Regulatory Project Manager - Health Plan (Hybrid/Remote)

Highmark Health Company; Honolulu (HI); 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 regulatory program compliance across NCQA, Medicaid contracts, URAC, CMS, and related state/federal rules.

The role bridges clinical/legal background with cross-functional execution in Quality Management, Utilization, and Credentialing. Hybrid or remote work is possible, with onsite 3 days weekly for those within 50 miles of an office.

Qualifications

• 1-3 years experience in a project manager role or in a project leadership role
• Hybrid or remote work with onsite 3 days a week for those within 50 miles of an office
• PMP certification or equivalent training preferred
• Health Care Insurance industry knowledge preferred
• Experience with an industry standard software development lifecycle preferred

Responsibilities

• Drive program strategy and maintain cross-functional roadmaps
• Assemble project teams and maintain comprehensive program plans
• Collaborate with Sponsor/Business Owner to achieve program objectives
• Monitor status including scope, schedule, and budget; take corrective actions
• Deliver project status presentations to stakeholders throughout the lifecycle
• Adhere to PM methods and support continuous improvement of processes
• Perform other duties as assigned

Skills

CRM experience

Presentation skills

Negotiation

Conflict resolution

Risk mitigation

Team building

Interpersonal skills

Communication skills

Organizational skills

Leadership

Education

High School Diploma/GED

Bachelor’s degree

Job description

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

The role bridges clinical/legal background with cross-functional execution in Quality Management, Utilization, and Credentialing. Hybrid or remote work is possible, with onsite 3 days weekly for those within 50 miles of an office.