[Hiring] Medicaid Implementation Senior Project Manager @Humana

Role Description

Become a part of our caring community. Humana Healthy Horizons is seeking a Medicaid Implementation Senior Project Manager to manage all aspects of a project, from start to finish, so that it is completed on time and within budget. The Medicaid Implementation Senior Project Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This role mainly focuses on the "Business" side of State Medicaid Implementations with very limited scope in the IT implementation activities. Individuals with business process change management and project management are best suited for this role.

• Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.
• Assists in training and perform duties as the dedicated Project Manager.
• Manages the full project life cycle, including review of various sources to assess requirements, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment, and closure.
• Maintains detailed project documentation including meeting minutes, action items, issues lists, project plans, and risk management plans.
• Provides leadership and effectively communicate project status to all stakeholders and external agencies.
• Negotiates with project stakeholders to identify resources, resolve issues, and mitigate risks.
• Coordinates cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives.
• Provides functional and technical knowledge across multiple business and technical areas.
• Monitors the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation.
• Provides on-site leadership for project team by building and motivating team members to meet project goals, adhering to their responsibilities and project milestones.
• Works creatively and analytically in a problem-solving environment demonstrating teamwork, innovation, and excellence.
• Provides status reporting regarding project milestones, deliverable, dependencies, risks and issues, communicating across leadership.
• Understands interdependencies between technology, operations, and business needs.
• Acts as an internal quality control check for the project and participates in quality issue resolution.
• Defines the Statement of Work and Specifications for the requested Medicaid Contract/RFP.
• Sets and continually manages project and program expectations while delegating and managing deliverable with team members and stakeholders.
• Delivers appropriate and effective executive level communication.
• Ensures that projects and programs are proceeding according to scope, schedule, budget, and quality standards.
• Manages project/program issues and risks to mitigate impact to baseline.

Qualifications

• 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.
• Possess a 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.

Requirements

• 2+ years of leadership experience in a matrixed environment.
• Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies.
• Experience in business operations or consulting services in a health plan.
• Experience with Smartsheet (PM tool) and/or Jira.
• Experience in Process mapping and workflow design.
• Experience Identifying root causes and control gaps.
• Prosci, Six Sigma, and/or Project Management Institute certifications.

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, paid parental and caregiver leave).
• Short-term and long-term disability.
• Life insurance and many other opportunities.

Company Description

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.