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Innovative Financial Group (IFG), a wholly owned Field Marketing Organization (FMO) and subsidiary of Humana, is looking for an experienced leader who specializes in Medicare Advantage to join the Compliance Team as an Associate Director of Carrier Compliance. Reporting to the Director of Compliance, you will. As an Associate Director, you will be part of a fast-growing team who monitors sales interactions and maintains key relationships internally with IFG leaders as well as externally with our business partners and agents.In this role, you are responsible for managing sales compliance oversight over call center and field agents, ensuring compliance with federal and state regulations. You will also oversee issue resolution, mitigation and remediation, supporting creation of robust monitoring program. While working within assigned areas to optimize business results you will:Lead and develop a team of 4 Senior Compliance Professionals aligned with Health Plan carriers to ensure carrier expectations are metDevelop strategy and provide ongoing oversight and monitoring of agent and agency sales to ensure compliance and minimize risk for the EnterpriseOversee processes to review agent/agency sales and allegations and determine the most appropriate and effective course of corrective actionCollaborate with Senior Sales leaders, Carriers/Payors, Agency Partners, Agents, and other Enterprise business partnersProvide consultation and guidance to sophisticated contracted sales partnersResearch compliance issues and recommends changes that ensure compliance with contract obligationsMaintain relationships with Health Plan carriersCoordinate carrier compliance implementations, as neededTo be successful in this role, you will have a proven track record as a strong, effective communicator with Senior Leadership. Additionally, the ability to thrive in a very fast-paced environment is also critical to success.Required QualificationsBachelor's Degree3+ years of work experience with Medicare Advantage5+ years of management experience leading and developing a team of direct reportsStrong communication skills with the ability to influence effectivelyPreferred QualificationsMBA, Juris Doctor, or other graduate degreeWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Description of BenefitsHumana, 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About usAbout 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.
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