Healthcare Compliance Project Manager (Hybrid/Remote)

Highmark Health Company; Boise (ID); 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 compliance initiatives for complex health plan programs, including NCQA, URAC, CMS, and state contracts.

The role bridges clinical or legal expertise with cross-functional teams in Quality Management, Utilization Management, and Credentialing to ensure successful delivery while adhering to privacy and security requirements.

Qualifications

• 1-3 years in PM or project leadership
• Healthcare insurance industry knowledge preferred
• Experience with industry standard SDLC

Responsibilities

• Drive program strategy and maintain cross-functional project roadmaps.
• Lead project teams and develop comprehensive program plans.
• Collaborate with executives to align objectives and business goals.
• Monitor scope, schedule, and budget; take corrective action as needed.
• Deliver status presentations throughout the project lifecycle.
• Adhere to PM methods and audit requirements; support process improvements.
• Perform other duties as assigned.

Skills

CRM experience

Presentation skills

Negotiation skills

Risk mitigation

Team building

Interpersonal skills

Communication skills

Organizational skills

Leadership skills

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 compliance initiatives for complex health plan programs, including NCQA, URAC, CMS, and state contracts.

The role bridges clinical or legal expertise with cross-functional teams in Quality Management, Utilization Management, and Credentialing to ensure successful delivery while adhering to privacy and security requirements.