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Director of Development
Southland Industries
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At least one Project Executive or functional manager promoted or developed into greater scope.
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Dallas, TX
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Dallas, TX
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Scrum Master - Local to Dallas or Pittsburgh
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Dallas, TX
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Scrum Master - Local to Dallas or Pittsburgh
CGI Technologies and Solutions, Inc.
Dallas, TX
Bachelor's degree plus 6 years of relevant experience required
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Dallas, TX
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Chef de projet principal - BTM I&C / Senior Project Manager - BTM I&C
GE Vernova
Houston, TX
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LDAR Supervisor
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Houston, TX
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Lead Electrical Engineering Technician - APG Job Details | Black & Veatch Family of Companies
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…modify, and maintain technical documentation, drawings, and project deliverables. Responsible for ensuring technical excellence, adherence to schedules, and compliance with budgetary…
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Houston, TX
Open office environment up to 1-2 days per week as required
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Product Mgr II
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Director, Architecture and Data
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Ft. Worth, TX · Houston, TX
- $152,000 to $202,000 USD / year
…coordinating with the Data Fabric Sr Principal Technical Product Manager and the Principal Architects for Enterprise, Data, Infrastructure, and…
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Construction Superintendent
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La Porte, TX · Houston, TX
Along with the Project Manager, plan the physical layout of the jobsite to use all available space effectively. Initiate startup activities, which include site security preparations,…
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Proposal Specialist Job Details | Black & Veatch Family of Companies
Black & Veatch
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Coordinate and manage moderately complex to complex pursuit efforts, working closely with project managers and subject matter experts to deliver strategic, client-focused proposals.
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Engineer - Project Engineer-Design Lead
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Staff Mechanical Buildings Engineer - HVAC / Plumbing (KC, TX, TN, FL, CA, WI) Job Details | Black & Veatch Family of Companies
Black & Veatch
Houston, TX
…States and Canada. The role will support multidisciplinary project teams in delivering code-compliant, coordinated, constructible, and high-quality building mechanical systems for treatment…
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…management, property management, flex space & experience); Project Management (program management, project management, cost consulting); Real Estate Investments (investment management,…

Closed listing

Highmark Health

Project Manager - Medicaid

Charleston, WV, United States

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Experience: 1 - 3 years experience in a project manager role and/or in a project leadership role
Posting language: English
Posted: Nov 9, 2026

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Original job description

Archived listing. The details below describe a past opening.

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

The Project Manager is responsible for driving organization-wide project execution, audit readiness, and strategic compliance initiatives for complex health plan accreditation and regulatory programs. This role serves as the operational backbone for maintaining compliance with NCQA (Commercial, Medicare Advantage, Medicaid, CHIP, Health Equity, and Special Needs Plans), Medicaid state contracts , URAC , CMS , and state/federal regulations. Leveraging a strong clinical or legal background , the Project Manager bridges the gap between complex regulatory mandates (including Title VI/LEP, HIPAA, and delegation oversight) and cross-functional operational execution across Quality Management, Utilization Management, and Credentialing.

This role can be hybrid or remote - if you live within 50 miles of an office you are required to be onsite 3 days a week. T, W, TH.

ESSENTIAL 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.

EDUCATION

Minimum

High School Diploma/GED

Preferred

Bachelor’s degree

EXPERIENCE

Minimum

1 - 3 years experience in a project manager role and/or in a project leadership role

Preferred

Health Care Insurance industry business and operational knowledge
Experience with an industry standard software development lifecycle

LICENSES/CERTIFICATIONS

Required

None

Preferred

PMP certification or equivalent training

SKILLS

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

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Hybrid or Remote - This role can be hybrid or remote - if you live within 50 miles of an office you are required to be onsite 3 days a week. T, W, TH.

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Occasionally

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$68,400.00

Pay Range Maximum:

$105,900.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice (https://dokumfe7mps0i.cloudfront.net/oms/4391/document/2026/1/doclib_458575_QLVK9_1769448333304228022_1769448333396/1769448333396.pdf)

Req ID: J290401

About employer

More about this job

Skills

Regulatory compliance
CMS
Quality assurance procedures
Customer relations
Presentation skills
Project management
Software development
PMP
Negotiation
Conflict resolution
Team building
Interpersonal skills
Communication skills
Leadership
Sell products
Sales

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Jobs in the United States