Regulatory Project Manager (Remote/Hybrid)

Highmark Health Company; Dover (DE); 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 compliance initiatives for NCQA, URAC, CMS, and state/federal requirements.

The role bridges clinical or legal expertise with cross-functional operations in Quality Management, Utilization Management, and Credentialing. Hybrid or remote option; onsite 3 days a week within 50 miles of an office.

Qualifications

• 1–3 years of PM or project leadership experience.
• Knowledge of health care insurance business and operations.
• Experience with a standard software development lifecycle.

Responsibilities

• Drive program strategy and maintain a cross-functional roadmap.
• Assemble project teams and maintain comprehensive program plans.
• Collaborate with Executives to align business objectives with program goals.
• Monitor scope, schedule, budget, and program status; take corrective action.
• Deliver project status presentations to stakeholders throughout the lifecycle.
• Adhere to PM methods and audit requirements; contribute to process improvements.
• Perform other duties as assigned.

Skills

CRM experience

Presentation skills

Negotiation

Conflict resolution

Risk mitigation

Team building

Interpersonal skills

Communication skills

Organizational skills

Leadership skills

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 compliance initiatives for NCQA, URAC, CMS, and state/federal requirements.

The role bridges clinical or legal expertise with cross-functional operations in Quality Management, Utilization Management, and Credentialing. Hybrid or remote option; onsite 3 days a week within 50 miles of an office.