Humana | Consumer Directed; CD Services Project Manager | Virginia,

Job Detail

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, including 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 developing 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.

• 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.

• Experience working with Medicaid and/or Medicare Plans and consumer directed services.
• Six Sigma and/or Project Management Institute certification.

• 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; 8:00 am – 5:00 pm Eastern Standard Time (EST).
• Direct Reports:
  Up to 2.

• 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.

As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision‑making ability. Hire Vue 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.

40

$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.

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…