Senior Project Manager – Medicaid Implementation

This is a fully remote position, open to applicants in Florida, +6 more states.

📋 Description

• Plan, organize, monitor, and supervise intricate projects utilizing cross-functional teams.

• Assist in training and fulfill responsibilities as the dedicated Project Manager.

• Oversee the complete project life cycle, which includes requirements assessment, project planning, scheduling, resource and budget management, execution, deployment, and closure.

• Maintain comprehensive project documentation, such as meeting minutes, action items, issue lists, project plans, and risk management plans.

• Communicate project status updates to stakeholders and external agencies.

• Negotiate with stakeholders to allocate resources, address issues, and mitigate risks.

• Coordinate meetings across various functions.

• Provide both functional and technical expertise across business and technical domains.

• Monitor project deliverables, including design documents, test plans, training materials, and operations documentation.

• Offer on-site leadership for the project team, fostering team building and motivation.

• Report on project milestones, deliverables, dependencies, risks, and issues to leadership.

• Comprehend the interdependencies among technology, operations, and business requirements.

• Act as an internal quality control measure and engage in quality issue resolution.

• Define the Statement of Work and specifications for requested Medicaid contracts/RFPs.

• Manage project and program expectations while delegating deliverables.

• Provide effective communication at the executive level.

• Ensure that projects and programs adhere to scope, schedule, budget, and quality standards.

• Manage issues and risks related to projects/programs to lessen the impact on the baseline.

⛳️ Requirements

• Bachelor's Degree or 5+ years of experience in a managed care healthcare system or health plan.

• 5+ years of Project Management experience handling large-scale initiatives.

• 2+ years of experience in Change Management.

• Strong understanding of operations, technology, communications, and processes.

• Experience in Medicaid and/or Medicare.

• Experience in Claims Lifecycle Initiatives.

• Proficient in Microsoft Office applications.

• 2+ years of leadership experience in a matrixed environment (preferred).

• Familiarity with Systems Development Life Cycle, Waterfall, and Agile Development Methodologies (preferred).

• Experience in business operations or consulting services within a health plan (preferred).

• Familiarity with Smartsheet and/or Jira (preferred).

• Experience in process mapping and workflow design (preferred).

• Experience in identifying root causes and control gaps (preferred).

• Possession of Prosci, Six Sigma, and/or Project Management Institute certifications (preferred).

• Ability to work from a designated space free from ongoing interruptions to protect member PHI/HIPAA information.

• Self-provided internet service with a minimum of 25 Mbps download and 10 Mbps upload speed.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability.

• Life insurance.

• Home or Hybrid Home/Office work arrangement.

• Remote Monday through Friday schedule, typically 8–5 pm Eastern Time Zone.

• Up to 10% travel to Humana office location.