[Remote] Lead Project Manager-Clinical Operations at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor’s degree or 3 or more years of project leadership experience
Proficient in project management tools and methodologies
Proven experience leading multi-workstream initiatives with diverse stakeholder groups in a matrixed organization
Excellent problem-solving and critical-thinking skills; able to manage ambiguity and make sound decisions
PMP certification, Lean Six Sigma or Agile experience a plus
Exceptional communication, collaboration, and stakeholder management abilities
Experience in healthcare
Ability to provide a high-speed DSL or cable modem for a home office
Minimum standard internet speed of 25x10 (25mpbs download x 10mpbs upload)

Responsibilities

Design, communicate, and implement comprehensive operational plans for Medicare and Duals-related programs and projects
Lead multiple complex initiatives simultaneously, ensuring alignment with strategic goals and compliance requirements
Collaborate with stakeholders across cross-functional teams to provide strategic consulting and guidance
Monitor project progress and performance, proactively identifying and resolving issues to prevent delays and ensure successful delivery
Develop program and project schedules, budgets, forecasts, and work specifications
Coordinate internal and external resources, including vendors and contractors, to achieve project milestones
Facilitate cross-program communication with leaders to manage interdependencies and ensure alignment across initiatives
Conduct regular status meetings and prepare executive-level reports and presentations on program health, risks, and mitigation strategies
Set priorities and allocate tasks, providing direction to project staff and cross-functional stakeholders
Exercise independent judgment and decision-making on complex and variable issues with minimal supervision
Advise senior leadership on strategic, segment-specific approaches to program management

Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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