Senior Compliance Professional

Join Humana's compliance team in Springfield, Sangamon County, as a Senior Compliance Professional and help ensure our organization meets the highest standards of regulatory adherence and operational integrity in healthcare.

About the Role

In this position, you will manage moderate to high-complexity compliance initiatives with direct impact on our Medicare Pharmacy and Part D operations. This role demands analytical rigor, attention to regulatory detail, and the ability to evaluate multifaceted data and requirements to drive compliant business practices across our organization.

What You'll Do

• Monitor evolving government regulations and requirements affecting Medicare Part D and pharmacy operations, ensuring organizational alignment with federal compliance standards
• Conduct comprehensive compliance reviews and audits, analyzing operational data and processes to identify risks and areas for improvement
• Develop and implement compliance policies, procedures, and controls that reduce regulatory exposure and strengthen our internal control environment
• Partner with cross-functional teams across operations, pharmacy, and clinical departments to resolve compliance gaps and integrate regulatory requirements into business workflows
• Document compliance findings, prepare detailed reports for leadership and regulatory bodies, and recommend corrective actions with clear implementation timelines
• Stay current with CMS regulations, formulary rules, coverage requirements, and other healthcare compliance standards impacting our programs

What We're Looking For

• Several years of healthcare compliance experience, with demonstrated expertise in Medicare, Part D, pharmacy regulations, or related programs
• Strong analytical and research abilities, with comfort synthesizing complex regulatory guidance into actionable compliance strategies
• Clear written and verbal communication skills, with the ability to explain compliance concepts to both technical and executive audiences
• Detail-oriented mindset and a track record of managing multiple compliance projects simultaneously without compromising accuracy
• Familiarity with compliance frameworks, audit processes, and regulatory documentation requirements in the healthcare industry
• Bachelor's degree in healthcare administration, compliance, business, or related field preferred

About Humana

Humana is a leading healthcare organization committed to making healthcare work better. We serve millions of members across the country and invest in solutions that improve health outcomes and lower costs.

How to Apply

Apply directly through this listing to join our team and advance your compliance career with Humana.