Lead Project Manager-Clinical Operations

Lead Project Manager-Clinical Operations

Become a part of our caring community and help us put health first. The Lead Project Manager-Clinical Operations is essential for ensuring the successful execution of complex initiatives. This individual oversees program and project management from initiation to closure, handling multiple concurrent initiatives that encompass operations, compliance, quality, implementations, and member experience. This role demands strong leadership skills, independent judgment, and the ability to navigate ambiguity while delivering results in a fast-paced and highly regulated healthcare environment.

Key Responsibilities :

Design, communicate, and implement comprehensive operational plans for Medicare and Duals-related programs and projects.

Lead multiple complex initiatives simultaneously, ensuring alignment with strategic goals and compliance requirements.

Collaborate with stakeholders across cross-functional teams to provide strategic consulting and guidance.

Monitor project progress and performance, proactively identifying and resolving issues to prevent delays and ensure successful delivery.

Develop program and project schedules, budgets, forecasts, and work specifications.

Coordinate internal and external resources, including vendors and contractors, to achieve project milestones.

Facilitate cross-program communication with leaders to manage interdependencies and ensure alignment across initiatives.

Conduct regular status meetings and prepare executive-level reports and presentations on program health, risks, and mitigation strategies.

Set priorities and allocate tasks, providing direction to project staff and cross-functional stakeholders.

Exercise independent judgment and decision-making on complex and variable issues with minimal supervision.

Advise senior leadership on strategic, segment-specific approaches to program management.

Required Qualifications :

Bachelor's degree or 3 or more years of project leadership experience

Proficient in project management tools and methodologies

Proven experience leading multi-workstream initiatives with diverse stakeholder groups in a matrixed organization

Preferred Qualifications :

Excellent problem-solving and critical-thinking skills; able to manage ambiguity and make sound decisions

PMP certification, Lean Six Sigma or Agile experience a plus

Exceptional communication, collaboration, and stakeholder management abilities

Experience in healthcare

Additional Information :

Interview Format :

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and / or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

Work-At-Home Requirements :

WAH requirements : Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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.

$115,200 - $158,400 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 : 11-17-2025

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 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.