Senior Project Manager – Medicaid Implementation

Humana

. Plan, organize, monitor, and oversee complex projects using cross-functional teams .

Posted 10/30/2026full-timeRemote • United StatesSenior💰 $86,300 - $118,700 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing complex projects within the healthcare sector, particularly in Medicaid and Medicare environments, while ensuring adherence to scope, schedule, budget, and quality standards. Proficient in leading cross-functional teams and communicating effectively with stakeholders to drive project success.

Highest-signal resume keywords

Project ManagementChange ManagementMedicaid ExperienceLeadership in Matrixed EnvironmentSystems Development Life Cycle

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Project Life Cycle ManagementRequirements AssessmentRisk ManagementProcess MappingWorkflow DesignClaims Lifecycle InitiativesQuality ControlBudget ManagementSchedulingNegotiation

Soft Skills

Effective CommunicationTeam BuildingProblem SolvingStakeholder ManagementMotivation

Tools & Technologies

Microsoft OfficeSmartsheetJira

Certifications & Qualifications

ProsciSix SigmaProject Management Institute

Industry Keywords

Managed CareHealthcare SystemHealth PlanMedicaid ContractsRFPsAgile DevelopmentWaterfall Methodology

About the role

Key responsibilities & impact

Plan, organize, monitor, and oversee complex projects using cross-functional teams
Assist in training and perform duties as the dedicated Project Manager
Manage the full project life cycle, including requirements assessment, project planning, scheduling, resource and budget management, execution, deployment, and closure
Maintain project documentation, including meeting minutes, action items, issue lists, project plans, and risk management plans
Communicate project status to stakeholders and external agencies
Negotiate with stakeholders to identify resources, resolve issues, and mitigate risks
Coordinate cross-functional meetings
Provide functional and technical knowledge across business and technical areas
Monitor project deliverables, including design documents, test plans, training materials, and operations documentation
Provide on-site leadership for the project team by building and motivating team members
Report on project milestones, deliverables, dependencies, risks, and issues to leadership
Understand interdependencies between technology, operations, and business needs
Act as an internal quality control check and participate in quality issue resolution
Define the Statement of Work and specifications for requested Medicaid contracts/RFPs
Manage project and program expectations and delegate deliverables
Deliver effective executive-level communication
Ensure projects and programs meet scope, schedule, budget, and quality standards
Manage project/program issues and risks to mitigate impact to baseline

Requirements

What you’ll need

Bachelor's Degree or 5+ years working in a managed care healthcare system or health plan
5+ years of Project Management experience working with large size initiatives
2+ years of experience in Change Management
Solid understanding of operations, technology, communications, and processes
Experience working in Medicaid and/or Medicare
Experience in Claims Lifecycle Initiatives
Proficiency in Microsoft Office programs
2+ years of leadership experience in a matrixed environment (preferred)
Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies (preferred)
Experience in business operations or consulting services in a health plan (preferred)
Experience with Smartsheet and/or Jira (preferred)
Experience in process mapping and workflow design (preferred)
Experience identifying root causes and control gaps (preferred)
Prosci, Six Sigma, and/or Project Management Institute certifications (preferred)
Ability to work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information
Self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed

Benefits

Comp & perks

Bonus incentive plan based upon company and/or individual performance
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Home or Hybrid Home/Office work arrangement
Remote Monday through Friday schedule, typically 8–5 pm Eastern Time Zone
Up to 10% travel to Humana office location