Medicare/Medicaid Program Manager

Highmark Health

Lincoln (NE)

On-site

USD 94,000 - 151,000

Full time

4 days ago
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Job summary

Highmark Inc. is seeking a Program Manager to lead multi-million-dollar government programs across Medicare, Medicaid, and D-SNP portfolios.

You will define, execute, and deliver enterprise-wide projects while aligning clinical, compliance, IT, and actuarial teams to ensure compliant care for vulnerable populations. You will navigate CMS and state guidelines, manage cross-functional dependencies, and drive risk mitigation, vendor contracts, and strategic initiatives to expand our market

Qualifications

  • 7–10 years of work experience in project management.
  • Experience delivering business solutions using information technology in large programs.
  • Understanding of CMS and state guidelines and privacy requirements.
  • PMP certification or other project management credential preferred.

Responsibilities

  • Assemble project teams and lead the development and maintenance of plans for a defined corporate program.
  • Organize and coordinate cross-functional activities to deliver defined results.
  • Collaborate with executive sponsor to achieve objectives and understand business goals.
  • Monitor progress and financial health across projects and report to leadership.
  • Assess risks and implement mitigation strategies.
  • Partner with procurement for contracts and manage vendor relationships.
  • Perform other duties as assigned.

Skills

Project management
Cross-functional collaboration
Regulatory awareness
Vendor management
Risk assessment

Education

High School Diploma / GED
Bachelor’s degree in Business Administration or Technology Management-related area
MBA or Master’s Degree in Technology Management-related area

Job description

Highmark Inc. is seeking a Program Manager to lead multi-million-dollar government programs across Medicare, Medicaid, and D-SNP portfolios.

You will define, execute, and deliver enterprise-wide projects while aligning clinical, compliance, IT, and actuarial teams to ensure compliant care for vulnerable populations. You will navigate CMS and state guidelines, manage cross-functional dependencies, and drive risk mitigation, vendor contracts, and strategic initiatives to expand our market

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