Medicare/Medicaid Program Manager -- Remote

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Job Information
Humana
Medicare/Medicaid Program Manager -- Remote
in
Springfield
Missouri
Description
Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This team is focused on program/project management of large-scale, cross functional initiatives to support new State Medicaid Implementations as well as integration of acquired entities into Humana.
Responsibilities
Humana's Enterprise Shared Services organization is looking for an experienced Program Manager (internally known as an Acquisition Integration Advisor) who can seamlessly connect strategy to execution and whose primary competencies are in project management and integration related disciplines. The Business Management team leads and operationalizes large-scale, multi-year initiatives to successful and timely outcomes.
As part of this team you will provide programmatic matrixed leadership and oversight for operational work streams and perform project/program oriented duties related to the integration of acquired entities into the company and execution of new State Medicaid contracts.
As a Medicaid/Medicare Program Manager you will work side by side with business leaders and associates within teams across the Consumer and Provider Services and Solutions Organization (CPSS), the Medicaid & Duals Organization and the Corporate Mergers & Acquisitions Organization.
Key Role Functions
Leverage Program & Change Management frameworks, processes and templates 'right-sized' for speed and scale.
Develop and execute a CPPS program structure which supports and aligns to the enterprise program structure and goals ensuring CPSS is compliant with all federal/state requirements.
Implement standard methodologies (e.g. for planning, program and project management) and help drive adoption of them throughout the CPSS organization.
Develop and manage the full project life cycle including program approach, strategy, and governance structure. Mobilize and lead a large global cross-functional team through all project phases including planning, deployment and closure.
Responsible for the plan of record and ensure all work streams are well defined, planned and resourced to deliver per the overall launch timeline.
Support and empower teams to identify milestones, handle dependencies and risks, track deliverables and remove/escalate barriers. Understand interdependencies between operations, technology and business needs.
Promote executive and stakeholder awareness via formal engagement management and communication processes. Create weekly and monthly CPSS status reporting based on deliverables, milestones, dependencies, risks, resource constraints, metrics, etc.
Develop and strengthen Playbooks. Create repeatable and scalable implementation processes, and templates.
Exercise independent judgement and decision making on complex issues and work under minimal supervision.
Create strong collaborative relationships as a trusted advisor for key partner teams (e.g. Enrollment & Reconciliation, Grievance & Appeals, Member and Provider Call Centers, Information Technology and Medicare/Medicaid leadership teams) to ensure successful execution.
In addition to leading the programmatic functions of Health Care Implementations and Acquisitions, it's critical the candidate is skilled in collaboration. The individual must be able to work well with others, be self-motivated, and willing to address road blocks and challenges from a position of empowerment. The candidate must be a strong communicator and possess the ability to build relationships with senior leaders across the enterprise. They should understand how to build trust and credibility in a complex and highly matrixed organization and use the skill of influence to get things done.
Required Qualifications
Bachelor's degree or equivalent related work experience
8 years of Program Management experience leading large scale, highly visible enterprise programs with responsibility for cross functional work streams/project teams
5 years of Healthcare operations experience
Expert knowledge of program and project management. Knows the concepts and tools (e.g. strategic frameworks, change management, dependency and risk management) and when to use them and when it's time to build new ones.
Strong business acumen and ability to comfortably dive into any area of the business, develop a deep understanding, and shape execution plans accordingly
Outstanding and strategic influencer who is great at connecting the dots and able to lead and influence enterprise wide, cross functional business teams
Proven experience and comfortable working with, presenting to, and facilitating decisions among senior executives based on evolving priorities
Strong collaboration skills - leading execution across teams, influencing across organizations and experience working across all levels
Strength in position of Leadership - able to mobilize, inspire and lead teams without direct authority and manage conflicting stakeholder interests effectively
Advanced proficiency in MS Office applications including Project, PowerPoint, Visio, SharePoint, Teams and Excel
Ability to contribute consistently and positively in a fast-paced, ever changing environment. Remain flexible and calm in the face of uncertainty and ambiguity
Ability to travel up to 15% based on business need
Work at Home/Remote Requirements
Must ensure designated work area is free from distractions during work hours and virtual meetings
Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 25x10 (25mbps download x 10mbps upload) for optimal performance of is required
Preferred Qualifications
PMP certification
Advanced degree
Prior Managed Care Acquisition experience
Prior Medicaid experience
Possess solid understanding of how organization capabilities interrelate across operational work streams
Covid-19 Vaccine Policy
For this job, associates are required to be fully COVID vaccinated, including booster or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.
If progressed to offer, you will be required to:
Provide proof of full vaccination, including booster or commit to testing protocols
*OR  *
Provide proof of applicable exemption including any required supporting documentation
Medical, religious, state and remote-only work exemptions are available.
Additional Requirements
This role is a remote opportunity that will require up to 15% travel depending on business needs
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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. If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. #LI-Remote
Scheduled Weekly Hours
40

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