Senior Project Manager, Healthcare; Medicare​/Medicaid

Become a part of our caring community and help us put health first

Humana Healthy Horizons is seeking a Senior Implementation Business Project Manager to manage a specific defined business area (non-IT) within Humana. This role mainly focuses on the "Business" side of implementations with limited scope in the IT implementation activities. This is NOT a traditional Project Manager role.

The Senior Implementation Business Project Manager will serve as a subject matter expert and provide oversight to the development of solutions to relevant non-standard contractual requirements and/or local needs of each market. Individuals with business process change management and project management are best suited for this role. The Senior Implementation Business Project Manager key roles and responsibilities include:

• Create and manage project plans to ensure effective and timely market rollouts. Prioritize work and elevate risks or barriers as needed.
• Partner with cross functional and matrixed teams to drive key operational decisions, oversee implementation progress and milestones, and other project management functions.
• Identify and solve problems that impact the management and direction of the business.
• Adept at research to determine the structured yet flexible approach to problem solving.
• Rapidly learn new knowledge, skills, and behaviors in response to changing circumstances.
• Ability to navigate complex situations and independently produce high quality deliverables.
• Build/sustain relationships and inform the work of others through actionable, objective insights.
• Plan, organize, monitor, and oversee complex network implementations utilizing matrixed and cross functional teams to deliver defined requirements and meet company strategic objectives.
• Forward thinking, capable of providing frameworks to maximize ability of limited resources to achieve objectives and resolve issues.
• Build and maintain strong internal working relationships at all levels of the organization and across the Enterprise; leverage these relationships in helping to drive innovation and effective operations for Humana.
• Engage in implementations, ad hoc projects, within assigned scope of responsibilities to understand requirements, to support and guide team members on priorities and help them manage risks and escalations.
• Improve standard operating procedures over time to drive efficiencies and repeatable processes for implementations.

• Bachelor's degree, or 5 years of relevant work experience.
• 5+ years of formal Project Management experience working with large size initiatives.
• 2+ years of experience in Change Management.
• 3+ years working in a managed care healthcare system or health plan.
• Experience working in Medicaid and/or Medicare.

• 3+ 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
• Possess a solid understanding of operations, technology, communications and processes.
• Proficiency in Microsoft Office programs.
• Experience with Smartsheet (PM tool)
• Experience working in Medicaid/Medicare implementation.
• Prosci, Six Sigma, and/or Project Management Institute certifications.

• Schedule/Time Zone: Monday through Friday - Typically, 8-5 pm
• Work Location: US Nationwide
• Work Style: Remote, must work hours within the eastern time zone
• Travel Requirements: Up to 10% to Humana office locations

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.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Human…