Remote Health Plan Compliance Project Manager

Highmark Health Company

Lansing (MI)

Hybrid

USD 68,000 - 106,000

Full time

3 days ago

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Job summary

Highmark Inc. is seeking a Project Manager to drive execution for complex health plan accreditation and regulatory programs, aligning with NCQA, URAC, CMS, and HIPAA requirements. The role bridges clinical/legal knowledge with cross-functional operations across Quality Management and Credentialing.

The position supports hybrid or remote work, with onsite 3 days per week if within 50 miles of an office. Candidates should have 1–3 years leading projects and a preferred background in health care

Qualifications

Experience with customer relationship management
Presentation and communication skills
Negotiation and conflict resolution abilities
Strong organizational and planning capabilities
Leadership and team-building capabilities

Responsibilities

Drive program strategy and roadmap with cross-functional teams
Assemble project teams and maintain comprehensive program plans
Engage with sponsors to align business objectives and program outcomes
Monitor program status: scope, schedule, budget, and alignment to goals
Deliver status presentations across the project lifecycle and stakeholders
Support and enhance project management methods and audit requirements
Perform other duties as assigned

Skills

CRM experience

Presentation skills

Negotiation

Risk mitigation

Team building

Interpersonal skills

Communication skills

Planning skills

Leadership

Education

High School Diploma/GED

Bachelor’s degree

Job description

The position supports hybrid or remote work, with onsite 3 days per week if within 50 miles of an office. Candidates should have 1–3 years leading projects and a preferred background in health care

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