Project Manager - Medicaid

Company :

Job Description : 

JOB SUMMARY

This role serves as a trusted, objective advisor to Government Business and Medicaid leadership, supporting the C2V program’s strategy, execution, financial performance, and service goals across all markets. The individual will manage a diverse portfolio of initiatives from ideation through implementation and value realization; maintain accurate projections, actual results, risks, decisions, and pipeline status; and provide leadership with clear, timely, stakeholder-appropriate updates. Core responsibilities include coordinating functional forums, issuing agendas and required actions within established timelines, translating opportunities into prioritized analytics requests, reviewing portfolio tracking, capturing new ideas, early risk escalation, and developing accurate executive presentations and ad-hoc analyses.

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

• Healthcare payer, managed care, or government-program business and operational knowledge.
• Experience applying an industry-standard software or product development lifecycle, including requirements definition, testing, implementation, and adoption.
• Proficiency with portfolio-management, dashboard, reporting, or workflow tools such as Monday.com, Power BI, Tableau, Microsoft Project, or comparable platforms.
• Strong risk-management, problem-solving, and change-management capabilities.

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 - 3 days a week onsite - 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.

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