Experience Inc. Jobs

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

Humana Healthy Horizons is seeking an Associate Director, Medicaid Implementation (Business Project Management) to lead within a specific defined business area (non-IT) within Humana. This role mainly focuses on the "Business" side of State Medicaid Implementations with very limited scope in the IT implementation activities. Note: This role does NOT operate in a traditional Project Manager functional way. Individuals with business process change management and project management are best suited for this role.

The Associate Director, Medicaid Implementation (Business Project Management) will provide oversight to the development of solutions to relevant non-standard contractual requirements and/or local needs of each Medicaid market.

The Associate Director key roles and responsibilities include:

• Lead a team of program managers supporting new Medicaid state contract implementations.

• Coach and mentor associates to promote growth and development.

• Develop implementation playbook to ensure consistency in applying implementation practices.

• Promote team brand strategy.

• Establish and maintain order around evolving implementation model, ensuring resources, and understanding priorities to meet project targets and milestones.

• Collaborate with leadership to define operational strategies to ensure Humana success.

• Coordinate across all operational areas to work through operational issues/and strategies to respond to state priorities and changing landscape.

• Organize and lead teams through the project life cycle e.g., kick-off to project launch.

• Drive coordination between internal/external Humana stakeholders, the state, and state partners to ensure the Humana team has clarity regarding information and requirements to meet state expectations.

• Identify and solve problems that impact the management and direction of the business.

• Plan, organize, monitor, and oversee complex network implementations utilizing matrixed and cross functional teams to deliver defined requirements and meet company strategic objectives.

• Engage in all new market implementations, including understanding contract provisions, to support and guide team members on priorities and help them manage risks and escalations.

Use your skills to make an impact

Required Qualifications

• Must reside in the eastern or central standard time zones in the United States.

• Bachelor's degree, or 6 years of relevant work experience.

• 6+ years of Business Project Management experience working with large size initiatives.

• 5+ years of direct management and leadership experience.

• 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

• Experience using Smartsheet.

• Experience in business operations or consulting services in a health plan.

• Possess a solid understanding of operations, technology, communications and processes.

• Experience in the clinical health care space, such as utilization management, pharmacy, care management, behavioral health.

• Proficiency in Microsoft Office programs.

• Experience working in Medicaid implementation.

• Prosci, Six Sigma, and / or Project Management Institute certifications.

Work at Home Requirements

• 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.

• 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.

Additional Information

• Travel : Up to 25% to Humana office locations.

• Workstyle: Remote, must work hours within the eastern time zone.

• Direct Reports: up to 12 associates.

• Core Workdays & Hours: Typically, 8-5 pm Monday – Friday; Eastern Standard Time (EST)

• Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.....

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

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.

$123,800 - $170,400 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.

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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.