Claims Process Organization Project Manager

Become a part of our caring community and help us put health first
 The Project Manager II manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager II work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Where you Come In 

As a Claims Process Organization Project Manager II you will manage all aspects of a project, from start to finish, so that it is completed on time and within budget.

Key Role Functions

• Design, communicate, collaborate and implement an operational plan for completing the project

• Monitor progress and performance against the project plan and take action to resolve operational problems and minimize delays

• Identify, develop and gather the resources to complete the project

• Communicate with other operational areas in the organization to secure specialized resources and contributions for the project

• Conduct meetings and prepare reports to communicate the status of the project

• Set priorities, allocate tasks and coordinate project staff to meet project targets and

• Make decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed

What Humana Offers

We are fortunate to offer a remote opportunity for this job.  Our Fortune 100 Company values associate engagement & your well-being.  We also provide excellent professional development & continued education. 

Use your skills to make an impact
 

Required Qualifications – What it takes to Succeed

• Minimum 3 years of progressive experience managing mid to large-scale projects

• Demonstrated ability to lead multiple projects and project teams simultaneously through varying project phases

• Proficient in MS Office Suite

• Strong communication skills both written and verbal

• Ability to positively influence others

• Strong collaboration and facilitation skills

• Strong time management skills

• Demonstrated ability for critical thinking and decision making

• Must be passionate about contributing to an organization focused on continuously improving consumer experience

Preferred Qualifications

• Claims Processing Knowledge

• Subject matter expertise relative to both Humana as well as Medicaid line of business

• Prior experience in the healthcare industry

• Proficient in MS Office products (Access, MS Project, and Visio)

• Experience with Azure Boards (Requirements Management System)

Additional Information - How we Value You 

•            Benefits starting day 1 of employment

•            Competitive 401k match 

•            Generous Paid Time Off accrual 

•            Tuition Reimbursement

•            Parent Leave

 Work at Home Requirements

•            To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

·             At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

·             Satellite, cellular and microwave connection can be used only if approved by leadership

·             Associates 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.

·             Humana will provide Home or Hybrid Home/Office associates 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 exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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.

 

$63,400 - $87,400 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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

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