Regulatory Project Manager, Health Plan (Hybrid/Remote)

Highmark Health Company

Phoenix (AZ)

Hybrid

USD 68,000 - 106,000

Full time

3 days ago

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Job summary

Highmark Inc. seeks a Project Manager to drive organization-wide project execution, audit readiness, and regulatory compliance initiatives for NCQA, URAC, CMS programs. This role bridges clinical/legal requirements with cross-functional operations in Quality, Utilization, and Credentialing.

This position can be hybrid or remote; onsite is required within 50 miles of an office three days a week (Tue, Wed, Thu). Strong background in healthcare regulatory programs is preferred.

Qualifications

1–3 years experience in a project manager role or project leadership role.
PMP certification or equivalent training preferred.

Responsibilities

Drive program strategy and develop cross-functional roadmaps.
Assemble project teams and maintain comprehensive project plans.
Engage executive sponsors to align objectives with business goals.
Monitor scope, schedule, budget, and program viability; take corrective action as needed.
Deliver status presentations to communicate progress across the lifecycle.
Adhere to project management methodologies and audit requirements.
Perform other duties as assigned.

Skills

Customer relationship management

Presentation skills

Negotiation skills

Conflict resolution

Risk mitigation planning

Team building

Interpersonal skills

Verbal and written communication

Organizational and planning

Leadership

Education

High School Diploma/GED

Bachelor’s degree

Job description

This position can be hybrid or remote; onsite is required within 50 miles of an office three days a week (Tue, Wed, Thu). Strong background in healthcare regulatory programs is preferred.

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