Remote opportunity at
HumanaMedicaid Implementation Senior Project Manager
Humana is currently looking for a Medicaid Implementation Senior Project Manager to join Humana Healthy Horizons. This full-time position operates on a remote basis, with standard…
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About This Role
Humana is currently looking for a Medicaid Implementation Senior Project Manager to join Humana Healthy Horizons. This full-time position operates on a remote basis, with standard working hours from Monday through Friday, typically 8:00 AM to 5:00 PM Eastern Time. The role focuses primarily on the business side of State Medicaid Implementations, involving minimal IT implementation duties. Ideal candidates possess a strong background in project management and business process change…
Job Description
Humana is currently looking for a Medicaid Implementation Senior Project Manager to join Humana Healthy Horizons. This full-time position operates on a remote basis, with standard working hours from Monday through Friday, typically 8:00 AM to 5:00 PM Eastern Time. The role focuses primarily on the business side of State Medicaid Implementations, involving minimal IT implementation duties. Ideal candidates possess a strong background in project management and business process change management.
As a leading healthcare company in the United States, Humana operates Humana insurance services and CenterWell healthcare services to help individuals achieve better health outcomes. The organization provides comprehensive support for millions of people, including families, individuals with Medicare and Medicaid, and military service personnel.
Responsibilities
- Plan, organize, monitor, and oversee complex projects using cross-functional teams to achieve company strategic objectives
- Manage the complete project life cycle including requirement assessment, schedule creation, resource acquisition, and budget management
- Maintain comprehensive project documentation such as meeting minutes, issue lists, risk management plans, and action items
- Communicate project status effectively to leadership, external agencies, and stakeholders
- Negotiate with stakeholders to secure resources, resolve issues, and mitigate risks
- Ensure project deliverables meet quality standards across design documents, test plans, and training materials
- Define Statements of Work and specifications for Medicaid contracts and RFPs
- Manage project and program scope, schedule, budget, and quality standards
Requirements
- Bachelor's degree or at least 5 years of experience working in a health plan or managed care healthcare system
- Minimum of 5 years of project management experience handling large initiatives
- At least 2 years of experience in change management
- Solid understanding of technology, operations, communications, and processes
- Experience working in Medicare and/or Medicaid
- Experience in claims lifecycle initiatives
- Proficiency in Microsoft Office programs
- Self-provided internet service with a minimum download speed of 25 Mbps and upload speed of 10 Mbps
- A dedicated workspace free from ongoing interruptions to protect member PHI and HIPAA information
Qualifications
- Minimum of 2 years of leadership experience within a matrixed environment
- Knowledge of Agile development methodologies, Waterfall, and Systems Development Life Cycle
- Experience in consulting services or business operations within a health plan
- Familiarity with Jira and/or Smartsheet project management tools
- Experience in workflow design and process mapping
- Experience identifying control gaps and root causes
- Certifications from the Project Management Institute, Six Sigma, and/or Prosci
Core Skills
Benefits
- Medical, dental, and vision insurance benefits
- 401(k) retirement savings plan
- Paid time off including paid parental leave, caregiver leave, personal holidays, and company holidays
- Short-term and long-term disability insurance
- Life insurance
- Bonus incentive plan based on individual and/or company performance
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this is a remote position working from a home location, though it requires up to 10% travel to a Humana office location for meetings or training.
What is the salary range for the Medicaid Implementation Senior Project Manager?
The good faith estimate for starting base pay ranges from $86,300 to $118,700 per year, and the role is eligible for a bonus incentive plan.
What are the core educational or experience prerequisites?
Applicants must have either a Bachelor's degree or at least 5 years of experience in a health plan or managed care healthcare system, alongside a minimum of 5 years of project management experience with large initiatives and 2 years of change management experience.
What are the home internet requirements for this remote role?
Employees must have a self-provided internet connection with a minimum download speed of 25 Mbps and an upload speed of 10 Mbps.
Sample Interview Questions
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