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Humana is seeking a Senior Project Manager position to support the growing number of projects and initiatives within the Wisconsin Medicaid Market. Reporting to the Associate Director, Project Management, you will provide project management (PM) support for several system modernization projects. You will also provide ongoing support for enterprise and WI Market projects, departmental and vendor related changes and major regulatory changes that require PM oversight. This position will not start until January, 2027.
Main Responsibilities:
- Oversees projects for the Wisconsin Market Compliance Department with a primary focus on managing internal and external audits.
- Designs, communicates, and implements an operational plan for completing projects, monitoring progress and performance against the project plan, and takes action to resolve operational problems and minimize delays.
- Identify, develop, and gather the resources to complete the project.
- Prepare work specifications, develops project schedules with project staff and external contractors.
- Communicate with other operational areas in the organization to secure specialized resources and contributions for the project.
- Conduct meetings and prepare reports to communicate the status of the project.
- Set priorities, allocate tasks, and coordinate project staff to meet project targets and milestones.
- Identifies audit requirements, gathers, and reviews data, and submits requirements to meet audit timelines.
- Coordinate communication with external auditors and prepare internal associates for audit interactions.
- Review audit findings, coordinates follow-up with auditors, and works with departments to develop and track remediation plans.
- Understand contractual requirements, operating systems, department functions, and policies required to conduct business and collaborate with others to support audit requirements.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree
- 5 or more years of project management, business, operational, or technical experience
- Project Management Professional (PMP) certification
- 1 or more years of experience leading project management best practices, contributing to PMO standards, and building organizational project management maturity
- Must reside within the State of WI or a neighboring state commutable to WI (MN, IA, IL, MI)
Preferred Qualifications
- Master's degree
- Experience working with JiraAlign and Azure Dev Ops (ADO)
- 8 or more 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
Additional Information
- Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
- Travel: minimal travel to WI may be required
- Typical Work days/hours: must be available to work Monday – Friday, 8:00 am – 4:30 pm Central Standard Time (CST).
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
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.
$86,300 - $118,700 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
