Regulatory Operations & Mandates Project Manager IT; Remote

Resp & Qualifications

As an IT Project Manager Regulatory Operations & Mandates this role is responsible for leading the planning and delivery of projects driven by state, federal, and industry regulatory requirements. This role serves as a key liaison between Legal, Regulatory Operations, IT, and business stakeholders to translate regulatory mandates into actionable business and technical requirements.

This position will scope and manage mandate-driven initiatives across Commercial and Government Programs, ensuring compliance obligations are integrated into project delivery. This role is accountable for providing the operational compliance requirements and oversight to multiple projects of varying complexity throughout the full project lifecycle, from initiation and kickoff through implementation and closure, ensuring all regulatory requirements are met and maintain proper documentation of compliance.

• Translate legal interpretations of regulatory requirements into business and system compliance requirements.
• Analyze impacts across products, funding types (Commercial, ASO, Government Programs), and operational areas.
• Identify impacted stakeholders, systems, and processes to define project scope and requirements.
• Partner with Legal and business teams to clarify requirements and resolve interpretation questions.

• Track and monitor regulatory milestones and effective dates throughout the project lifecycle. In conjunction with the ePMO PM, develop and manage project plans, timelines, deliverables, and resource allocation.
• Ensure regulatory and business requirements are fully integrated into project scope and facilitate a detailed handoff to ePMO to initiate execution phase.
• Monitor risks, issues, and dependencies, with a focus on compliance and operational impact.

• Serve as liaison between Regulatory Operations, Legal, IT, and business stakeholders.
• Lead cross-functional discussions to align implementation approach, requirements, and timelines.
• Provide regulatory guidance to project teams and influence decision-making.

• Ensure compliance documentation and audit-ready evidence is completed and maintained in tracking system/site.
• Provide regular project status updates and reporting to leadership.
• Support regulatory reporting efforts, including ad hoc and complex reporting requests, by partnering with Lead Reporting Analyst, as needed, to ensure accuracy, completeness, and alignment with regulatory requirements.

This position has no direct reports, however, may informally lead teams in a matrix environment.

Education Level: Bachelor's Degree in Health Informatics, Information Technology, Information Systems or related discipline OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

• Certified Project Management Professional (PMP)-PMI.
• SAFe Scrum Master Certification.

3 years experience leading projects in a cross-functional, technical systems implementation.

• Experience interpreting or operationalizing state and federal healthcare laws/regulations.
• Knowledge of Commercial and Government Programs (e.g., Medicare, Medicaid, FEHBP).
• Experience translating regulatory or legal requirements into business and technical solutions.
• Experience working within an EPMO or supporting system implementations.
• Familiarity with health plan operations (e.g., benefits, claims, provider, enrollment).
• Experience supporting regulatory compliance initiatives or audits.

• Strong Financial Management ability including comprehension of project financials, profit and loss and the ability to create and manage and adhere to a broader project budget.
• Strong Communication skills both written and verbal.
• Ability to successfully lead in a matrixed environment.
• Strong understanding of regulatory compliance and ability to translate regulatory requirements…