Senior Project Manager - State Gov Provider Management System - Remote

UnitedHealth Group•Tampa, FL

17h•$112,700 - $193,200•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Project Manager will serve as the lead delivery manager for a State Government Medicaid provider management system, overseeing planning, execution, governance, stakeholder coordination, risk management, and implementation readiness across the full project lifecycle. This role requires strong Medicaid program knowledge, experience managing large-scale public-sector technology initiatives, and the ability to coordinate business, technical, vendor, and State agency stakeholders to deliver high-quality outcomes aligned with program objectives. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

(PMP) Project Management Professional certification
10+ years of project management experience leading complex technology, healthcare, or public-sector initiatives
10 + years of experience with project management disciplines, including scope management, schedule management, risk and issue management, budget tracking, quality management, communications, governance, and change control
10+ years of experience managing system implementation activities across requirements, design, development/configuration, testing, training, deployment, and operational transition
5+ years of experience supporting Medicaid, Health and Human Services, MMIS, Medicaid Enterprise Systems, provider enrollment, provider management, or related healthcare administration systems. Including working knowledge of Medicaid program operations, provider lifecycle processes, federal and State compliance considerations, and healthcare data privacy/security requirements
5+ years of experience leading large, multi-stakeholder projects for State government or other public-sector clients
5+ years of experience coordinating vendors, system integrators, business stakeholders, technical teams, and executive leadership
Experience driving initiatives independently, influencing stakeholders, and leading through ambiguity
Proficiency with MS Project and MS Office Suite
Proven aptitude with project management tools, collaboration platforms, reporting dashboards
Proven ability to translate business needs, requirements, State policies, initiatives and operational priorities into actionable project plans and delivery activities
Proven solid written and verbal communication skills, including the ability to prepare executive-level status reports, decision materials, risk summaries, and stakeholder communications
Demonstrates transparent program leadership by openly communicating progress, decisions, and challenges; proactively identifies and mitigates risks before they impact delivery; takes initiative to drive solutions and continuous improvement; and fosters a culture of strong team accountability, ensuring commitments are owned, tracked, and consistently met
Demonstrated ability to manage competing priorities, resolve conflicts, escalate issues appropriately, and drive decisions in a complex delivery environment
Proven track record of identifying and managing risks proactively, with demonstrated success in delivering initiatives on time and within scope
Proven solid background in fostering team accountability, performance management, and ownership across diverse teams

Nice To Haves

Certifications such as PMI-ACP, Certified ScrumMaster, SAFe, ITIL, Prosci, or related delivery, change management, or service management credentials
Experience leading provider management, provider enrollment, or provider data modernization initiatives within a Medicaid Enterprise System environment
Direct experience with CMS certification, Medicaid Information Technology Architecture, State Medicaid agency governance, or federal funding processes
Experience with modular Medicaid solutions, system integration, data conversion, master provider data, provider portals, workflow automation, and rules-based processing
Experience with provider screening, enrollment, credentialing, revalidation, sanctions/exclusions, taxonomy, National Provider Identifier, and ownership/disclosure workflows
Experience managing Agile, waterfall, or hybrid delivery approaches in a regulated government technology environment
Experience using tools such as Microsoft Project, ServiceNow, SharePoint, or similar project delivery and reporting platforms
Familiarity with Medicaid managed care, claims operations, financial management, program integrity, care management, or eligibility system interfaces

Responsibilities

Lead the end-to-end delivery of a Medicaid provider management system, including provider enrollment, screening, credentialing, maintenance, revalidation, termination, and provider data management capabilities
Develop, manage, and maintain integrated project plans, schedules, milestones, dependencies, deliverables, resource plans, and implementation roadmaps
Establish and manage project governance, including status reporting, executive briefings, steering committee materials, decision logs, issue escalation, and action item tracking
Coordinate across State Medicaid leadership, program operations, policy teams, fiscal agents, managed care stakeholders, vendors, system integrators, and technical delivery teams
Oversee requirements definition, business process design, solution configuration, testing, data conversion, training, operational readiness, and implementation activities
Manage project scope, schedule, budget, quality, risks, issues, assumptions, and change requests to ensure delivery remains aligned with State priorities and contractual commitments
Facilitate cross-functional workgroups and decision-making sessions to resolve business, technical, policy, and operational issues
Ensure project activities support applicable Medicaid regulations, State policy requirements, CMS guidance, MITA alignment, HIPAA requirements, and security/privacy standards
Partner with technical teams to support interface planning, data integration, reporting, system testing, defect resolution, and production readiness
Drive stakeholder communication and change management to support adoption by State staff, providers, call centers, provider relations teams, and operational users
Monitor vendor performance, deliverable quality, contractual obligations, service levels, and corrective actions as needed
Support procurement, contract management, deliverable review, acceptance criteria validation, and documentation of formal approvals
Lead readiness assessments, go-live planning, cutover coordination, contingency planning, and post-implementation stabilization activities
Mentor project team members, promote accountability, and foster a collaborative delivery culture focused on transparency, quality, and continuous improvement