Medicaid Implementation Senior Project Manager

Humana•Oklahoma City, MI

1d•$86,300 - $118,700•Remote

About The Position

Humana Healthy Horizons is seeking a Medicaid Implementation Senior Project Manager to manage projects from initiation through completion, ensuring they are delivered on time and within budget. The role focuses primarily on the business side of State Medicaid implementations, with limited involvement in IT implementation activities. It involves moderately complex to complex work requiring in-depth evaluation of variable factors. Candidates with business process change management and project management experience are well suited to the position. The Senior Project Manager leads cross-functional teams and manages the full project life cycle, including requirements assessment, planning and scheduling, resource and budget management, execution, deployment, and closure. The role maintains project documentation, communicates with stakeholders and external agencies, coordinates cross-functional activities, monitors deliverables and quality, and manages project scope, schedule, budget, risks, and issues. It also supports Medicaid contract and RFP Statements of Work and specifications, facilitates effective executive-level communication, and helps ensure projects meet company objectives and stakeholder expectations.

Requirements

Bachelor's degree or at least 5 years working in a managed care healthcare system or health plan.
At least 5 years of project management experience working with large initiatives.
At least 2 years of change management experience.
Solid understanding of operations, technology, communications, and processes.
Experience working in Medicaid and/or Medicare.
Experience with claims lifecycle initiatives.
Proficiency in Microsoft Office programs.

Nice To Haves

At least 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 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.

Responsibilities

Plan, organize, monitor, and oversee complex projects using cross-functional teams to deliver defined requirements and meet strategic objectives.
Assist in training and perform duties as the dedicated Project Manager.
Manage the full project life cycle, including assessing requirements, creating project plans and schedules, obtaining and managing resources, managing budgets, and facilitating execution, deployment, and closure.
Maintain detailed project documentation, including meeting minutes, action items, issue lists, project plans, and risk management plans.
Provide leadership and communicate project status to stakeholders and external agencies.
Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks.
Coordinate cross-functional meetings to meet stakeholder expectations and company objectives.
Provide functional and technical knowledge across multiple business and technical areas.
Monitor project deliverables to ensure quality standards, including design documents, test plans, training materials, and operations documentation.
Provide on-site leadership for the project team, building and motivating team members to meet goals, responsibilities, and milestones.
Work creatively and analytically in a problem-solving environment, demonstrating teamwork, innovation, and excellence.
Report on project milestones, deliverables, dependencies, risks, and issues across leadership.
Understand interdependencies among technology, operations, and business needs.
Act as an internal quality control check and participate in quality issue resolution.
Define the Statement of Work and specifications for requested Medicaid contracts and RFPs.
Set and manage project and program expectations, delegating and managing deliverables with team members and stakeholders.
Deliver appropriate and effective executive-level communication.
Ensure projects and programs proceed according to scope, schedule, budget, and quality standards.
Manage project and program issues and risks to mitigate impacts to the baseline.