Medicaid Implementation Sr Business Project Manager

$84,600 - $116,300/Yr

Humana - Jackson, MS

Full-time - Mid Level

Remote - Jackson, MS

Insurance Carriers and Related Activities

About the position

The Medicaid Implementation Senior Business Project Manager at Humana Healthy Horizons is responsible for managing the business aspects of State Medicaid implementations, focusing on non-IT activities. This role requires expertise in business process change management and project management, with an emphasis on developing solutions for non-standard contractual requirements and local needs in various Medicaid markets. The position involves creating project plans, collaborating with cross-functional teams, and ensuring effective market rollouts while navigating complex situations and building strong internal relationships.

Responsibilities

• Create and manage project plans to ensure effective and timely market rollouts.
• Partner with cross functional and matrixed teams to drive key operational decisions and oversee implementation progress.
• Identify and solve problems that impact the management and direction of the business.
• Conduct research to determine structured yet flexible approaches to problem solving.
• Rapidly learn new knowledge, skills, and behaviors in response to changing circumstances.
• Navigate complex situations and independently produce high quality deliverables.
• Build and sustain relationships and inform the work of others through actionable insights.
• Plan, organize, monitor, and oversee complex network implementations utilizing matrixed and cross functional teams.
• Provide frameworks to maximize the ability of limited resources to achieve objectives and resolve issues.
• Engage in all new market implementations, understanding contract provisions to support team members on priorities and manage risks.
• Improve standard operating procedures over time to drive efficiencies for new market implementations.

Requirements

• 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.

Nice-to-haves

• 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.
• 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.

Benefits

• 401k
• Medical
• Dental
• Vision
• Tuition assistance
• Paid time off
• Company holidays
• Volunteer time off
• Paid parental leave
• Short-term disability
• Long-term disability
• Life insurance