Project Manager – Medicaid

Highmark Health

. Drive organization-wide project execution, audit readiness, and strategic compliance initiatives for complex health plan accreditation and regulatory programs .

Posted 11/9/2026full-timeUnited StatesJunior💰 $68,400 - $105,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in project management, compliance with regulatory standards such as HIPAA and NCQA, and effective customer relationship management. Proven ability to lead cross-functional teams, develop strategic program roadmaps, and deliver impactful presentations.

Highest-signal resume keywords

Project ManagementRegulatory ComplianceCustomer Relationship ManagementPresentation SkillsRisk Mitigation Planning

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Project ManagementRegulatory ComplianceRisk Mitigation PlanningProgram Strategy DevelopmentAudit Requirements

Soft Skills

Team Building SkillsNegotiation SkillsConflict ResolutionInterpersonal SkillsVerbal and Written Communication Skills

Tools & Technologies

Highmark Project Management MethodsLifecycle Methodologies

Industry Keywords

NCQAMedicaidURACCMSTitle VILEPHIPAA

About the role

Key responsibilities & impact

Drive organization-wide project execution, audit readiness, and strategic compliance initiatives for complex health plan accreditation and regulatory programs
Maintain compliance with NCQA, Medicaid state contracts, URAC, CMS, and state/federal regulations
Bridge complex regulatory mandates, including Title VI/LEP, HIPAA, and delegation oversight, with cross-functional operational execution across Quality Management, Utilization Management, and Credentialing
Develop program strategy and approach with business and technical organizations
Organize, plan, and maintain program roadmaps of cross-functional activities and projects
Assemble project teams and lead Project Managers and program teams in developing and maintaining comprehensive plans
Work with Executive Sponsors, Business Owners, and management to achieve program objectives
Monitor, evaluate, and report program status, including scope, schedule, budget, and strategic alignment
Direct corrective action as needed to maintain program viability
Develop and maintain customer relationships
Deliver project-status presentations throughout the project lifecycle
Adhere to Highmark project management methods, lifecycle methodologies, and audit requirements
Support improvement of project management methods and practices
Perform other duties as assigned or requested

Requirements

What you’ll need

Minimum High School Diploma/GED
1 - 3 years experience in a project manager role and/or in a project leadership role
Experience with customer relationship management
Presentation skills
Negotiation skills
Experience with conflict resolution
Experience with Risk Mitigation Planning
Team Building Skills
Strong interpersonal skills
Very good verbal and written communication skills
Solid organizational and planning skills
Solid leadership skills
Must comply with HIPAA, data security guidelines, company policies, applicable federal and state laws, rules, regulations, and training requirements