Healthcare Regulatory Project Manager (Hybrid/Remote)

Highmark Health Company

Carson City (NV)

Hybrid

USD 68,000 - 106,000

Full time

3 days ago

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Job summary

Highmark Inc. is seeking a Project Manager to drive organization-wide program execution, audit readiness, and regulatory initiatives across NCQA, URAC, CMS, and Medicaid contracts. The role bridges clinical or legal knowledge with cross-functional operations in Quality Management, Utilization, and Credentialing.

This position offers hybrid or remote work; onsite 3 days a week within 50 miles of an office. Ideal candidates have 1–3 years in project leadership and PMP certification is preferred.

Qualifications

1–3 years experience in a project manager role or project leadership role
Health Care Insurance industry knowledge preferred
PMP certification or equivalent training preferred

Responsibilities

Drive program strategy and roadmap with cross‑functional teams
Assemble project teams and maintain comprehensive program plans
Engage with sponsors and business owners to align objectives
Monitor program status: scope, schedule, budget, and goals
Deliver status presentations to stakeholders across the lifecycle
Adhere to project management methods and audit requirements
Perform other duties as assigned

Skills

Customer relations

Presentation skills

Negotiation skills

Risk mitigation

Team building

Interpersonal skills

Verbal and written communication

Organizational skills

Leadership

Education

High School Diploma/GED

Bachelor’s degree

Job description

This position offers hybrid or remote work; onsite 3 days a week within 50 miles of an office. Ideal candidates have 1–3 years in project leadership and PMP certification is preferred.

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