Project Manager - Medicaid

Highmark Health; Pittsburgh (Allegheny County); Hybrid; USD 85,000 - 125,000; Full time

Job summary

Highmark Inc. in Pittsburgh seeks a trusted advisor to Government Business and Medicaid leadership, guiding a broad portfolio from ideation through implementation and value realization.

You will coordinate forums, translate opportunities into analytics requests, and present clear updates to executives across markets. This hybrid role requires at least 1–3 years in project management, knowledge of portfolio management tools such as Power BI and Monday.com, and strong leadership, risk management,

Qualifications

• Minimum 1 - 3 years in a project manager role and/or project leadership experience.
• Healthcare payer, managed care, or government-program knowledge preferred.
• Experience with portfolio-management, dashboards, reporting, or workflow tools such as Monday.com, Power BI, Tableau, Microsoft Project, or similar.

Responsibilities

• Drive program strategy and approach with cross-functional teams.
• Plan and maintain a program roadmap of cross-functional activities/projects.
• Lead Project Managers and the program team in developing comprehensive plans.
• Monitor, evaluate, and report on program status: scope, schedule, budget, and alignment.
• Deliver executive-level presentations of project status throughout the lifecycle.
• Adhere to project management methods, lifecycle methodologies, and audit requirements.

Skills

Program management

Cross-functional

Risk management

Communication

Education

Bachelor’s degree

Tools

Monday.com

Power BI

Tableau

Microsoft Project

Job description

Company

Company : Highmark Inc.

Job Description

JOB SUMMARY This role serves as a trusted, objective advisor to Government Business and Medicaid leadership, supporting the C2V program’s strategy, execution, financial performance, and service goals across all markets. The individual will manage a diverse portfolio of initiatives from ideation through implementation and value realization; maintain accurate projections, actual results, risks, decisions, and pipeline status; and provide leadership with clear, timely, stakeholder-appropriate updates. Core responsibilities include coordinating functional forums, issuing agendas and required actions within established timelines, translating opportunities into prioritized analytics requests, reviewing portfolio tracking, capturing new ideas, early risk escalation, and developing accurate executive presentations and ad-hoc analyses.

ESSENTIAL 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.

EDUCATION

Minimum High School Diploma/GED Preferred Bachelor’s degree

EXPERIENCE

Minimum 1 - 3 years experience in a project manager role and/or in a project leadership role Preferred Healthcare payer, managed care, or government-program business and operational knowledge. Experience applying an industry-standard software or product development lifecycle, including requirements definition, testing, implementation, and adoption. Proficiency with portfolio-management, dashboard, reporting, or workflow tools such as Monday.com, Power BI, Tableau, Microsoft Project, or comparable platforms. Strong risk-management, problem-solving, and change-management capabilities.

LICENSES/CERTIFICATIONS

Required None Preferred PMP certification or equivalent training

SKILLS

Experience with customer relationship management Presentation skills Negotiation skills Experience with conflict resolution Experience with Risk Mitigation Planning Team Building Skills Strong interpersonal skills Very good verbal and written communication skills Solid organizational and planning skills Solid leadership skills

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type Hybrid - 3 days a week onsite - T, W, Th Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Occasionally

Disclaimer

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at [e-mail] California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.