Medicaid Implementation Senior Project Manager
Humana
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Humana Healthy Horizons is seeking a Medicaid Implementation Senior Project Manager to manage all aspects of a project, from start to finish, so that it is completed on time and within budget. The Medicaid Implementation Senior Project Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This role mainly focuses on the "Business" side of State Medicaid Implementations with very limited scope in the IT implementation activities. Individuals with business process change management and project management are best suited for this role.The Medicaid Implementation Senior Project Manager roles and responsibilities:
- Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.
- Assists in training and perform duties as the dedicated Project Manager.
- Manages the full project life cycle, including review of various sources to assess requirements, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment, and closure.
- Maintains detailed project documentation including meeting minutes, action items, issues lists, project plans, and risk management plans.
- Provides leadership and effectively communicate project status to all stakeholders and external agencies.
- Negotiates with project stakeholders to identify resources, resolve issues, and mitigate risks.
- Coordinates cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives.
- Provides functional and technical knowledge across multiple business and technical areas.
- Monitors the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation.
- Provides on-site leadership for project team by building and motivating team members to meet project goals, adhering to their responsibilities and project milestones.
- Works creatively and analytically in a problem-solving environment demonstrating teamwork, innovation, and excellence.
- Provides status reporting regarding project milestones, deliverable, dependencies, risks and issues, communicating across leadership.
- Understands interdependencies between technology, operations, and business needs.
- Acts as an internal quality control check for the project and participates in quality issue resolution.
- Defines the Statement of Work and Specifications for the requested Medicaid Contract/RFP.
- Sets and continually manages project and program expectations while delegating and managing deliverable with team members and stakeholders.
- Delivers appropriate and effective executive level communication.
- Ensures that projects and programs are proceeding according to scope, schedule, budget, and quality standards.
- Manages project/program issues and risks to mitigate impact to baseline.
Use your skills to make an impact
Required Qualifications
- Bachelor's Degree or 5+ years working in a managed care healthcare system or health plan
- 5+ years of Project Management experience working with large size initiatives.
- 2+ years of experience in Change Management.
- Possess a solid understanding of operations, technology, communications, and processes.
- Experience working in Medicaid and/or Medicare.
- Experience in Claims Lifecycle Initiatives.
- Proficiency in Microsoft Office programs.
Preferred Qualifications
- 2+ 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.
- Experience with Smartsheet (PM tool) and/or Jira
- Experience in Process mapping and workflow design
- Experience Identifying root causes and control gaps
- Prosci, Six Sigma, and/or Project Management Institute certifications.
Additional Information
- Schedule/Time Zone: Remote:Monday through Friday - Typically, 8-5 pm (Eastern Time Zone)
- Work Location: US Nationwide
- Travel Requirements: Up to 10% to Humana office location
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
40Pay 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 yearThis 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 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.
Originally posted on Himalayas
Project Manager
FSI Services
The best CMMS for healthcare maintenance professionals.
Project Manager
About us:
At FSI, you’ll join a team of passionate professionals dedicated to empowering efficient and safe hospital operations. FSI supports over 400 million ft² of hospital space every year to run transformative, intelligent hospital maintenance operations. FSI is the most comprehensive computerized maintenance management software (CMMS) provider for healthcare, and we’re proud to serve over 1,000 hospitals with some of the largest networks in the country -- including Atrium Health, UPMC, Yale New Haven, SSM Health, UNC Health, and many others. We work directly with our customers to build customized modern technology that fits their complex needs. In 2020, FSI received significant investments to grow and expand on the foundation established since the company began in 2002. We believe our most exciting chapter is just beginning, and we’re looking for talent that wants to make an impact. If you’re looking for a fast-paced, innovative community with a team focused on collaboration and empowerment through technology, we encourage you to get in touch.
Yourrole:
The Project Manager is responsible for leading client implementation projects from initiation through delivery. This role ensures that all aspects of the project are executed on time, within scope, and within budget, while maintaining high levels of client satisfaction. The ideal candidate will have strong organizational and communication skills, along with experience managing multiple projects simultaneously. Additional tasks will include software testing, implementation, maintenance, remote and onsite customer training and general support of the facilities management software applications. Candidates should be willing to expand their role in the company, learn additional technologies, and be open to all aspects of FSI’s service offerings.
Yourresponsibilities:
- Managesmall to medium-sized customers through end-to-end successful implementations and launches, ensuring alignment with strategic goals.
- Develop detailed project plans, timelines, and resource allocations.
- Coordinate internal teams and external stakeholders to ensure seamless execution.
- Project manage implementation tasks such as data migration, product training, and organizational roll-out strategies, coordinating internal resources as necessary.
- Configure software
- Maintain a minimum of 70% productivity.
- Monitor project progress, identify risks, and implement mitigation strategies.
- Serve as the primary point of contact for clients during the implementation phase.
- Conduct regular status meetings and provide clear, concise updates to stakeholders and team members in a timely manner.
- Ensure all deliverables meet quality standards and client expectations.
- Continuously improve implementation processes and methodologies.
- Train customers in product and implementation configurations either onsite and/or virtual.
Whatyou’llbringto the team:
- A passion for improving healthcare through technology
- 3+ years of project management experience, ideally focused on SaaS or enterprise applications
- Healthcare industry experience preferred
- CMMS familiarity preferred
- Knowledge of Regulatory Agency Standards (NFPA, Joint Commission) is a plus
- Ability to work across various stakeholders including Users, Engineering, Quality Assurance, and Product Management
- Proven ability to keep multiple projects on track at the same time, with strong attention to detail
- Ability to triage & prioritize support requests against multiple projects with a focus on customer satisfaction
- 4-year degree or equivalent work experience
- PMP or similar certification preferred
- Strong understanding of project management tools (e.g., MS Project, Asana, Jira, Smartsheet)
- Excellent communication, leadership, and problem-solving skills
Work location:
Remote. Travel will be required.
Compensation:
The compensation offered for this position will be based upon relevant experience, qualifications, and work location. The starting salary is expected to fall within the range of $80,000-$90,000.
Our values:
- Customer inspired.
- Solutions-first.
- One team.
- Impactful experts.
We look forward to hearing from you!
Don’t meet all the requirements? We’re all on a journey to learn constantly and have areas to develop. If you bring some of the above skills to the table and are still developing in others – APPLY ANYWAY! Learning and experience isn’t a one-way path, if you believe you have the background needed to make an impact in this role, we’d love to hear from you.
FSI is an Equal Opportunity Employer:
We are committed to fostering a diverse, inclusive environment and to encourage these values in everyone on our team. We provide an environment of mutual respect where opportunities are available without regard to race, color, religion, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law. We believe that diversity and inclusion for people from all walks of life are key to our success as a company.
Originally posted on Himalayas