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Added 27 mins ago
J
Interim Executive Director
Jobgether
Remote, United States
- $12,500 USD / month
Lead a statewide environmental justice organization through an important period of executive transition and organizational change. As Interim Executive Director, you will provide strategic,…
Added 28 mins ago
CN
MWR Navy Race Organization Director
Commander, Navy Installations Command
Broadway Complex, San Diego, CA
- $145,000 to $150,000 USD / year
Manages multiple-million-dollar budgets. Directs operational controls and establishment of the NRO strategic and functional planning.
Added 30 mins ago
NS
SUPERVISORY DISTINGUISHED ENGINEER
Naval Sea Systems Command
Port Hueneme, CA
- $198,349 to $209,600 USD / year
You will provide executive leadership and senior technical and strategic advice to command, NAVSEA, Navy, and Department of War leaders on research priorities, technology investment, fleet…
Added 30 mins ago
NA
GENERAL ENGINEER
Naval Air Systems Command
Patuxent River, MD
- $143,913 to $197,200 USD / year
You will serve as the E-130J TACAMO Recapitalization Air Vehicle Lead Assistant Program Manager for Systems Engineering (APMSE) with PMA-271, the Airborne Strategic Command, Control and…
Added 32 mins ago
VH
Supervisory Dietitian (Chief, Nutrition and Food Services)
Veterans Health Administration
Memphis, TN
- $125,776 to $163,514 USD / year
- Develops the NFS strategic plan establishing service priorities which address the goals and strategic direction of the medical center, VISN and national programs.
Added 32 mins ago
VH
Healthcare Engineer (Plumbing Engineer)
Veterans Health Administration
Northport, NY
- $130,369 to $169,484 USD / year
…align engineering initiatives with the healthcare system's strategic goals. Duties include but are not limited…
Added 36 mins ago
DA
Supervisory IT Specialist
Deputy Assistant Secretary for Information and Technology
Location Negotiable After Selection
- $147,945 to $192,331 USD / year
Serves as a senior-level digital services expert; oversees product lines and programs, makes decisions on work problems and administrative proposals, and is the VA's approval authority for…
Added 36 mins ago
VH
Assistant Nurse Manager
Veterans Health Administration
Muskogee, OK
- $91,339 to $161,196 USD / year
The Assistant Nurse Manager (ANM) supports the Nurse Manager (NM) in overseeing operations of a nursing unit/patient care area but is not responsible for independently carrying out the…
Added 39 mins ago
VH
Healthcare Engineer
Veterans Health Administration
Louisville, KY
- $58,193 to $129,225 USD / year
…planning and design for the medical facility spanning initial strategic planning, concept development, design, construction, and effective implementation of complex buildings, utilities,…
Added 42 mins ago
Lead Program Underwriter, Professional & Healthcare
Nationwide Mutual Insurance Co.
AZ
Join the Nationwide E&S Programs team as the lead underwriter for our Professional & Healthcare programs. Bring your expertise to complex risks, help shape portfolio strategy, and evaluate…
Added 43 mins ago
VH
Dietitian (Advanced Level Practice)
Veterans Health Administration
Roseburg, OR
- $89,508 to $116,362 USD / year
This position is eligible for Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and…
Added 46 mins ago
TS
Supervisory Transportation Security Officer
Transportation Security Administration
Montrose, CO
- $74,678 to $97,087 USD / year
…which may include Transportation Security Officers (TSOs) and Lead Transportation Security Officers (LTSOs) in the performance of all security functions related to the screening of people,…
Added 50 mins ago
VH
Registered Nurse (Assistant Nurse Manager)
Veterans Health Administration
Salt Lake City, UT
- $88,970 to $148,317 USD / year
The Assistant Nurse Manager (ANM) for the Substance Abuse Residential Rehabilitation Treatment Program (SARRTP) supports the Nurse Manager (NM) in overseeing operations of a nursing…
Added 50 mins ago
AF
Logistics Management Specialist
Air Force Materiel Command
Langley AFB, VA
- $108,019 to $140,426 USD / year
…Support Center (AFIMSC) Detachment 8, in support of MAJCOM Strategic and Non-Strategic basing and beddown processes and associated Site Activation Task Forces (SATAFs). Provides planning…
Added 52 mins ago
FE
Supervisory Public Affairs Specialist
Federal Emergency Management Agency
Oakland, CA
- $184,950 to $197,200 USD / year
Leading strategic communication, mitigation information, or public safety outreach programs focused on all-hazards preparedness, mitigation, response, or recovery efforts; and
Added 53 mins ago
Senior Product Manager, New Product Development
CVS Health
Remote, United States
This role strikes a balance between strategy and execution. As Senior Manager, Diagnostic & Preventive Services , you will help lead the development and execution of a portfolio strategy…
Added 54 mins ago
S
Sales Manager, Construction Products
Saint-Gobain
Remote, United States
- $92,000 to $142,000 USD / year
…ADFORS is seeking an experienced and entrepreneurial Sales Manager to lead business development and account growth for our Construction Products business across North…
Added 55 mins ago
VH
VISN Business Implementation Manager
Veterans Health Administration
Location Negotiable After Selection
- $126,384 to $164,301 USD / year
…Registration/Intake, Beneficiary Travel, Veterans Transportation Program (VTP), Veterans Point of Service Kiosks (VPS), technology enhancements, facility-based revenue activities in liaison…
Added 56 mins ago
Airport Lounge Design Manager
Capital One
New York, NY
The Airport Lounge Design Manager is part of the Airport Design & Construction Team, primarily responsible for the design, documentation, and implementation of new and renovated airport…
Added 56 mins ago
Sr Technical Program Manager, Product Knowledge
Amazon
New York, NY
As a Senior Technical Program Manager (TPM) on our team, you'll lead programs that directly impact how selection enters and is categorized in Amazon's catalog. You'll collaborate with…
Added 56 mins ago
Director, Deferred Compensation and LTIA
Ameriprise Financial Inc.
NEW YORK, NY
…longstanding leader in financial planning and advice, a global asset manager and an insurer. Our unwavering focus on our clients and strong financial foundation connects each of our unique…
Added 56 mins ago
C
Senior Manager, HR M&A
Cognizant
New York, NY
- $97,650 to $132,000 USD / year
…and influences people-related deal terms. The role combines strategic thinking with hands-on execution, business and financial acumen, workforce data analysis, executive communication, and…
Added 56 mins ago
Core Engineering Sourcing Manager V
Apex Systems, Inc.
NEW YORK, NY
Added 56 mins ago
W
Manager, Product Marketing - Sales Marketing
Walmart
NEW YORK, NY
- $96,000 to $186,000 USD / year
The Manager, Product Marketing - Sales Marketing role leads, contributes, and activates strategic initiatives to equip the VIZIO Ad Sales organization with compelling narratives,…
Added 57 mins ago
Finance Budget Manager (Repost)
CUNY
New York, NY
Serve as lead budget manager on multiple University wide programs and initiatives and as team leader on various projects.

Closed listing

Highmark Health

Project Manager - Medicaid

Dover, DE, 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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