Overview
Humana is seeking a Senior Project Manager to support the growing number of projects and initiatives within the Wisconsin Medicaid Market. Reporting to the Associate Director of Project Management, you will provide project management support for several system modernization projects, as well as ongoing support for enterprise and WI Market projects, departmental and vendor-related changes, and major regulatory changes requiring PM oversight.
Note: This position will not start until January 2027.
Main Responsibilities
- •Oversee projects for the Wisconsin Market Compliance Department with a primary focus on managing internal and external audits.
- •Design, communicate, and implement operational plans for completing projects, monitoring progress and performance against the project plan, and resolving operational problems to minimize delays.
- •Identify, develop, and gather the resources needed to complete projects.
- •Prepare work specifications and develop project schedules with project staff and external contractors.
- •Communicate with other operational areas in the organization to secure specialized resources and contributions.
- •Conduct meetings and prepare reports to communicate project status.
- •Set priorities, allocate tasks, and coordinate project staff to meet project targets and milestones.
- •Identify audit requirements, gather and review data, and submit requirements to meet audit timelines.
- •Coordinate communication with external auditors and prepare internal associates for audit interactions.
- •Review audit findings, coordinate follow-up with auditors, and work with departments to develop and track remediation plans.
- •Understand contractual requirements, operating systems, department functions, and policies required to conduct business and support audit requirements.
Required Qualifications
- •Bachelor's degree
- •5 or more years of project management, business, operational, or technical experience
- •Project Management Professional (PMP) certification
- •1 or more years of experience leading project management best practices, contributing to PMO standards, and building organizational project management maturity
- •Must reside within the State of WI or a neighboring state commutable to WI (MN, IA, IL, MI)
Preferred Qualifications
- •Master's degree
- •Experience working with JiraAlign and Azure DevOps (ADO)
- •8 or more years of project management, business, operational, or technical experience
- •Experience leading large-scale, enterprise, or market implementation initiatives
- •Experience in healthcare, managed care, payer operations, or another highly matrixed and regulated environment
- •Experience mentoring other project managers or contributing to PMO standards, tools, and best practices
- •Experience presenting information to senior leaders to support and guide decision-making
Work Details
- •Workstyle: Remote (home-based), with use of Humana office space as needed for collaboration and face-to-face needs.
- •Travel: Minimal travel to WI may be required.
- •Work hours: Monday through Friday, 8:00 am to 4:30 pm Central Standard Time.
- •Internet requirements: Minimum download speed of 25 Mbps and upload speed of 10 Mbps; wired or wireless connection required.
- •Work must be performed from a dedicated space to protect member PHI and comply with HIPAA requirements.
Compensation and Benefits
- •Pay range: $86,300 to $118,700 per year, based on experience, skills, education, and certifications.
- •Eligible for a bonus incentive plan based on company and/or individual performance.
- •Benefits include medical, dental, and vision coverage, 401(k) retirement savings plan, paid time off, company and personal holidays, paid parental and caregiver leave, short-term and long-term disability, and life insurance.
About the Organization
Inclusa manages person-centered and community-focused long-term care services and support to Family Care members across Wisconsin. Acquired by Humana in 2022, Inclusa uses a trademarked model of support called Commonunity that focuses on belief in everyone and the common good for all. Humana is a leading U.S. healthcare company serving millions of people with Medicare and Medicaid, families, individuals, military service personnel, and communities.
