The Medicaid Clinical Operations team is looking for a Project Manager to manage cross-functional projects that support clinical operations, regulatory compliance, operational readiness, and business transformation projects across Medicaid programs. You will ensure end-to-end project delivery, completing projects on time, within scope, and aligning them to organizational goals.
We are looking for strong collaboration across clinical, operational, technology, compliance, and business stakeholders to drive successful implementation of strategic initiatives. You will work independently, applies established project management methodologies, proactively mitigates risks, and ensures operational readiness and successful outcomes. This role report to the Associate Director, Program Management and PMO.
Key Responsibilities:
- Lead end-to-end project delivery, including planning, execution, and successful project outcomes.
- Define project scope, objectives, timelines, deliverables, and success metrics while ensuring alignment with business goals.
- Monitor project performance, proactively manage risks and issues, and implement corrective actions as needed.
- Facilitate governance processes, executive reporting, and stakeholder communications to ensure transparency and informed decision-making.
- Partner with clinical, operational, technology, compliance, vendor, and business leaders to gather requirements, drive alignment and engagement.
- Coordinate cross-functional implementation and process improvement activities to support operational readiness, deployment, and adoption of new processes, systems, and capabilities.
- Manage project forecasting, compliance requirements, and adherence to organizational standards and governance practices.
- Leverage project management best practices and contribute to continuous improvement initiatives that enhance operational effectiveness and project delivery excellence.
Use your skills to make an impact
Required Qualifications:
- Bachelor's degree or equivalent combination of education and 5 years of relevant work experience.
- 3+ years of project management experience, including planning, coordinating, and executing projects from initiation through completion.
- Working knowledge of project management methodologies, governance frameworks, and at least one project management tool such as Microsoft Planner, Microsoft Project, Asana, or Monday.com.
- Proficiency with Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook.
- Must be available to work Eastern standard time zone hours no matter what time zone you reside.
Preferred Qualifications:
- PMP, CAPM, Agile, or similar project management certification preferred; equivalent training and demonstrated project management experience will also be considered.
- Technical fluency in productivity and project management tools
- MS Planner
- MS SharePoint sites
- Smartsheet
- Jira Align
- Software Development Life Cycle (SDLC) fundamentals
- Agile delivery concepts and methodologies
- Testing, deployment, and release management practices
- Medicaid managed care, health plan, healthcare operations, or clinical operations experience.
Additional Information
- Workstyle: This is a remote position with travel.
- Travel: Up to 10% travel, including occasional visits to Humana offices for team engagement meetings
- Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST).
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40Pay 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.
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 08-13-2026About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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.
Skills Required
- Bachelor's degree or equivalent combination of education and 5 years of relevant work experience
- 3+ years of project management experience, including planning, coordinating, and executing projects from initiation through completion
- Working knowledge of project management methodologies, governance frameworks, and at least one project management tool such as Microsoft Planner, Microsoft Project, Asana, or Monday.com
- Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
- Availability to work Eastern Standard Time hours regardless of residence
- Home internet minimum 25 Mbps download and 10 Mbps upload and dedicated workspace to protect PHI / HIPAA
- PMP, CAPM, Agile, or similar project management certification
- Technical fluency in productivity and project management tools (MS Planner, MS SharePoint, Smartsheet, Jira Align)
- Software Development Life Cycle (SDLC) fundamentals and Agile delivery concepts
- Testing, deployment, and release management practices
- Experience with Medicaid managed care, health plan, healthcare operations, or clinical operations
Humana Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Humana and has not been reviewed or approved by Humana.
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Healthcare Strength — Medical, dental, vision, supplemental health, and long-term care insurance are offered alongside on-site/virtual wellness resources and weekly paid well-being time, indicating a whole-person focus.
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Leave & Time Off Breadth — Paid PTO and holidays, volunteer time, and formal leave options such as parental and caregiver time provide broad time-away support. Adoption assistance and lactation rooms extend coverage for key life events.
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Retirement Support — A 401(k) with company match anchors long-term savings. Employer-matched emergency savings programs complement retirement planning.
Humana Insights
What We Do
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
