Healthcare Compliance Project Lead (Remote/Hybrid)

Highmark Health Company; Jackson (MS); 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 compliance within NCQA, URAC, CMS, and state/federal requirements. The role bridges clinical/legal background with cross-functional teams across Quality, Utilization, and Credentialing.

The position can be hybrid or remote; onsite work is required within 50 miles for 3 days per week (T, W, TH). Strong emphasis on safeguards for HIPAA and delegation oversight.

Qualifications

• 1–3 years experience in a project manager or project leadership role.
• Experience in Health Care Insurance industry is a plus.

Responsibilities

• Drive program strategy and cross-functional execution across multiple regulatory programs.
• Lead project teams and maintain comprehensive program plans.
• Monitor program status including scope, schedule, and budget; report to stakeholders.

Skills

CRM experience

Presentation skills

Negotiation skills

Conflict resolution

Risk mitigation planning

Team building

Interpersonal skills

Verbal and written communication

Organizational skills

Leadership skills

Client relationships

Education

High School Diploma/GED

Bachelor’s degree

Tools

SDLC experience

Job description

Highmark Inc. is seeking a Project Manager to drive organization-wide project execution, audit readiness, and regulatory program compliance within NCQA, URAC, CMS, and state/federal requirements. The role bridges clinical/legal background with cross-functional teams across Quality, Utilization, and Credentialing.

The position can be hybrid or remote; onsite work is required within 50 miles for 3 days per week (T, W, TH). Strong emphasis on safeguards for HIPAA and delegation oversight.