The Insurance Product Compliance Lead researches, analyzes, assesses risk and consults on rules, regulations and sub-regulatory guidance that apply to Insurance Products (i.e., Medicare Advantage, Part D, Group Specialty, and Individual Specialty), licensure or corporate structure. The Insurance Product Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
The Insurance Product Compliance Lead 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. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
Use your skills to make an impact
Required Qualifications
Experience with Medicare Advantage and/or Medicaid
Comprehensive knowledge of Microsoft Office applications: Word, Excel, PowerPoint, Adobe and Visio
Ability to summarize complex information and tailor communication based on audience (i.e., contracts, federal and state regulations)
Ability to work independently while maintaining focus and managing deliverables to meet critical internal and external deadlines
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Ability to affect change in a highly matrixed organization, leveraging data and facts to influence decision-makers
Preferred Qualifications
Experience in working with State Agencies
Understanding of State and Federal Regulations
Experience with Medicare Advantage plan and benefit offerings
Experience specific to Dual Eligible members and healthcare plans for MA DSNP product offerings
Knowledge of Humana’s internal policies, procedures and systems
Prior project management or product management experience
Additional Information
Humana Perks:
Full time associates enjoy:
Medical, Dental, Vision and a variety of other supplemental insurances
Paid time off (PTO) & Paid Holidays
401(k) retirement savings plan
Tuition reimbursement and/or scholarships for qualifying dependent children
And much more!
Social Security Task:
Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions to add the information into the application at Humana’s secure website.
Virtual Pre-Screen:
As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.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: 05-22-2026About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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.
Skills Required
- Experience with Medicare Advantage and/or Medicaid
- Comprehensive knowledge of Microsoft Office applications
- Ability to summarize complex information
- Ability to work independently
- Passionate about contributing to improving consumer experiences
Humana Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Humana and has not been reviewed or approved by Humana.
-
Healthcare Strength — Medical, dental, vision, supplemental health, and long-term care insurance are offered alongside on-site/virtual wellness resources and weekly paid well-being time, indicating a whole-person focus.
-
Leave & Time Off Breadth — Paid PTO and holidays, volunteer time, and formal leave options such as parental and caregiver time provide broad time-away support. Adoption assistance and lactation rooms extend coverage for key life events.
-
Retirement Support — A 401(k) with company match anchors long-term savings. Employer-matched emergency savings programs complement retirement planning.
Humana Insights
What We Do
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
