Senior Project Manager, Healthcare (Medicare/Medicaid)

Become a part of our caring community and help us put health first
 

Humana Healthy Horizons is seeking a Senior Implementation Business Project Manager to manage a specific defined business area (non-IT) within Humana. This role mainly focuses on the "Business" side of implementations with limited scope in the IT implementation activities. This is NOT a traditional Project Manager role.

The Senior Implementation Business Project Manager will serve as a subject matter expert and provide oversight to the development of solutions to relevant non-standard contractual requirements and/or local needs of each market. Individuals with business process change management and project management are best suited for this role. The Senior Implementation Business Project Manager key roles and responsibilities include:
• Create and manage project plans to ensure effective and timely market rollouts. Prioritize work and escalate risks or barriers as needed.
• Partner with cross functional and matrixed teams to drive key operational decisions, oversee implementation progress and milestones, and other project management functions.
• Identify and solve problems that impact the management and direction of the business.
• Adept at research to determine the structured yet flexible approach to problem solving.
• Rapidly learn new knowledge, skills, and behaviors in response to changing circumstances.
• Ability to navigate complex situations and independently produce high quality deliverables.
• Build/sustain relationships and inform the work of others through actionable, objective insights.
• Plan, organize, monitor, and oversee complex network implementations utilizing matrixed and cross functional teams to deliver defined requirements and meet company strategic objectives.
• Forward thinking, capable of providing frameworks to maximize ability of limited resources to achieve objectives and resolve issues.
• Build and maintain strong internal working relationships at all levels of the organization and across the Enterprise; leverage these relationships in helping to drive innovation and effective operations for Humana.
• Engage in implementations, ad hoc projects, within assigned scope of responsibilities to understand requirements, to support and guide team members on priorities and help them manage risks and escalations.
• Improve standard operating procedures over time to drive efficiencies and repeatable processes for implementations.

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 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
• Possess a solid understanding of operations, technology, communications and processes.
• Proficiency in Microsoft Office programs.
• Experience with Smartsheet (PM tool)
• Experience working in Medicaid/Medicare implementation.
• Prosci, Six Sigma, and/or Project Management Institute certifications.

Additional Information

• Schedule/Time Zone: Monday through Friday - Typically, 8-5 pm
• Work Location: US Nationwide
• Work Style: Remote, must work hours within the eastern time zone
• Travel Requirements: Up to 10% to Humana office locations

Work-at-Home (WAH) Internet Statement

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.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay 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 year

 

This 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 01-21-2026

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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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.