Regulatory Project Manager, Health Plan Compliance (Remote)

Highmark Health Company; Topeka (KS); 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 compliance initiatives for complex health plan programs. The role bridges regulatory mandates with cross-functional operational execution across Quality Management, Utilization Management, and Credentialing.

The position can be hybrid or remote; onsite 3 days/week within 50 miles of an office. Strong clinical or legal background preferred, PMP is a plus.

Qualifications

• High School Diploma or GED required.
• Bachelor’s degree preferred.
• 1–3 years of experience in a project manager or leadership role.
• Healthcare insurance industry knowledge is a plus.
• Experience with an industry-standard SDLC is desirable.

Responsibilities

• Drive program strategy and maintain cross-functional project roadmaps.
• Assemble project teams and maintain comprehensive program plans.
• Collaborate with sponsors and owners to align with business objectives.
• Monitor scope, schedule, and budget; report program status.
• Present project status to stakeholders throughout the lifecycle.
• Adhere to project management methods and audit requirements.
• Perform other duties as assigned.

Skills

CRM

Presentation

Negotiation

Conflict resolution

Risk mitigation

Team building

Interpersonal skills

Communication

Planning

Leadership

Education

High School Diploma

Bachelor’s degree

Job description

Highmark Inc. is seeking a Project Manager to drive organization-wide project execution, audit readiness, and compliance initiatives for complex health plan programs. The role bridges regulatory mandates with cross-functional operational execution across Quality Management, Utilization Management, and Credentialing.

The position can be hybrid or remote; onsite 3 days/week within 50 miles of an office. Strong clinical or legal background preferred, PMP is a plus.