Regulatory Project Manager – Hybrid/Remote

Highmark Health Company; Salem (OR); 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 initiatives for NCQA, Medicaid, URAC, CMS, and state/federal requirements. The role bridges clinical/legal needs with cross-functional teams across Quality Management, Utilization, and Credentialing.

This position supports hybrid or remote work; onsite 3 days weekly for those within 50 miles of an office. A background in healthcare regulatory programs is preferred.

Qualifications

• 1–3 years experience in a project manager role or in a project leadership role
• PMP certification or equivalent training preferred
• Hybrid or remote work with onsite 3 days weekly if within 50 miles of an office
• Knowledge of NCQA, URAC, CMS accreditation standards and related regulatory requirements

Responsibilities

• Drive program strategy and approach; maintain cross-functional program roadmap
• Assemble project teams; develop and maintain comprehensive program plans
• Collaborate with Executive Sponsor and Business Owner to achieve program objectives
• Monitor status: scope, schedule, budget; take corrective actions as needed
• Deliver status presentations across the project lifecycle and engage stakeholders
• Adhere to project management methods and audit requirements; support improvements
• Perform other duties as assigned or requested

Skills

CRM experience

Presentation

Negotiation

Conflict resolution

Risk mitigation

Team building

Interpersonal skills

Verbal & written communication

Organization & planning

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 initiatives for NCQA, Medicaid, URAC, CMS, and state/federal requirements. The role bridges clinical/legal needs with cross-functional teams across Quality Management, Utilization, and Credentialing.

This position supports hybrid or remote work; onsite 3 days weekly for those within 50 miles of an office. A background in healthcare regulatory programs is preferred.