Healthcare Regulatory Project Manager | Hybrid/Remote

Highmark Health Company; Salt Lake City (UT); Hybrid; USD 68,000 - 106,000; Full time

Job summary

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

The role bridges clinical/legal knowledge with cross-functional operations in Quality Management, Utilization, and Credentialing. This position supports hybrid or remote work; onsite presence is expected for those within 50 miles of an office, 3 days a week (T, W, TH).

Qualifications

• 1–3 years experience in a project manager or leadership role.
• Healthcare insurance industry knowledge preferred.
• Experience with industry standard SDLC preferred.
• PMP certification or equivalent training preferred.

Responsibilities

• Works with business and technical organizations to drive out program strategy and approach. Organizes, plans, and maintains Program roadmap consisting of cross-functional activities/projects.
• Work with business and technical organizations to assemble project teams. Lead Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program.
• Work with Executive Sponsor and Business Owner of a Program, and other management as required, to achieve the Program objectives. Acquire understanding of the business objectives for an assigned area.
• Monitor, evaluate and report on Program status inclusive of scope, schedule, budget and alignment to Program and strategic goals. Direct corrective action as needed to maintain the viability of the Program.
• Develop and maintain positive customer relationships. Deliver presentations of project status to effectively communicate throughout the project lifecycle.
• Adhere to Highmark project management methods, project lifecycle methodologies, and audit requirements. Support and contribute to the improvement of project management methods and practices.
• Other duties as assigned or requested.

Skills

Project leadership

Stakeholder management

Communication skills

Risk management

Cross-functional collaboration

Education

High School Diploma/GED

Bachelor’s degree

Job description

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

The role bridges clinical/legal knowledge with cross-functional operations in Quality Management, Utilization, and Credentialing. This position supports hybrid or remote work; onsite presence is expected for those within 50 miles of an office, 3 days a week (T, W, TH).