- Collaborate with other departments to ensure compliance is integrated into all aspects of the organization's operations.
- Prepare and submit reports to management and regulatory agencies on compliance issues and progress.
- Maintain confidentiality and handle sensitive information in a professional and ethical manner.
- Serve as a subject matter expert on compliance matters and provide guidance to leadership on potential risks and solutions.
- Foster a culture of compliance and ethical behavior throughout the organization.
- Represent the organization in compliance-related meetings and forums with external stakeholders.
- Conduct regular self-assessments and evaluations to ensure the organization is meeting all compliance requirements.
- Act as a liaison between the organization and regulatory agencies, responding to inquiries and requests for information.
- Mentor and train junior compliance professionals and provide support and guidance as needed.
Extensive Knowledge Of Healthcare Compliance Regulations: The Ideal Candidate For This Role Should Possess A Deep Understanding Of The Complex And Ever-Changing Regulatory Landscape In The Healthcare Industry. This Includes But Is Not Limited To Hipaa, Medicare, And Medicaid Regulations.
Strong Analytical And Problem-Solving Skills: As A Centerwell Pco, Senior Compliance Professional, The Individual Will Be Responsible For Identifying And Resolving Compliance Issues. Therefore, They Should Have The Ability To Analyze Data And Make Sound Decisions To Ensure Compliance.
Excellent Communication Skills: This Remote Role Requires Regular Communication With Various Stakeholders, Including Internal Teams And External Partners. The Candidate Should Possess Excellent Written And Verbal Communication Skills To Effectively Convey Complex Compliance Information.
Experience In Risk Management: The Ideal Candidate Should Have Experience In Identifying And Mitigating Compliance Risks. They Should Be Able To Develop And Implement Risk Management Strategies To Ensure The Organization's Compliance With Regulations.
In-Depth Knowledge Of Humana's Policies And Procedures: As A Member Of The Humana Team, The Candidate Should Have A Thorough Understanding Of The Company's Policies And Procedures. This Includes Compliance Policies And Procedures, As Well As The Company's Code Of Conduct.
Quality Assurance
Process Improvement
Project Management
Data Analysis
Case management
Risk assessment
Investigative skills
Audit management
Regulatory compliance
Policy Development
Training And Education
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Teamwork
Adaptability
Problem-Solving
Decision-making
According to JobzMall, the average salary range for a CenterWell PCO, Senior Compliance Professional - Remote is $85,000 to $100,000 per year. However, this can vary depending on factors such as experience, location, and company. Some companies may offer higher salaries for this role, while others may offer lower salaries. It is important to research the specific company and their salary range for this position.
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Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.

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