Senior Project Manager – Medicaid Implementation

🔥 15 hours ago

🐊 Florida, Kentucky, +5 more states – Remote

🐊 Florida – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote ⚔️ Virginia – Remote

💵 $86.3k - $118.7k / year

⏰ Full Time

🟠 Senior

👷‍♀️ Project Manager

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Plan, organize, monitor, and oversee complex projects using cross-functional teams • Assist in training and perform duties as the dedicated Project Manager • Manage the full project life cycle, including requirements assessment, project planning, scheduling, resource and budget management, execution, deployment, and closure • Maintain project documentation, including meeting minutes, action items, issue lists, project plans, and risk management plans • Communicate project status to stakeholders and external agencies • Negotiate with stakeholders to identify resources, resolve issues, and mitigate risks • Coordinate cross-functional meetings • Provide functional and technical knowledge across business and technical areas • Monitor project deliverables, including design documents, test plans, training materials, and operations documentation • Provide on-site leadership for the project team by building and motivating team members • Report on project milestones, deliverables, dependencies, risks, and issues to leadership • Understand interdependencies between technology, operations, and business needs • Act as an internal quality control check and participate in quality issue resolution • Define the Statement of Work and specifications for requested Medicaid contracts/RFPs • Manage project and program expectations and delegate deliverables • Deliver effective executive-level communication • Ensure projects and programs meet scope, schedule, budget, and quality standards • Manage project/program issues and risks to mitigate impact to baseline

🎯 Requirements

• Bachelor's Degree or 5+ years working in a managed care healthcare system or health plan • 5+ years of Project Management experience working with large size initiatives • 2+ years of experience in Change Management • Solid understanding of operations, technology, communications, and processes • Experience working in Medicaid and/or Medicare • Experience in Claims Lifecycle Initiatives • Proficiency in Microsoft Office programs • 2+ years of leadership experience in a matrixed environment (preferred) • Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies (preferred) • Experience in business operations or consulting services in a health plan (preferred) • Experience with Smartsheet and/or Jira (preferred) • Experience in process mapping and workflow design (preferred) • Experience identifying root causes and control gaps (preferred) • Prosci, Six Sigma, and/or Project Management Institute certifications (preferred) • Ability to work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information • Self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Home or Hybrid Home/Office work arrangement • Remote Monday through Friday schedule, typically 8–5 pm Eastern Time Zone • Up to 10% travel to Humana office location

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