1+ months

HCS Compliance & Risk Management Senior Professional

Humana
Colorado Springs, CO 80932
  • Jobs Rated
    23rd
**Description** The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Risk Management Professional estimates the potential financial consequences of an occurring loss. Develops and implements controls and cost-effective approaches to minimize the organization's risks. Assesses and communicates information regarding business risks with functions across the organization. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. **Assignment Capsule** Use your experience in process consulting to support compliance within the Healthcare Services (HCS) organization. As a HCS Compliance & Risk Management Professional, you will work with the Clinical Operations teams and HCS Chief Medical Office to provide assurance around the effectiveness and efficiency of Medicare/Medicaid compliance and operational processes: + Research new or emerging regulatory guidance, work with operations to ensure timely implementation, and validate effectiveness of implementation. + Perform targeted audits/reviews of processes and documentation to identify operational and compliance risks/gaps; develop, oversee, and validate implementation of remediation activities. + Develop a comprehensive understanding of operational processes; document process narratives and identify key internal controls to ensure ongoing compliance. + Work with business partners to develop comprehensive remediation plans for issues identified internally and by Regulatory Compliance or Internal Audit. Support the implementation of remediation plans and validation of effectiveness prior to submission for closure review. + Build and maintain key working relationships across Humana related to your assigned functional area; consult with operations on ad hoc compliance/operational inquiries and requests for guidance. + Support internal and external audit activity as a subject matter expert on processes and controls under review - facilitate the remediation of audit findings by providing recommendations and parting with business owners to ensure plans are implemented timely and effectively. + Actively partner with Regulatory Compliance, Internal Audit, and the Chief Risk Office, as required. **Role Essentials** + Bachelor's degree in Business, Nursing, or equivalent experience in a related field + Internal/External Audit, process improvement or and/compliance oversight experience + Successful track record in building and maintaining positive cross-functional relationships + Likes to focus on the "big picture" and thrives in a fast paced, independent, multi-project work environment + Excellent communication skills, both oral and written + Proficiency in Microsoft Word, Excel, PowerPoint, Outlook **Role Desirables:** + Knowledge of regulations governing health care industries + Experience utilizing Microsoft Visio + Certification in area of expertise **Scheduled Weekly Hours** 40 <>

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Jobs Rated Reports for Compliance Officer

Posted: 2021-01-20 Expires: 2021-03-21

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HCS Compliance & Risk Management Senior Professional

Humana
Colorado Springs, CO 80932

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Compliance Officer
23rd2019 - Compliance Officer
Overall Rating: 23/199
Median Salary: $67,870

Work Environment
Very Good
22/220
Stress
Very Low
2/220
Growth
Poor
176/220
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