Description
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 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.
Responsibilities:
- Plan, organize, monitor, and oversee complex projects utilizing cross-functional teams to deliver defined requirements and meet company strategic objectives.
- Manage 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.
- Maintain detailed project documentation including meeting minutes, action items, issues lists, project plans, and risk management plans.
- Provide leadership and effectively communicate project status to all stakeholders and external agencies.
- Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks.
- Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives.
- Provide functional and technical knowledge across multiple business and technical areas.
- Monitor the creation of all project deliverables to ensure adherence to quality standards.
- Provide on-site leadership for project team by building and motivating team members to meet project goals.
- Work creatively and analytically in a problem-solving environment demonstrating teamwork, innovation, and excellence.
- Provide status reporting regarding project milestones, deliverable, dependencies, risks and issues.
- Understand interdependencies between technology, operations, and business needs.
- Act as an internal quality control check for the project and participate in quality issue resolution.
- Define the Statement of Work and Specifications for the requested Medicaid Contract/RFP.
- Set and continually manage project and program expectations while delegating and managing deliverable with team members and stakeholders.
- Deliver appropriate and effective executive level communication.
- Ensure that projects and programs are proceeding according to scope, schedule, budget, and quality standards.
- Manage project/program issues and risks to mitigate impact to baseline.
Requirements:
- 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: Remote, Monday through Friday, 8-5 pm (Eastern Time Zone)
- Work Location: US Nationwide
- Travel Requirements: Up to 10% to Humana office location
- Pay Range: $86,300 - $118,700 per year
- This job is eligible for a bonus incentive plan.