Summary
Humana is a healthcare company providing insurance and healthcare services. The Medicaid Clinical Operations team is seeking a Project Manager to lead cross-functional projects supporting clinical operations, regulatory compliance, operational readiness, and business transformation across Medicaid programs. The role is responsible for end-to-end delivery, stakeholder coordination, risk management, governance, and successful implementation of strategic initiatives.
Responsibilities
- Lead end-to-end project delivery, including planning, execution, and successful project outcomes
- Define project scope, objectives, timelines, deliverables, and success metrics while ensuring alignment with business goals
- Monitor project performance, proactively manage risks and issues, and implement corrective actions as needed
- Facilitate governance processes, executive reporting, and stakeholder communications to ensure transparency and informed decision-making
- Partner with clinical, operational, technology, compliance, vendor, and business leaders to gather requirements, drive alignment and engagement
- Coordinate cross-functional implementation and process improvement activities to support operational readiness, deployment, and adoption of new processes, systems, and capabilities
- Manage project forecasting, compliance requirements, and adherence to organizational standards and governance practices
- Leverage project management best practices and contribute to continuous improvement initiatives that enhance operational effectiveness and project delivery excellence
Skills
- Bachelor's degree or equivalent combination of education and 5 years of relevant work experience
- 3+ years of project management experience, including planning, coordinating, and executing projects from initiation through completion
- Working knowledge of project management methodologies, governance frameworks, and at least one project management tool such as Microsoft Planner, Microsoft Project, Asana, or Monday.com
- Proficiency with Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook
- PMP, CAPM, Agile, or similar project management certification preferred
- Equivalent training and demonstrated project management experience will also be considered
- Technical fluency in productivity and project management tools
- MS Planner
- MS SharePoint sites
- Smartsheet
- Jira Align
- Software Development Life Cycle (SDLC) fundamentals
- Agile delivery concepts and methodologies
- Testing, deployment, and release management practices
- Medicaid managed care, health plan, healthcare operations, or clinical operations experience
Qualifications
Must Haves
- Bachelor's degree or equivalent combination of education and 5 years of relevant work experience
- 3+ years of project management experience, including planning, coordinating, and executing projects from initiation through completion
- Working knowledge of project management methodologies, governance frameworks, and at least one project management tool such as Microsoft Planner, Microsoft Project, Asana, or Monday.com
- Proficiency with Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook
Nice to Haves
- PMP, CAPM, Agile, or similar project management certification preferred
- equivalent training and demonstrated project management experience will also be considered
- Technical fluency in productivity and project management tools
- MS Planner
- MS SharePoint sites
- Smartsheet
- Jira Align
- Software Development Life Cycle (SDLC) fundamentals
- Agile delivery concepts and methodologies
- Testing, deployment, and release management practices
- Medicaid managed care, health plan, healthcare operations, or clinical operations experience
Benefits
- Remote position
- This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance