Regulatory Project Manager - Hybrid/Remote (Healthcare)

Highmark Health Company; Augusta (ME); Hybrid; USD 68,000 - 106,000; Full time

Job summary

Highmark Inc. seeks a Project Manager to drive organization-wide project execution, audit readiness, and regulatory program support for NCQA, URAC, CMS and state/federal requirements. This role bridges clinical/legal background with cross-functional teams in Quality Management, Utilization, and Credentialing.

The position offers hybrid or remote work; onsite three days a week within 50 miles of an office. Travel minimal.

Qualifications

• Project management experience in health care or regulatory programs.
• Experience with audit readiness and compliance programs.
• Familiarity with NCQA, URAC, CMS regulatory frameworks.

Responsibilities

• Drive program strategy and cross-functional project plans.
• Lead project managers and teams to create comprehensive program plans.
• Collaborate with sponsors to achieve program objectives.
• Monitor scope, schedule, budget, and align with goals.
• Deliver status presentations across the project lifecycle.
• Adhere to PM methods and audit requirements.
• Support process improvements in project management.

Skills

CRM experience

Presentation skills

Negotiation skills

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. seeks a Project Manager to drive organization-wide project execution, audit readiness, and regulatory program support for NCQA, URAC, CMS and state/federal requirements. This role bridges clinical/legal background with cross-functional teams in Quality Management, Utilization, and Credentialing.

The position offers hybrid or remote work; onsite three days a week within 50 miles of an office. Travel minimal.