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The Associate Director, Program Management & PMO will serve as a strategic and operational leader within the Medicaid Clinical Operations organization, responsible for overseeing enterprise-wide implementation and execution of initiatives impacting Medicaid clinical operations. Reporting to the Product Management Director, you will lead a high-performing Program Management Office (PMO) team responsible for driving timely, compliant, and effective delivery of state-driven contractual changes, amendments, regulatory requirements, innovation initiatives, and cross-functional enterprise programs.
You will partner closely with Clinical Operations, Compliance, Product, Technology, Operations, Network, Quality, and State Health Plan leadership to ensure successful implementation of both new and existing Medicaid initiatives across multiple markets and business units. The ideal candidate brings deep expertise in program management, operational transformation, stakeholder engagement, and excellence within a highly matrixed healthcare environment.
Key Responsibilities:
Lead and oversee the Medicaid Clinical Operations PMO function, ensuring successful execution of strategic initiatives aligned to organizational and state priorities.
Manage a portfolio of large-scale initiatives including:
State implementations and expansions
Medicaid operational transformation efforts
Build, lead, mentor, and develop a high-performing team of project managers and PMO professionals.
Partner with internal and external stakeholders to coordinate implementation activities across business, clinical, operational, and technology teams.
Identify implementation risks, operational impacts, and dependencies early and proactively drive mitigation strategies.
Use your skills to make an impact
Required Qualifications
Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Nursing, or related field.
8+ years of progressive experience in program management, PMO leadership, healthcare operations, or transformation initiatives.
5+ years of leadership experience managing teams and complex cross-functional programs.
3+ years direct people management
Experience within Medicaid, managed care, payer operations, healthcare services environment or highly regulated environment
Demonstrated success leading enterprise-scale implementations and operational change initiatives.
Strong understanding of state Medicaid programs, regulatory environments, and healthcare operational models.
Must be able to work within EST business hours
Preferred Qualifications
Master's degree (MBA, MHA, MPH, or related field).
PMP, Agile, Lean, or Six Sigma certification preferred.
Experience working within matrixed enterprise organizations.
Familiarity with clinical operations, care management, utilization management, or population health programs.
Additional Information:
Workstyle: Remote Nationwide
Travel: As business needs dictate (approx. 10%)
Interview Format
As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule .
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
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.
$126,300 - $173,700 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.
Application Deadline: 06-11-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?Humana.com?and at?CenterWell.com.
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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
