Project Manager - Medicaid

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.
• Works with business and technical organizations to assemble project teams.
• Leads Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program.
• Works with Executive Sponsor and Business Owner of a Program, and other management as required, to achieve the Program objectives.
• Acquires understanding of the business objectives for an assigned area.
• Monitors, evaluates and reports on Program status inclusive of scope, schedule, budget and alignment to Program and strategic goals.
• Directs corrective action as needed to maintain the viability of the Program.
• Develops and maintains positive customer relationships.
• Delivers presentations of project status to effectively communicate throughout the project lifecycle.
• Adheres to Highmark project management methods, project lifecycle methodologies, and audit requirements.
• Supports and contributes to the improvement of project management methods and practices.
• Performs 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 Demands and Working Conditions

Position Type: Hybrid – three days onsite (Tuesday, Wednesday, Thursday) with remote work the remaining days. Occasional travel from the office to various work sites or site‑to‑site. No primary sales duties.

• Lifting up to 10 pounds – constant
• Lifting 10 to 25 pounds – occasional
• Lifting 25 to 50 pounds – occasional

Schedule

Hybrid schedule: onsite on Tuesday, Wednesday, and Thursday; remote work on other days.