Medicaid Implementation Sr Business Project Manager - Humana
Nashville, TN
About the Job
Become a part of our caring community and help us put health first
Humana Healthy Horizons is seeking a Medicaid Implementation Senior Business Project Manager to manage a specific defined business area (non-IT) within Humana. This role mainly focuses on the "Business" side of State Medicaid Implementations with very limited scope in the IT implementation activities. This is NOT a traditional Project Manager role. Individuals with business process change management and project management are best suited for this role.
The Medicaid Implementation Senior 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 Medicaid market.
The Medicaid Implementation Senior Business Project Manager key roles and responsibilities include:
+ Create and manage project plans to ensure effective and timely market rollouts. Prioritize work and escalate 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 Medicaid.
+ Engage in all new market implementations, including understanding contract provisions, 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 new market implementations.
Use your skills to make an impact
Required Qualifications
+ Must reside in the eastern or central standard time zones in the United States.
+ 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.
Preferred Qualifications
+ 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 working in Medicaid implementation.
+ Prosci, Six Sigma, and / or Project Management Institute certifications.
Work at Home Requirements
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Additional Information
+ Travel : Up to 25% to Humana office locations.
+ Workstyle: Remote, must work hours within the eastern time zone.
+ Core Workdays & Hours: Typically, 8-5 pm Monday – Friday; Eastern Standard Time (EST)
+ Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.....
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$84,600 - $116,300 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Humana Healthy Horizons is seeking a Medicaid Implementation Senior Business Project Manager to manage a specific defined business area (non-IT) within Humana. This role mainly focuses on the "Business" side of State Medicaid Implementations with very limited scope in the IT implementation activities. This is NOT a traditional Project Manager role. Individuals with business process change management and project management are best suited for this role.
The Medicaid Implementation Senior 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 Medicaid market.
The Medicaid Implementation Senior Business Project Manager key roles and responsibilities include:
+ Create and manage project plans to ensure effective and timely market rollouts. Prioritize work and escalate 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 Medicaid.
+ Engage in all new market implementations, including understanding contract provisions, 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 new market implementations.
Use your skills to make an impact
Required Qualifications
+ Must reside in the eastern or central standard time zones in the United States.
+ 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.
Preferred Qualifications
+ 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 working in Medicaid implementation.
+ Prosci, Six Sigma, and / or Project Management Institute certifications.
Work at Home Requirements
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Additional Information
+ Travel : Up to 25% to Humana office locations.
+ Workstyle: Remote, must work hours within the eastern time zone.
+ Core Workdays & Hours: Typically, 8-5 pm Monday – Friday; Eastern Standard Time (EST)
+ Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.....
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$84,600 - $116,300 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana
