Senior Risk Management Professional

Overview

Become a part of our caring community and help us put health first 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.

• Use your experience to collaborate with business owners to support compliance within the Humana Pharmacy Solutions organization. You will work with the Risk Operations and Humana Pharmacy Solutions teams to identify, track, resolve, and report out on compliance issues and risks identified in the Humana Pharmacy Solutions space.
• Supporting Medicaid and commercial pharmacy lines of business - compliance issues resolution, audits and readiness activity, communication of changes to broader team.
• Reading Medicaid contract language and managing related pharmacy implementation and process documentation activity.
• Identification of risk areas, developing corresponding audit/review recommendations, and reviewing audit output
• Develop executive-level dashboards to summarize compliance risks and key performance indicators
• Commercial and Medicaid
• Develop and maintain partnerships across Humana.

Use your skills to make an impact

• Bachelor's degree or equivalent experience
• 5 or more years of technical experience
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

40

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.

$86,300 - $118,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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.

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and Center Well 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.

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.