Medicaid Implementation Senior Project Manager

Humana Inc.
Detroit, MI, United States
11 days ago
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Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Experience level
Expert
Experience required
2 years minimum
Compensation
$86,300 - $118,700
Working hours
Regular working hours

Tech stack

Agile Methodology Data Analysis JIRA Business Process Management Software Design Documents Systems Development Life Cycle Workflow Management Systems Smartsheet

Job description

The Medicaid Implementation Senior Project Manager roles and 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., Travel: While this is a remote position, occasional travel to Humana’’s offices for training or meetings may be required.

Scheduled Weekly Hours

40

Requirements

Medicaid, Project/Program Management, Medicaid, Time Management, Change Management, Budget Management, Project/Program Management, Business Process Management, Data Analysis, Problem Solving Skills, * 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., * 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 & conditions

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

Humana, Inc. and its affiliated subsidiaries (collectively, β€œHumana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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.

About the company

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 at Humana.com and at CenterWell.com.

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