Senior Project Manager - WI Market

Humana•Work at Home - Wisconsin, WI

6d•$86,300 - $118,700•Remote

About The Position

Humana is hiring a Senior Project Manager to support projects and initiatives within the Wisconsin Medicaid Market. Reporting to the Associate Director, Project Management, this role provides project management support for system modernization projects and ongoing enterprise and Wisconsin Market projects, departmental and vendor-related changes, and major regulatory changes requiring project oversight. The position is scheduled to start in January 2027. The role primarily oversees projects for the Wisconsin Market Compliance Department, with a focus on internal and external audits. It develops and communicates project plans, coordinates staffing and resources, monitors progress, addresses operational issues, and reports project status. It also supports audit preparation and execution, including gathering and reviewing data, coordinating with external auditors, reviewing findings, and tracking remediation plans. This is a remote home-workstyle position. The employee must reside in Wisconsin or a neighboring state commutable to Wisconsin (Minnesota, Iowa, Illinois, or Michigan). Minimal travel to Wisconsin may be required, and occasional travel to Humana offices for training or meetings may also be required. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. Central Time, with 40 scheduled hours per week. Employees must have a dedicated workspace that protects member PHI/HIPAA information and self-provided internet with at least 25 Mbps download and 10 Mbps upload speeds.

Requirements

Bachelor's degree.
At least 5 years of project management, business, operational, or technical experience.
Project Management Professional (PMP) certification.
At least 1 year of experience leading project management best practices, contributing to PMO standards, and building organizational project management maturity.
Must reside in Wisconsin or a neighboring state commutable to Wisconsin: Minnesota, Iowa, Illinois, or Michigan.
Must be available Monday through Friday, 8:00 a.m. to 4:30 p.m. Central Time.
For home work, self-provided internet must provide at least 25 Mbps download and 10 Mbps upload; a dedicated workspace must protect member PHI/HIPAA information.

Nice To Haves

Master's degree.
Experience working with JiraAlign and Azure Dev Ops (ADO).
At least 8 years of project management, business, operational, or technical experience.
Experience leading large-scale enterprise or market implementation initiatives.
Experience in healthcare, managed care, payer operations, or another highly matrixed and regulated environment.
Experience mentoring other project managers or contributing to PMO standards, tools, and best practices.
Experience presenting information to senior leaders to support and guide decision-making.

Responsibilities

Oversee Wisconsin Market Compliance Department projects, primarily managing internal and external audits.
Design, communicate, and implement operational plans for project completion; monitor progress and performance against plans; and address operational problems to minimize delays.
Identify, develop, and gather the resources needed to complete projects.
Prepare work specifications and develop project schedules with project staff and external contractors.
Coordinate with other operational areas to secure specialized resources and contributions.
Conduct meetings and prepare reports communicating project status.
Set priorities, allocate tasks, and coordinate project staff to meet targets and milestones.
Identify audit requirements, gather and review data, and submit requirements within audit timelines.
Coordinate communication with external auditors and prepare internal associates for audit interactions.
Review audit findings, coordinate follow-up with auditors, and work with departments to develop and track remediation plans.
Understand contractual requirements, operating systems, department functions, and policies needed to conduct business and collaborate with others in support of audit requirements.