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Job Details

Senior Compliance Professional

Experience
3 yrs required

Location
Portland, OR, United States

Posted on
Nov 27, 2022

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Senior Compliance Professional
Duties: The candidate will analyze business requirements, provide research and regulatory interpretation, and advise internal business units and external business partners in delivering results in a manner that minimizes compliance risk exposure for the Company. Cultivate relationships with key partners to ensure compliance alignment on strategic initiatives. Research, understand and apply laws, regulations, and regulatory guidance as applicable for pharmacy services across various segments. Conduct risk assessments and perform auditing and monitoring activities to prevent and detect issues of noncompliance and provide guidance on remedial actions to strengthen compliance controls and ensure compliance with state and federal laws and regulations. Develop and track compliance metrics to help monitor and detect potential compliance issues. Present findings of monitoring and auditing efforts to business partners and Enterprise Compliance leaders and track issue to ensure appropriate and timely remediation. Oversee development and progress of issue remediation; review and analyze documents and data to identify what can be used to evidence meeting regulatory standards; Provide back-up and support to other Enterprise Compliance team members and perform other duties, as needed. Work across Humana operational units and product lines to enhance data analytics and operational improvement efforts.

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