Health Care Compliance Project Manager - Remote/Hybrid

Highmark Health Company; Hartford (CT); Hybrid; USD 68,000 - 106,000; Full time

Job summary

Highmark Inc. is seeking a Project Manager to drive organization-wide project execution, audit readiness, and regulatory program initiatives for NCQA, URAC, CMS, and state/federal regulations.

The role bridges clinical/legal backgrounds with cross-functional execution across Quality Management, Utilization Management, and Credentialing. This position offers hybrid or remote work; if within 50 miles of an office, you are expected on-site 3 days a week (T, W, TH).

Qualifications

• 1–3 years of project management or leadership experience
• Healthcare insurance industry knowledge is preferred
• Experience with industry standard SDLC is preferred

Responsibilities

• Drive program strategy and cross-functional plans; maintain program roadmap
• Assemble project teams and lead program-level planning
• Engage with Executive Sponsor and Business Owner to achieve objectives
• Monitor program status: scope, schedule, budget; take corrective actions
• Develop and maintain positive customer relationships; present project status

Skills

Customer relationship management

Presentation skills

Negotiation skills

Conflict resolution

Risk mitigation planning

Team building

Interpersonal skills

Verbal and written communication

Organizational and planning

Leadership

Education

High School Diploma/GED

Bachelor’s degree

Job description

Highmark Inc. is seeking a Project Manager to drive organization-wide project execution, audit readiness, and regulatory program initiatives for NCQA, URAC, CMS, and state/federal regulations.

The role bridges clinical/legal backgrounds with cross-functional execution across Quality Management, Utilization Management, and Credentialing. This position offers hybrid or remote work; if within 50 miles of an office, you are expected on-site 3 days a week (T, W, TH).