Associate Director, Regulatory Intake Compliance
Humana
Become a part of our caring community and help us put health first
The Associate Director, Compliance ensures compliance with governmental requirements. The Associate Director, Compliance requires a solid understanding of how organization capabilities interrelate across department(s).This is a remote position however the candidate will be required to work in either Central or Eastern Time.
Associate Director, Regulatory Intake Compliance is responsible for enterprise-wide regulatory monitoring, including communication of new or amended regulations, as well as implementing and maintaining a quality assurance and validation process post-implementation. The Associate Director shall oversee a team of professional subject matter experts and further advise internal business units in a manner that demonstrates operational value and reduces compliance risk exposure for the organization.
The Associate Director, Regulatory Intake Compliance will be responsible for/to:
- Develop, execute, or maintain relevant policies, procedures, and workflows for the department operations
- Responsible for understanding and working within Enterprise Solution Point (ESP) data, including risk assessment and scoring methodology and reporting or dashboard management using the LRR module.
- Responsible for ongoing analytics in support of ongoing process improvement.
- Responsible for coordinating inter-departmental committees, forums or other meetings to achieve execution excellence.
- Maintains relationships with internal and external stakeholders, including government regulators and external vendor partners.
- Manages a team of subject matter experts and oversees coordination of new or changed regulatory summary development and distribution and implementation validation.
- Serves as a leader, responsible for making decisions related to identifying and resolving complex technical and operational problems within the department, and could lead multiple managers or highly specialized professional associates.
- Rethink routine to align team processes to add value and support of overall organizational goals or strategy and provide on-going oversight and monitoring of team performance to well defined metrics.
- Identify process improvement opportunities based on data analysis and comprehensive risk assessment and scoring process.
- Develop and oversee regulatory implementation validation and quality assurance process.
- Work across departments and business segments to enhance reporting, trend analysis and operational improvement efforts.
- Build relationships with aligned leaders and partners across the enterprise.
- Responsible for making staffing decisions, training and overall performance of the team.
- Development of consistent processes, procedures, and platform for an end-to-end regulatory process including intake, analysis, distribution, implementation and testing.
- Defines metrics to track and report volume, timeliness, risks, and issues of distribution and implementation of new/changing regulations.
- Development of post-implementation compliance assessment program to test controls and compliance with regulations.
- Build a high-performance team that includes clear roles/responsibilities, training and a quality assurance program to monitor and improve team performance.
Use your skills to make an impact
Required Qualifications
Bachelor's Degree
6 or more years of technical experience
2 or more years of management experience
Advanced experience working in compliance, risk management, or managed-care field
Strong communication skills with the ability to influence effectively
Ability to exercise strong personal and professional judgment
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Leadership experience in compliance, risk management or related areas, highly preferred
MBA, Juris Doctor, or other graduate degree
Additional Information
SSN Alert Statement
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana’s secure website.
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 08-11-2025
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.