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Role Description

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.

• Collaborate with business owners to support compliance within the Humana Pharmacy Solutions organization.
• Work with the Risk Operations and Humana Pharmacy Solutions teams to identify, track, resolve, and report on compliance issues and risks.
• Support Medicaid and commercial pharmacy lines of business - compliance issues resolution, audits and readiness activity, communication of changes to broader team.
• Read Medicaid contract language and manage related pharmacy implementation and process documentation activity.
• Identify risk areas, develop corresponding audit/review recommendations, and review audit output.
• Develop executive-level dashboards to summarize compliance risks and key performance indicators.
• Develop and maintain partnerships across Humana.

Qualifications

• 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.

Requirements

• While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
• Scheduled Weekly Hours: 40.

Benefits

• Competitive benefits that support whole-person well-being.
• 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.

Company Description

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.