Senior Project Manager - WI Market

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Humana is seeking a Senior Project Manager position to support the growing number of projects and initiatives within the Wisconsin Medicaid Market. Reporting to the Associate Director, Project Management, you will provide project management (PM) support for several system modernization projects. You will also provide ongoing support for enterprise and WI Market projects, departmental and vendor related changes and major regulatory changes that require PM oversight. This position will not start until January, 2027.

Main Responsibilities

Oversees projects for the Wisconsin Market Compliance Department with a primary focus on managing internal and external audits.

Designs, communicates, and implements an operational plan for completing projects, monitoring progress and performance against the project plan, and takes action to resolve operational problems and minimize delays.

Identify, develop, and gather the resources to complete the project.

Prepare work specifications, develops project schedules with project staff and external contractors.

Communicate with other operational areas in the organization to secure specialized resources and contributions for the project.

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.

Identifies audit requirements, gathers, and reviews data, and submits requirements to meet audit timelines.

Coordinate communication with external auditors and prepare internal associates for audit interactions.

Review audit findings, coordinates follow-up with auditors, and works with departments to develop and track remediation plans.

Understand contractual requirements, operating systems, department functions, and policies required to conduct business and collaborate with others to support audit requirements.

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)

Master's degree

Experience working with JiraAlign and Azure Dev Ops (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

Additional Information

Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.

Travel: minimal travel to WI may be required

Typical Work days/hours: must be available to work Monday – Friday, 8:00 am – 4:30 pm Central Standard Time (CST).

Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.