Senior Medicaid Program Delivery Lead (Remote)

Humana; Oklahoma; Remote; USD 86,000 - 119,000; Full time

Job summary

Humana Healthy Horizons seeks a Medicaid Implementation Senior Project Manager to lead complex state Medicaid initiatives from initiation to closure. This role focuses on business processes with limited IT scope, coordinating cross-functional teams across departments and external agencies to meet timelines and budgets.

You will manage the full lifecycle, maintain documentation, and communicate status to stakeholders, while negotiating resources and mitigating risks for successful program

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.

Responsibilities

• 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.

Skills

Project management

Change management

Budget management

Microsoft Office

Communication

Regulatory/compliance knowledge

Medicaid/Medicare knowledge

Education

Bachelor's degree

Tools

Smartsheet

Jira

Job description

Humana Healthy Horizons seeks a Medicaid Implementation Senior Project Manager to lead complex state Medicaid initiatives from initiation to closure. This role focuses on business processes with limited IT scope, coordinating cross-functional teams across departments and external agencies to meet timelines and budgets.

You will manage the full lifecycle, maintain documentation, and communicate status to stakeholders, while negotiating resources and mitigating risks for successful program