[Hiring] Senior Project Manager @Humana

Role Description

Humana is seeking a Senior Project Manager position to support the growing number of projects and initiatives within the Wisconsin Medicaid Market. Reporting to the Associate Director, Project Management, you will provide project management (PM) support for several system modernization projects. You will also provide ongoing support for enterprise and WI Market projects, departmental and vendor related changes and major regulatory changes that require PM oversight. This position will not start until January, 2027.

• Oversees projects for the Wisconsin Market Compliance Department with a primary focus on managing internal and external audits.
• Designs, communicates, and implements an operational plan for completing projects, monitoring progress and performance against the project plan, and takes action to resolve operational problems and minimize delays.
• Identify, develop, and gather the resources to complete the project.
• Prepare work specifications, develops project schedules with project staff and external contractors.
• Communicate with other operational areas in the organization to secure specialized resources and contributions for the project.
• Conduct meetings and prepare reports to communicate the status of the project.
• Set priorities, allocate tasks, and coordinate project staff to meet project targets and milestones.
• Identifies audit requirements, gathers, and reviews data, and submits requirements to meet audit timelines.
• Coordinate communication with external auditors and prepare internal associates for audit interactions.
• Review audit findings, coordinates follow-up with auditors, and works with departments to develop and track remediation plans.
• Understand contractual requirements, operating systems, department functions, and policies required to conduct business and collaborate with others to support audit requirements.

Qualifications

• Bachelor's degree
• 5 or more years of project management, business, operational, or technical experience
• Project Management Professional (PMP) certification
• 1 or more years of experience leading project management best practices, contributing to PMO standards, and building organizational project management maturity
• Must reside within the State of WI or a neighboring state commutable to WI (MN, IA, IL, MI)

Requirements

• Master's degree (preferred)
• Experience working with JiraAlign and Azure Dev Ops (ADO) (preferred)
• 8 or more years of project management, business, operational, or technical experience (preferred)
• Experience leading large-scale, enterprise, or market implementation initiatives (preferred)
• Experience in healthcare, managed care, payer operations, or another highly matrixed and regulated environment (preferred)
• Experience mentoring other project managers or contributing to PMO standards, tools, and best practices (preferred)
• Experience presenting information to senior leaders to support and guide decision-making (preferred)

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
• Many other opportunities

Company Description

Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.

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.