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The Director of Insurance Product Compliance partners with internal stakeholders and serves as Humana liaison while drafting, filing, and negotiating approval with state and federal regulators for product-specific documents, contracts, member communications, or marketing materials, all while safeguarding Humana's brand. Supports implementation and maintenance of compliant insurance products in collaboration with responsible business owners. Decisions are typically related to the implementation of new/updated products or large-scale projects and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance for the Specialty Segment.
Job Description
The Director, Insurance Product Compliance partners with internal stakeholders and serves as Humana liaison while drafting, filing and negotiating approval with state and federal regulators for service area expansions; product-specific documents, contracts, licenses, member communications or marketing materials, all while safeguarding Humana's brand. Supports implementation and maintenance of compliant insurance products in collaboration with responsible business owners. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.
Humana is seeking a person that will lead the commercial Product Compliance organization to align business strategies and solutions with state and federal regulations. This person will build leadership relationships to influence State-Based Exchanges and Humana Operational, Product, Regulatory, Sales, and Legal leadership partners to deliver compliant insurance products.
The Director will:
* Manage team to deliver and maintain compliant products to meet the needs of the enterprise goals.
* Create a high-performing organization to execute products that meet state and federal regulations and compliance and quality throughout the organization.
* Understand and guide product development through regulatory considerations and processes.
* Works closely with legislative and legals teams. Anticipate business impact of required legislation and stays informed of potential legislation based on industry information and trends.
* Ensure products meet all state filing requirements, and appropriate approvals.
* Leads a high performing team
* Collaborate with business partners – Actuarial, Marketing, Operations, Product, Sales, and Underwriting – to ensure success.
* Effectively communicates business risks and provides proactive solutions.
Use your skills to make an impact
REQUIRED QUALIFICATIONS
* Bachelor's Degree
* Minimum 8 or more years of healthcare / insurance industry experience
* 5 years of management and/or leadership experience
* Ability to drive execution of regulations and business opportunities that require insurance product filings and maintain self-funded templates (ASO Plan Management Agreement and Summary Plan Description)
* Excellent communication skills (both written and verbal) with ability to influence effectively and write well under deadline pressures
* Ability to communicate and work effectively with C-Level executives, with associates across all levels of the organization, and reviewer-level state/federal regulators
* Ability to use strategic, innovative, and analytical measures to find creative problem resolution
* Collaborative and ability to lead and deliver results in a matrix organization
* Experience building and maintaining relationships internal and external partners
* Ensure compliance for new and existing policies, certificates, and other related forms.
Preferred Qualifications
* Juris Doctor or Masters of Business Administration, or other graduate degree.
* Experience in the healthcare product compliance industry
This role is posted remote – nationwide. Regardless of location, it is expected that this person will work East Coast hours.
Travel: While this is a remote position, occasional travel to Humana's offices for meetings may be required.
WORK AT HOME REQUIREMENTS
* To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
* At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
* Satellite, cellular and microwave connection can be used only if approved by leadership.
* Associates 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 associates 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.
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Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay 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.$150,000 - $206,300 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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:
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.