Humana

Medicaid Senior Project Manager (Remote)

San Antonio, Texas, United States

Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a minimum of 3 years of progressive experience managing large and complex scale projects. Required qualifications include Agile methodology training or over 1 year of agile methodology experience, proficiency in MS Office Products (Outlook, Lync, Word, PowerPoint, Excel), strong communication, collaboration, facilitation, time management, analytical, and reasoning skills. Preferred qualifications include experience with Medicaid state implementations, PMP and/or Six Sigma certification, Project Management Institute certification, proven ability to understand capacity and plan resourcing, proven ability to understand cost benefit analysis and return on investment, and working knowledge of ServiceNow, Azure Boards, and qTest.

Responsibilities

The Medicaid Senior Project Manager will manage all aspects of projects from start to finish, ensuring completion on time and within budget, primarily supporting Medicaid state implementations. Key responsibilities include designing, communicating, and implementing operational plans, monitoring progress against project plans, resolving operational problems, minimizing delays, identifying and developing resources, preparing requirements, developing project schedules, communicating with project teams and leaders, overseeing project teams, managing conflicts, identifying and solving project issues, embodying leadership qualities, preparing resource and capacity planning, leading teams in defining project risk requirements, designing and maintaining project documentation, championing stakeholder needs, acting as an advocate for leaders, conducting meetings, preparing status reports, setting priorities, allocating tasks, and coordinating project staff.

Skills

Project Management
Medicaid
State Implementations
Operational Planning
Resource Planning
Capacity Planning
Risk Management
Stakeholder Management
Claims Administration
Payment Integrity
Budget Management
Schedule Management
Team Leadership

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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