"Alerted.org

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

The Lead Project Manager is essential for ensuring the successful execution of complex initiatives within the clinical sector. This individual oversees program and project management from initiation to closure, handling multiple concurrent initiatives that encompass clinical operations, compliance, quality, and member experience. This role demands strong leadership skills, independent judgment, and the ability to navigate ambiguity while delivering results in a fast-paced and highly regulated healthcare environment.

Key Responsibilities:

+ Design, communicate, and implement comprehensive operational plans for Medicare and Duals-related programs and projects.

+ Lead multiple complex initiatives simultaneously, ensuring alignment with strategic goals and compliance with Medicare and state-specific Duals program requirements.

+ Collaborate with stakeholders across cross-functional teams to provide strategic consulting and guidance.

+ Monitor project progress and performance, proactively identifying and resolving issues to prevent delays and ensure successful delivery.

+ Develop program and project schedules, budgets, forecasts, and work specifications.

+ Coordinate internal and external resources, including vendors and contractors, to achieve project milestones.

+ Facilitate cross-program communication with Clinical leaders to manage interdependencies and ensure alignment across initiatives.

+ Conduct regular status meetings and prepare executive-level reports and presentations on program health, risks, and mitigation strategies.

+ Set priorities and allocate tasks, providing direction to project staff and cross-functional stakeholders.

+ Exercise independent judgment and decision-making on complex and variable issues with minimal supervision.

+ Advise senior leadership on strategic, segment-specific approaches to program management.

+ delivery and improvement.

Use your skills to make an impact

Required Qualifications

+ Bachelor's Degree or equivalent work experience

+ 8+ years of experience with program and/or project management

+ Ability to manage and motivate virtual or matrix project teams

+ Experience managing business partner relationships at all levels of the organization

+ Proven experience leading multi-workstream initiatives with diverse stakeholder groups in a matrixed organization.

+ Ability to balance different projects/priorities and deliver high quality outcomes under pressure

+ Ability to monitor and report on project status across the portfolio at stakeholder levels

+ Highly motivated self-starter able to work with minimal supervision and direction

+ Strong interpersonal, time management and problem solving skills

+ Comfortable with coordinating and collaborating with business teams to drive required decisions and outcomes

+ Cross-functional relationship building is paramount. The role must be able to successfully work with and influence individuals not directly under their control

Preferred Qualifications

+ Strong understanding of CMS guidelines and Medicare-Medicaid integration models

+ Excellent problem-solving and critical-thinking skills; able to manage ambiguity and make sound decisions

+ Proficient in project management tools (e.g., Smartsheet)

+ PMP certification, Lean Six Sigma or Agile experience a plus

+ Exceptional communication, collaboration, and stakeholder management abilities

Additional Information

Remote; M-F 8am-5pm EST

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

$115,200 - $158,400 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 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.

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.