Find work in the United States.

A simpler way to find your next job.

Jobs in the United States

25+ jobs

Save this search

Added 2 mins ago
G
Senior Project Manager
GPAC
Utah
- $130,000 to $140,000 USD / year
Senior Project Manager – Heavy Civil Construction
Added 3 mins ago
G
Land Development Project Manager PE
GPAC
San Diego, CA
- $130,000 to $165,000 USD / year
A well-established civil engineering consulting firm is seeking an experienced Senior Land Development Project Manager to lead a growing portfolio of site development projects.
Added 6 mins ago
Construction Contract Manager III-Sr
Williams Companies
Tulsa, OK
The Construction Contract Manager III-Sr. is responsible for coordinating with our engineering and construction project teams around the creation, bidding, and execution of construction…
Added 6 mins ago
Senior Manager, Client Excellence, Global Consulting Services
Deloitte
Tulsa, OK
Own the strategy and execution of GLCP support programming across four dimensions: Account Leadership, GLCP Development, Account Growth initiatives, and Performance Management.
Added 6 mins ago
Mgr Supply Chain - Category Management
Williams Companies
Tulsa, OK
As Manager, Supply Chain - Category Management, you lead a team of Category Managers supporting operational continuity and project execution. Your scope spans major equipment, construction,…
Added 6 mins ago
Sr Project Manager
HCSC
Tulsa, OK
…federal mandates. Being accountable for end-to-end delivery of a project or program, including managing the cost / budget, schedule & dependencies; ensuring the project scope is aligned…
Added 6 mins ago
Finance Analyst - South Central District (Entry Level)
Kiewit
Oklahoma City, OK
The Finance Analyst is an entry level role focused on supporting a project in accounting and finance related functions. Each project at Kiewit is run like a small business, with the Finance…
Added 7 mins ago
Senior Product Owner
Humana
Oklahoma City, OK
The Senior Product Owner is responsible for prioritizing and overseeing the development team’s work and making sure Humana derives as much value as possible from product outcomes. Focuses…
Added 7 mins ago
EI
Editorial Project Manager
EBSCO Information Services
Oklahoma City, OK
- $49,605 to $70,865 USD / year
Assist in the content development process, helping project managers in different areas, such as microlessons, practice tests, videos, etc.
Added 7 mins ago
Portal Administrator
Maximus
Oklahoma City, OK
Administer and maintain Project Office Portal, CRDB, Control-M Enterprise Manager, LDAP, Fortify, BI/EDW, BOB J, ESS/MSS, MII, and Web Dynpro applications, including SAP ZCAT2 and JV…
Added 7 mins ago
M
Senior ALC Developer PART TIME
Maximus
Oklahoma City, OK
- Part-time
…culture. We invest in our employees through training, professional development, and career advancement opportunities, empowering our teams to deliver meaningful results while supporting one…
Added 7 mins ago
Senior ALC Developer
Maximus
Oklahoma City, OK
…culture. We invest in our employees through training, professional development, and career advancement opportunities, empowering our teams to deliver meaningful results while supporting one…
Added 7 mins ago
C
Program Manager, RES (Risk Engineering Solutions)
CBRE
Oklahoma City, OK
- $105,000 to $125,000 USD / year
The Program Manager will partner with RES, DRI, and BD&Ecustomer and stakeholder teams to verify and track business needs, drivecross-functional collaboration, manage program reporting,…
Added 7 mins ago
C
Program Manager, RES (Risk Engineering Solutions)
CBRE
Oklahoma City, OK
- $105,000 to $125,000 USD / year
The Program Manager will partner with RES, DRI, and BD&Ecustomer and stakeholder teams to verify and track business needs, drivecross-functional collaboration, manage program reporting,…
Added 7 mins ago
Senior ALC Developer
Maximus
Oklahoma City, OK
…culture. We invest in our employees through training, professional development, and career advancement opportunities, empowering our teams to deliver meaningful results while supporting one…
Added 7 mins ago
Manager, Enterprise Communications & Channels
Amentum
Oklahoma City, OK
The Manager, Enterprise Communications & Channels is responsible for developing and delivering employee communication programs that inform, engage, and connect employees to Amentum's…
Added 7 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Oklahoma City, OK · Shawnee, OK
- $152,000 to $222,000 USD / year
…Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build…
Added 7 mins ago
EG
Program Manager
Eliassen Group
Oklahoma City, OK
- $75 to $80 USD / hour
Experience with Scrum and Agile methodologies for enterprise application development. Agile certifications such as PMI-ACP, CSM, or SAFe are a plus.
Added 13 mins ago
Commissioning & Ramp-up Manager
Waga Energy
Bala Cynwyd
Partner with Project Delivery, Engineering, Operations, QHSE, vendors, and contractors to coordinate site readiness, start-up schedules, and operator training
Added 17 mins ago
TF
Project Manager, Engineering
TreeHouse Foods, Inc.
De Pere, WI
- $106,700 to $160,100 USD / year
We are seeking a Project Manager, Engineering, responsible for leading capital and technical initiatives that improve plant reliability, capacity, safety, and efficiency across multiple…
Added 18 mins ago
Electrical Engineer II (Engineer to Orde
FAITH TECHNOLOGIES INC
MENASHA, WI
Added 18 mins ago
S
Whey Production Manager
Saputo
Waupun, WI
- $89,695 to $112,120 USD / year
The Whey Production Manager is responsible for the overall leadership, performance, and operation of the Whey/Bi-Products Department. This position oversees production activities, provides…
Added 18 mins ago
Sr. Program Manager
ARIENSCO
BRILLION, WI
Added 18 mins ago
Claims Automotive Team Manager - Communications
null, ACSC Management Services Inc
Costa Mesa, CA
…strategies, and policies of ACE claims. Responsible for the development and management of the corporate intranet pages. Creates strategic plans, previews and approves bulletins,…
Added 18 mins ago
Project Manager - Facilities Project Services
Mayo Clinic
La Crosse, WI
…advanced negotiation skills and various contracting options. Leads project objectives that have low to medium risk to the organization and accomplishing their completion on time, within…

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.

Find open jobs More jobs with this employer

About employer

Job details

Posting language: English
Posted: Nov 6, 2026

Similar jobs hiring now

Search current openings

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

Report this job