Medicare/Medicaid Program Implementation Advisor (Remote US)


Medicare/Medicaid Program Implementation Advisor Remote US

Company name
Humana Inc.

Birmingham, AL, United States

Employment Type

Project Management

Job Information


Medicare/Medicaid Program Implementation Advisor (Remote US)





Humana’s Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This team is focused on program/project management of large-scale, cross functional initiatives to support new State Medicaid Implementations as well as integration of acquired entities into Humana.


We are looking for an influencer and organizer who thrives in an environment of complexity and can seamlessly connect strategy to execution. Must be high energy but easygoing, love collaboration, lead change, and have outstanding leadership presence.

The Medicaid/Medicare Program Implementation Advisor you will work side by side with leaders and associates within teams across the Consumer and Provider Services and Solutions Organization (CPSS), the Medicaid & Duals Organization and the Corporate Mergers & Acquisitions Organization. You will manage all aspects of a program, from start to finish, so that it is completed on time and compliant with all federal/state requirements.

Key Role Functions

Drive planning and execution of new State Medicaid Implementation and/or Acquisitions

Mobilize and lead a large global cross-functional team through all project phases including execution, go live and retrospective

Responsible for the plan of record and ensure all work streams are well defined, planned, and resourced to deliver per the overall launch timeline

Support and empower the team to identify milestones, handle dependencies and risks, track deliverables and remove blockers

Drive and maintain senior leadership engagement and alignment, facilitating and supporting key decisions

Implement standard methodologies (e.g. for planning, program, and project management) and help drive adoption of them throughout the organization

Implement program & change management frameworks, processes, and templates ‘right-sized’ for speed, scale, and seamless implementation to support the project/program life cycle

Develop strong collaborative relationships as a trusted advisor for key partner teams (e.g. Retail Contact Center, Membership Plan Services, Resolutions, Provider Contact Center, Information Technology, and Medicaid/Medicare leadership teams) to ensure successful execution

Required Qualifications

Bachelor’s degree and/or equivalent work experience

10 years’ experience in program/project management role in a customer-centric environment

5 years’ experience in health care operations industry

Expert knowledge of program and project management. Knows the tools (e.g. strategic frameworks, change management, dependency management, risk management, amazing communication) and when to use them, when not to use them, and when it’s time to build new ones

Outstanding influencer who is great at connecting the dots and able to lead and influence enterprise wide, cross functional teams

Strength in positions of leadership. Able to mobilize, inspire, and lead teams without direct authority and manage conflicting stakeholder interests effectively

Ability to contribute consistently and positively in a fast-paced, ever-changing environment. Remain flexible and calm in the face of uncertainty and ambiguity

Strong collaboration skills-leading execution across teams, influencing across organizations, and experience working across all levels

Comfortable working with, presenting to, and facilitating decisions among senior executives based on evolving priorities

Strong business acumen and ability to comfortably dive into any area of the business, develop a deep understanding, and shape execution plans

Advanced proficiency in Microsoft applications including Outlook, Teams, SharePoint, Project, PowerPoint, Excel and Visio

Ability to travel up to 15%

Preferred Qualifications

Possess solid understanding of how organization capabilities interrelate across CPSS departments

PMP certification

Additional Requirements

Covid-19 Vaccine Requirement

We will require full COVID vaccination ( 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.

Work at Home/Remote Requirements

Must 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 10×1 (10mbs download x 1mbs upload) for optimal performance of is required

Potential Travel

Based on current guidance from the CDC, local and state governments, and Humana leadership related to the coronavirus (COVID-19) outbreak have extended travel restrictions until further notice. The policy will be reassessed as the situation warrants. Once these restrictions are lifted this role could have the potential for up to 15% travel depending on business needs.

Scheduled Weekly Hours



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