Medicaid Implementation Senior Project Manager

Humana, Inc.; Richmond (VA); Remote; USD 86,000 - 119,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off

Job summary

Humana, Inc. seeks a Medicaid Implementation Senior Project Manager to manage all aspects of a project from start to finish, ensuring on-time, on-budget delivery with a business-focused scope for state Medicaid implementations.

The role requires 5+ years in project management, Medicaid/Medicare experience, and strong change management skills. Remote-friendly schedule (Eastern Time), travel up to 10%, and a competitive benefits package accompany a 40-hour workweek.

Qualifications

• Bachelor's degree or 5+ years in a managed care healthcare system or health plan.
• 5+ years of Project Management experience with large initiatives.
• 2+ years of Change Management experience.
• Solid understanding of operations, technology, communications and processes.
• Experience in Medicaid and/or Medicare.

Responsibilities

• Manage all aspects of a project from start to finish within time and budget.
• Focus on the business side of State Medicaid implementations with limited IT scope.

Skills

Project management

Change management

Operations understanding

Medicaid/Medicare experience

Microsoft Office

Education

Bachelor's degree or equivalent

Tools

Smartsheet

Jira

Job 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.

Use your skills to make an impact

Required 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.

Preferred Qualifications

• 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.

Additional Information

• Schedule/Time Zone: Remote:Monday through Friday - Typically, 8-5 pm (Eastern Time Zone)

• Work Location: US Nationwide

• Travel Requirements: Up to 10% to Humana office location

Work 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.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$86,300 - $118,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

• 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

About us

About 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 atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.