Remote Healthcare Compliance Project Lead

Highmark Health Company; Helena (MT); 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 compliance initiatives for complex health plan programs. You will bridge regulatory mandates with cross-functional operations in Quality Management, Utilization Management, and Credentialing.

This role can be hybrid or remote; onsite 3 days/week within 50 miles of an office (T, W, TH). Must have a clinical or legal background and strong stakeholder management skills.

Qualifications

• 1–3 years experience in a project manager role and/or in a project leadership role
• Health Care Insurance industry business and operational knowledge
• Experience with an industry standard software development lifecycle
• PMP certification or equivalent training (preferred)

Responsibilities

• Works with business and technical organizations to drive out program strategy and approach. Organizes, plans, and maintains Program roadmap consisting of cross-functional activities/projects.
• Work with business and technical organizations to assemble project teams. Lead Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program.
• Work with Executive Sponsor and Business Owner of a Program, and other management as required, to achieve the Program objectives. Acquire understanding of the business objectives for an assigned area.
• Monitor, evaluate and report on Program status inclusive of scope, schedule, budget and alignment to Program and strategic goals. Direct corrective action as needed to maintain the viability of the Program.
• Develop and maintain positive customer relationships. Deliver presentations of project status to effectively communicate throughout the project lifecycle.
• Adhere to Highmark project management methods, project lifecycle methodologies, and audit requirements. Support and contribute to the improvement of project management methods and practices.
• Other duties as assigned or requested.

Skills

CRM experience

Presentation skills

Negotiation skills

Conflict resolution

Risk mitigation planning

Team building

Interpersonal skills

Verbal and written communication

Organizational skills

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 compliance initiatives for complex health plan programs. You will bridge regulatory mandates with cross-functional operations in Quality Management, Utilization Management, and Credentialing.

This role can be hybrid or remote; onsite 3 days/week within 50 miles of an office (T, W, TH). Must have a clinical or legal background and strong stakeholder management skills.