Medicaid Senior Project Manager (remote) - Remote Eligible

Medicaid Senior Project Manager

Humana is looking for a Medicaid Senior Project Manager to join the Project Management team! As a Medicaid Senior Project Manager, you will manage all aspects of a project, from start to finish, to ensure it is completed on time and within budget. You will primarily support Medicaid state implementations.

Where You Come In

As a Medicaid Senior Project Manager, you will design, communicate and implement an operational plan for completing the project, monitor progress and performance against the project plan, take action to resolve operational problems and minimize delays. In this role you will also identify, develop and gather the resources to complete the project. You will prepare requirements and develop project schedules as well as communicate with project teams, leaders and other operational areas in the organization to secure specialized resources and contributions for the project.

Key Role Functions

• Oversee project teams in an indirect reporting relationship and manage conflicts within groups
• Efficiently identify and solve project issues and embody and demonstrate strong leadership qualities
• Prepare resource and capacity planning at the program and project level
• Lead teams in understanding and defining requirements related to project risk
• Design and maintain project documentation
• Have a range of subject matter expertise relative to both Claims Administration & Payment Integrity (CAPI) and Humana as well as Medicaid implementations
• Champion the stakeholder's/business owner's needs and goals during the project
• Act as an advocate for all leaders within CAPI, working closely with senior leaders and IT partners to ensure project estimations, creation of CBAs, understanding of return on investment/project prioritization, and securing of funding
• Conduct meetings and prepare reports to communicate the status of the project
• Set priorities, allocate tasks, and coordinate project staff to meet project targets and milestones
• Be a voice of CAPI and an advocate for the Project Management team and the impacted business areas

While this role is 100% remote, candidates that reside within 50 miles of Louisville, KY may be expected to be in office as needed. All others will remain 100% virtual/remote.

What Humana Offers

We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education.

Required Qualifications – What It Takes to Succeed

• Minimum of 3 years of progressive experience managing large and complex scale projects
• Agile methodology training (course, class or program) or 1+ year of agile methodology experience
• Proficient in MS Office Products (Outlook, Lync, Word, PowerPoint, Excel)
• Strong communication skills, both written and verbal
• Strong collaboration and facilitation skills
• Strong time management skills
• Strong analytical and reasoning skills
• This is a work from home position that will require the possibility of travel up to 10%

Preferred Qualifications

• Experience with Medicaid state implementations
• PMP and/or Six Sigma certification
• Project Management Institute certification
• Progressive experience managing portfolios of similar or dependent project
• Proven ability to understand capacity and effectively plan resourcing
• Proven ability to understand cost benefit analysis and return on investment
• Working knowledge of ServiceNow (business and IT perspective), Azure Boards, and qTest

Additional Information - How We Value You

• Benefits starting day 1 of employment
• Competitive 401k match
• Generous Paid Time Off accrual
• Tuition Reimbursement
• Parent Leave

Schedule: Monday through Friday, 8 AM to 5 PM. Time zone may alter the schedule depending on needs of the work. Overtime can be expected periodically, with some during weekend release turns.

Training: On-boarding with the team and an overview of how we handle our projects. The expectation is that there will be limited training needed for this position.

Work at Home Requirements

To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Associates 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 associates 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 exciting 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: 08-28-2025

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.

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.