Jobs in the United States

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Added 6 mins ago
Commissioning Senior Manager (data centers)
Equinix LLC
United States
…and reliably. Your leadership throughout the commissioning process helps protect critical infrastructure, support operational readiness, and deliver the performance our customers depend…
Added 10 mins ago
HO
CAO Graphic Design Intern, Spring
House of Representatives
Washington, DC
- $36,834 USD / year
Candidates must possess a willingness to take initiative, come up with creative ideas, and work under tight deadlines · Candidates must have experience with the Adobe suite, including InDesign, Photoshop, and Illustrator
Added 10 mins ago
OA
Assistant Legal Adviser
Other Agencies and Independent Organizations
Washington, DC
- $151,661 to $228,000 USD / year
Education: Applicants must possess an LL.B
Added 11 mins ago
J
Head of Customer Success
Jobgether
Remote, United States
- $194,000 to $291,000 USD / year
…Working closely with Sales, Product, Marketing, Operations, and Support, you will strengthen cross-functional collaboration and improve the customer lifecycle. You will also guide the…
Added 12 mins ago
OA
Assistant Legal Adviser
Other Agencies and Independent Organizations
Washington, DC
- $151,661 to $228,000 USD / year
Education: Applicants must possess an LL.B
Added 12 mins ago
OA
Assistant Legal Adviser
Other Agencies and Independent Organizations
Washington, DC
- $151,661 to $228,000 USD / year
Education: Applicants must possess an LL.B
Added 12 mins ago
OA
Assistant Legal Adviser
Other Agencies and Independent Organizations
Washington, DC
- $151,661 to $228,000 USD / year
Education: Applicants must possess an LL.B
Added 12 mins ago
OA
Assistant Legal Adviser
Other Agencies and Independent Organizations
Washington, DC
- $151,661 to $228,000 USD / year
Education: Applicants must possess an LL.B
Added 12 mins ago
OA
Assistant Legal Adviser
Other Agencies and Independent Organizations
Washington, DC
- $151,661 to $228,000 USD / year
Education: Applicants must possess an LL.B
Added 12 mins ago
OA
Assistant Legal Adviser
Other Agencies and Independent Organizations
Washington, DC
- $151,661 to $228,000 USD / year
Education: Applicants must possess an LL.B
Added 12 mins ago
DA
Management Analyst
Deputy Assistant Secretary for Finance
Houston, TX · Austin, TX
- $109,428 to $159,575 USD / year
For a GS-13 position you must have served 52 weeks at the GS-12 · The grade may have been in any occupation, but must have been held in the Federal service
Added 12 mins ago
AR
Civil Engineer
Agriculture, Rural Development
Las Vegas, NV · Elko, NV · Carson City, NV
- $74,678 to $116,362 USD / year
For the GS-11: You must have one year specialized experience equivalent to the GS-09 in the Federal service
Added 12 mins ago
FH
Civil Engineer (Structural) - DIRECT HIRE
Federal Highway Administration
Dover, DE
- $98,630 to $152,471 USD / year
To qualify for the GS-12, you must have at least one year of experience equal or equivalent to the GS-11, it must include: · To qualify for the GS-13, you must have at least one year of experience equal or equivalent to the GS-12, it must include:
Added 12 mins ago
VH
Social Services Assistant
Veterans Health Administration
Remote, United States
- $50,460 to $82,007 USD / year
For a GS-7 position you must have served 52 weeks at the GS-6 · The grade may have been in any occupation, but must have been held in the Federal service
Added 12 mins ago
HU
PROGRAM ANALYST
HQ USAF and Support Elements
Andrews AFB, MD
- $121,785 to $158,322 USD / year
The primary purpose of this position is to serve as Program Analyst for Air Force (AF) Language, Regional Expertise, and Culture (LREC) Program Office. Analyze and evaluate (on a…
Added 12 mins ago
DC
Supply Technician
Defense Commissary Agency
Fort Bragg, NC
- $42,538 to $55,300 USD / year
Read the entire announcement before starting the application process.
Added 12 mins ago
FE
Supervisory Management Analyst (Business Support Division Director)
Federal Emergency Management Agency
Washington, DC
- $169,279 to $197,200 USD / year
Current Federal employees must have served 52 weeks at the next lower grade or equivalent grade band in the Federal service
Added 13 mins ago
IL
Associate Development
Invenergy LLC
Denver, CO
- $100,000 to $120,000 USD / year
In addition to base pay, the total annual compensation package may also include eligibility to participate in our bonus program(s) which are designed to reward individual and company…
Added 13 mins ago
IL
Associate, Renewable Development
Invenergy LLC
Denver, CO
- $100,000 to $120,000 USD / year
In addition to base pay, the total annual compensation package may also include eligibility to participate in our bonus program(s) which are designed to reward individual and company…
Added 13 mins ago
IL
Senior Manager, Development
Invenergy LLC
Denver, CO
- $165,000 to $200,000 USD / year
In addition to base pay, the total annual compensation package may also include eligibility to participate in our bonus program(s) which are designed to reward individual and company…
Added 14 mins ago
Technical Program Manager, Pacing
Anthropic
San Francisco, CA · New York City, NY
We're hiring a Technical Program Manager to run Pacing. It spans many projects led by people across Safety, Research, Policy, Legal, Communications, and Engineering, most of whom have other…
Added 14 mins ago
Technical Program Manager, External Evaluators
Anthropic
San Francisco, CA · New York City, NY
…assess risks, processes, and policies. We're hiring a Technical Program Manager to establish and deepen our partnerships with these external reviewers and embedded evaluators to support a…
Added 25 mins ago
SS
Provider Relations Lead - Village Health
SHPCA SCAN Health Plan
Long Beach, CA
- $71,700 to $123,490 USD / year
There will be daily interface with office staff and providers, as well as interactions with corporate leadership at DaVita and constant collaboration with internal stakeholders to…
Added 30 mins ago
TD
Financial Institutions Policy Analyst
Treasury, Departmental Offices
Washington, DC
- $169,279 to $197,200 USD / year
…effects revised, or new policies and regulations may have on the Office and…
Added 32 mins ago
FH
Civil Engineer (Structural) - DIRECT HIRE
Federal Highway Administration
Austin, TX
- $76,777 to $119,633 USD / year
To qualify for the GS-11 on Experience, you must have at least one year of experience equal or equivalent to the GS-09 it must include: · To qualify for the GS-11 on Education alone, you must have:

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Columbus, OH, United States

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Posting language: English
Posted: Nov 6, 2026

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Original job description

Archived listing. The details below describe a past opening.

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA and ACA), using skills including, but not limited to: capability analysis and definition; operating model definition; incentive model design; governance and decision rights; process engineering, and metrics design. The incumbent works closely with senior/executive leadership, Physicians and technical staff within the Enterprise and within strategic hospital partners, to identify, prioritize, and deliver large and small scale projects that advance business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities, as well as driving continuous improvement efforts. Will be responsible for professional coaching and mentoring of program team members.

ESSENTIAL RESPONSIBILITIES

Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the engagement deliverables, resources, and outcomes.
Develop the engagement business case, scope, staffing and incentive model for RPM engagement with Providers on internal programs (UDC, Internal Chart Retrieval and RSA).
Lead and manage project team members and/or external consultants by implementing and managing changes and interventions to ensure project goals are achieved.
Work closely with executive project sponsors and stakeholders to make communication easy and transparentto ensure ongoing alignment with project objectives, activities, and outcomes.
Regularly brief the executive leadership of the Enterprise (both Highmark and Highmark Health), including CFO, EVP, Chief Actuary, and Vice President, on project status including program strategy, performance, timelines, risks, and issues.
Evaluate risks to risk adjustment programs goals and objectives and escalate as appropriate.
Conduct periodic market review to understand industry leading practices and drive continuous improvement in department approaches, methods, and tools and organizational awareness of department capabilities.
Other duties as assigned or requested.

EDUCATION

Requied

Bachelor's Degree in Business Administration/Management or Computer and Information Science

Substitutions

Six (6) years relevant and progressive experience in lieu of Bachelor's degree

Preferred

Master's Degree in Business Administration/Management or Mental Health Services

EXPERIENCE

Required

7 - 10 years Project / Program Management

To Include

3 - 5 years Leadership
3 - 5 years Risk Revenue
1 - 3 years Strategic Planning

Preferred

3 - 5 years Healthcare Industry
1 -3 years Consulting
1 -3 years Cross-Functional Project Teams

LICENSES or CERTIFICATIONS

Required

None

Preferred

Project Management Professional (PMP)

SKILLS

Excellent Multi-Tasker
Analytical and Logical Reasoning/Thinking
Information Technology
Enterprise Systems
Financial Statements

Language (Other than English)

None

Travel Requirement

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Occasionally

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

Occasionally

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

Rarely

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

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 position 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:

$102,700.00

Pay Range Maximum:

$164,600.00

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: J291267

About employer

More about this job

Skills

ACA
Process engineering
Patient care
Documentation
Reporting
Process improvement
Coaching
Performance management
Communication skills
Mental health
Program management
Leadership
Strategic planning
Microsoft Teams
PMP
Computer technology
Financial statements
Sell products
Sales
Regulatory compliance

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Work requirements

Jobs in the United States