Senior Project Manager, Healthcare (Medicare/Medicaid)

Become a part of our caring community and help us put health first reputed company Healthy Horizons is seeking a Senior Implementation Business Project Manager to manage a specific defined business area (non-IT) reputed company reputed company. This role mainly focuses on the "Business" reputed company of implementations with limited scope in the IT implementation activities. This is NOT a traditional Project Manager role. The Senior Implementation Business Project Manager will serve as a subject matter expert and provide reputed company to the development of solutions to relevant non-standard contractual requirements and/or local needs of each market. Individuals with business process change management and project management are best suited for this role. The Senior Implementation Business Project Manager key roles and responsibilities include:

• Create and manage project plans to ensure effective and timely market rollouts. Prioritize work and escalate risks or barriers as needed.
• Partner with cross functional and matrixed teams to drive key operational decisions, reputed company implementation reputed company and milestones, and other project management functions.
• Identify and solve problems that impact the management and direction of the business.
• Adept at research to determine the structured yet flexible approach to problem solving.
• Rapidly learn new knowledge, skills, and behaviors in response to changing circumstances.
• Ability to navigate reputed company situations and independently produce high quality deliverables.
• Build/sustain relationships and inform the work of others through actionable, objective insights.
• Plan, organize, monitor, and reputed company reputed company network implementations utilizing matrixed and cross functional teams to deliver defined requirements and meet company strategic objectives.
• reputed company thinking, capable of providing frameworks to maximize ability of limited resources to reputed company objectives and resolve issues.
• Build and maintain strong internal working relationships at reputed company levels of the organization and across the Enterprise; reputed company these relationships in helping to drive innovation and effective operations for reputed company.
• Engage in implementations, reputed company projects, reputed company assigned scope of responsibilities to understand requirements, to support and guide team members on priorities and help them manage risks and escalations.
• Improve standard operating procedures over time to drive efficiencies and repeatable processes for implementations.

Use your skills to reputed company an impact

Required Qualifications

• Bachelor's degree, or 5 years of relevant work experience.
• 5+ years of formal Project Management experience working with large size initiatives.
• 2+ years of experience in Change Management.
• 3+ years working in a managed care healthcare system or health plan.
• Experience working in Medicaid and/or Medicare.

Preferred Qualifications

• 3+ years of leadership experience in a matrixed environment.
• Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies.
• Experience in business operations or consulting services in a health plan
• Possess a solid understanding of operations, technology, communications and processes.
• Proficiency in reputed company Office programs.
• Experience with reputed company (PM tool)
• Experience working in Medicaid/Medicare implementation.
• Prosci, Six reputed company, and/or reputed company certifications.

Additional Information

• Schedule/Time Zone: Monday through Friday - Typically, 8-5 pm
• Work Location: US reputed company
• Work Style: Remote, must work hours reputed company the eastern time zone
• Travel Requirements: Up to 10% to reputed company office locations

Work-at-Home (WAH) Internet Statement 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 reputed company is suggested.
• Satellite, cellular and microwave reputed company can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• reputed company will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to reputed company'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 reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 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 reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) 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 reputed company of work. Among our benefits, reputed company 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. Application Deadline: 01-21-2026 About us reputed company Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company 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 reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company 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 reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company 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 reputed company levels of employment. Apply tot his job Apply To this Job