医疗保障实施高级项目经理
Medicaid Implementation Senior Project Manager
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Humana Healthy Horizons 正在寻找一位医疗补助实施高级项目经理，负责从开始到结束管理项目的各个方面，确保按时且在预算内完成。医疗补助实施高级项目经理的工作任务涉及中等复杂到复杂的问题，需要对情况或数据进行深入评估。此职位主要侧重于州医疗补助实施的“业务”方面，IT 实施活动的范围非常有限。具备业务流程变更管理和项目管理经验的人最适合这个职位。
· 利用跨职能团队规划、组织、监控和监督复杂项目，以交付定义的需求并实现公司战略目标。
- 协助培训并履行专职项目经理的职责。
- 管理完整的项目生命周期，包括审查各种来源以评估需求、创建项目计划和时间表、获取和管理资源、管理预算，并推动项目执行、部署和收尾。
- 保持详细的项目文档，包括会议纪要、行动项、问题清单、项目计划和风险管理计划。
- 提供领导力并有效地向所有利益相关者和外部机构沟通项目状态。
- 与项目利益相关者协商以确定资源、解决问题并减轻风险。
- 协调跨职能会议，与各个职能部门合作以满足整体利益相关者期望和公司的目标。
- 在多个业务和技术领域提供功能和技术知识。
- 监督所有项目可交付成果的创建，确保符合质量标准，包括设计文档、测试计划、培训材料和运营文档。
- 通过建立和激励团队成员来为项目团队提供现场领导力，以实现项目目标，遵守其职责和项目里程碑。
- 在问题解决环境中创造性且分析性地工作，展示团队合作、创新和卓越。
- 提供关于项目里程碑、可交付成果、依赖关系、风险和问题的进度报告，并在管理层之间进行沟通。
- 理解技术、运营和业务需求之间的相互依赖关系。
- 作为内部质量控制检查点
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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.
· Plans, 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 agencie.s
- 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 and program issues and risks to mitigate impact to baseline.
Use your skills to make an impact
Required Qualifications
- 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.
Preferred Qualifications
- 3+ years of 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
- Possess a solid understanding of operations, technology, communications and processes.
- Proficiency in Microsoft Office programs.
- Experience with Smartsheet (PM tool)
- 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 locations
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.
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