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The Associate Director, Medicaid Implementation (Business Project Management)

Remote, USA Full-time Posted 2025-04-16

About the position

The Associate Director, Medicaid Implementation (Business Project Management) at Humana Healthy Horizons is responsible for leading the business side of State Medicaid implementations. This role focuses on developing solutions for non-standard contractual requirements and local needs, while overseeing a team of program managers. The position emphasizes business process change management and project management, rather than traditional project management functions.

Responsibilities
?? Lead a team of program managers supporting new Medicaid state contract implementations.
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?? Coach and mentor associates to promote growth and development.
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?? Develop implementation playbook to ensure consistency in applying implementation practices.
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?? Promote team brand strategy.
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?? Establish and maintain order around evolving implementation model, ensuring resources and understanding priorities to meet project targets and milestones.
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?? Collaborate with leadership to define operational strategies to ensure Humana success.
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?? Coordinate across all operational areas to work through operational issues and strategies to respond to state priorities and changing landscape.
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?? Organize and lead teams through the project life cycle from kick-off to project launch.
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?? Drive coordination between internal/external Humana stakeholders, the state, and state partners to ensure clarity regarding information and requirements to meet state expectations.
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?? Identify and solve problems that impact the management and direction of the business.
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?? Plan, organize, monitor, and oversee complex network implementations utilizing matrixed and cross-functional teams to deliver defined requirements and meet company strategic objectives.
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?? Engage in all new market implementations, including understanding contract provisions, to support and guide team members on priorities and help them manage risks and escalations.

Requirements
?? Must reside in the eastern or central standard time zones in the United States.
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?? Bachelor's degree, or 6 years of relevant work experience.
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?? 6+ years of Business Project Management experience working with large size initiatives.
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?? 5+ years of direct management and leadership experience.
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?? 2+ years of experience in Change Management.
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?? 3+ years working in a managed care healthcare system or health plan.
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?? Experience working in Medicaid and/or Medicare.

Nice-to-haves
?? Experience using Smartsheet.
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?? Experience in business operations or consulting services in a health plan.
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?? Possess a solid understanding of operations, technology, communications and processes.
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?? Experience in the clinical health care space, such as utilization management, pharmacy, care management, behavioral health.
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?? Proficiency in Microsoft Office programs.
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?? Experience working in Medicaid implementation.
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?? Prosci, Six Sigma, and/or Project Management Institute certifications.

Benefits
?? 401k
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?? Medical
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?? Dental
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?? Vision
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?? Tuition assistance
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?? Short-term and long-term disability
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?? Life insurance
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?? Paid time off
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?? Company and personal holidays
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?? Volunteer time off
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?? Paid parental and caregiver leave

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