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DescriptionThe Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Senior Project Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.ResponsibilitiesThe Senior Project Manager designs, communicates, and implements an operational plan for completing the project; monitors progress and performance against the project plan; takes action to resolve operational problems and minimize delays. Identifies, develops, and gathers the resources to complete the project. Prepares designs and work specifications; develops project schedules, budgets and forecasts; and selecting materials, equipment, project staff, and external contractors. Communicates with other operational areas in the organization to secure specialized resources and contributions for the project. Conducts meetings and prepare reports to communicate the status of the project. Sets priorities, allocates tasks, and coordinates project staff to meet project targets and milestones. This is a remote role, however, if you live within 50 miles of the Louisville Waterside Humana office (101 E. Main Street, Louisville, KY 40202) you may occasionally be required to work in-office for in-person collaboration once CDC restrictions are lifted.Roles and Responsibilities:Responsible for communication of relevant legislation/regulatory updates impacting EDI transactions
Manage appropriate vendor relationships and participate in industry events and meetings
Ensure EDI transactions are compliant with CAQH CORE Operating Rules and HIPAA transaction standards
Assist PPS leadership in the management of the Provider Connectivity budget and prioritization of projects, and maintains alignment with CPO Project Manager
Design, communicate, and implement an operational plan for completing projects
Monitor progress and performance against the project plans and take action to resolve operational problems and minimize delays
Develop project schedules, budgets and forecasts as well as select materials, equipment, project staff, and external contractors
Collaborate 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 milestones
Potential to oversee/lead a team of contractors and prioritize testing projects accordingly
Required Qualifications3-5 years of relevant healthcare industry experience (i.e. EDI, provider relations, etc.)
Previous experience with project management/agile methodologies, process improvement or process design and implementation
Strong written and verbal communicator - concise, clear, and well thought out with excellent presentation skills
Strong consultative and relationship building skills
Excellent planning and organizational skills
Able to excel in a fast paced, constantly changing environment with tight timelines
Core business hours align to Eastern Standard Time (EST)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
This is a remote role, however, if you live within 50 miles of the Louisville Waterside Humana office (101 E. Main Street, Louisville, KY 40202) you may occasionally be required to work in-office for in-person collaboration once CDC restrictions are lifted.
Work at Home/Remote RequirementsMust ensure designated work area is free from distractions during work hours and virtual meetings
Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 25x10 (25mbps download x 10mbps upload) for optimal performance of is required
Covid-19 Vaccine RequirementWe will require full COVID vaccination (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html#vaccinated) for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.
If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.
Preferred QualificationsBachelor's degree
PMP certification
Vendor relations experience
Experience leading/mentoring individuals and teams
Program management experience
Scheduled Weekly Hours40
