Consumer Directed (CD) Services Project Manager
Humana
**Become a part of our caring community and help us put health first**
Humana Healthy Horizons in Virginia is seeking a Consumer Directed (CD) Services Project Manager (Senior Care Management Support Professional) who 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.
+ Engages and educates internal and external stakeholders about the concepts of consumer directed services and what is required to successfully develop and deliver service within the paradigm.
+ Analyzes, monitors and provides periodic reports on the utilization of consumer directed services.
+ Utilizes data to inform strategies and future work.
+ Develops, implements and evaluates policies, procedures and guidelines for consumer directed services.
+ Partners with market training to provide content for ongoing training, education and hands-on learning opportunities to partners, all levels of Member support management, and other divisions to support the development of organizational competencies.
+ Participates in Commonwealth-wide and local partnership efforts that impact the growth and development of consumer-directed services work in Virginia. This includes networks, boards, committees and advisory groups.
+ Facilitates a cycle of continuous improvement to assess and address performance gaps in the utilization of consumer directed services, including researching national best practices and develop strategies to ensure strong organizational practices.
+ Partners internally to ensure that an internal Quality Assurance (QA) plan and system is in place with documented policies and procedures and internal controls for all key deliverables and requirements as described in the Contract's scope of work for Consumer Directed Services.
**Use your skills to make an impact**
**Required Qualifications**
+ **Must reside in the Commonwealth of Virginia.**
+ Bachelor's degree in healthcare, public administration, nursing, social work or a related field.
+ Three (3) or more years of technical and/or business project management experience.
+ Two (2) or more years of experience in health plan operations, healthcare, or Long-Term Care (LTC) business systems.
**Preferred Qualifications**
+ Experience working with Medicaid and/or Medicare Plans and consumer directed services.
+ Six Sigma and/or Project Management Institute certification.
**Additional Information**
+ **Workstyle:** This is a Remote position that requires some travel.
+ **Travel:** Up to 25% of the time to Humana Healthy Horizons office in Glen Allen, VA for collaboration and face to face meetings.
+ **Typical Workdays and Hours:** Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
+ **Direct Reports:** Up to 2.
**Work at Home 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 recommended; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Humana 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 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.
$71,100 - $97,800 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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
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