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 just now
Substation Engineer - Protection and Controls
Jacobs
Dallas, TX · Houston, TX
…role in directly interfacing with utility/developer clients on development of Substation design deliverables for utility upgrades including greenfield/brownfield & AIS/GIS substations,…
Added just now
Automotive Technician
Bridgestone Americas
Houston, TX
…America and more than $4.5 billion in tire and auto service sales, Bridgestone Retail Operations is the right place to build a career. Whatever role you fill, when you represent the…
Added just now
Lead Substation Engineer - Protection and Controls
Jacobs
Dallas, TX · Houston, TX
…role in directly interfacing with utility/developer clients on development of Substation design deliverables for utility upgrades including greenfield/brownfield & AIS/GIS substations,…
Added just now
Automotive Technician
Bridgestone Americas
Houston, TX
…America and more than $4.5 billion in tire and auto service sales, Bridgestone Retail Operations is the right place to build a career. Whatever role you fill, when you represent the…
Added just now
Personal Trainer
24 Hour Fitness, INC.
Houston, TX
Demonstrated experience in sales, customer engagement, or business development preferred. Ability to confidently communicate the value of personal training services, cultivate client…
Added just now
ES
Assistant Store Manager
Extra Space Storage
Houston, TX
- $16 to $18 USD / hour
…through in-person and phone interactions, presenting a structured sales process, and managing customer…
Added just now
Executive Underwriter OR AVP, Underwriting Director, Energy Casualty
Zurich NA
Houston, TX
…team offering technical guidance on critical coverage issues, program structure customization, and pricing…
Added just now
Affiliate & Creator Growth Manager
Hadley Designs
Remote, United States
You'll own the overall affiliate growth strategy, program profitability, creator acquisition, incentive structures, and expansion into new channels. You'll lead our affiliate operations…
Added just now
Business Development Manager - Microsoft Surface
SHI
Austin, TX
The Business Development Manager - Microsoft Surface supports sales representatives by providing product support and program information, driving business growth for specific OEM partners…
Added just now
Program Manager, Spend Management, Infrastructure Supply Chain and Manufacturing Operations
Google
Austin, TX
Share Program Manager, Spend Management, Infrastructure Supply Chain and Manufacturing Operations
Added just now
Manager IV, Operations Management (M4) Days - MDP Build
Applied Materials
Austin, TX
Works closely with members of Senior Management to align overall operations development with business needs/opportunities. Promotes an environment of cooperation and trust.
Added just now
Specialist, Business Development Representative - C_MAT
Deloitte
Austin, TX · Dallas, TX · Houston, TX
Would you like to flex your "sales muscles" in a dynamic, fast-paced environment? Are you ready to challenge yourself by working with some of the top sales executives at Deloitte? We are…
Added just now
Senior Professional, CenterWell B2B Marketing
Humana
Austin, TX
Develop and execute integrated marketing campaigns, sales enablement resources, and provider-facing communications that support awareness, engagement, referral growth, and business…
Added just now
US & Global Advisory Commercial Office Offering Lifecycle Management - Director
PwC
Austin, TX
…you will lead commercial lifecycle activities across offering development, go-to-market coordination, and operational alignment within our Advisory practice. As a Director you will set…
Added just now
Manager Strategic Risk Adjustment Programs
Highmark Health
Austin, TX
…Will be responsible for professional coaching and mentoring of program team…
Added just now
Senior Proposal Manager
Maximus
Austin, TX
…needed or assigned. This position manages the full proposal development lifecycle including RFP analysis, proposal management plans, schedules, content reviews ensuring 100% compliant…
Added just now
Consumer Sales Support Lead Analyst - US Branch Network, VP
Citibank, N.A.
United States
6+ of experience in sales support, program management, or related functions within financial services.
Added just now
CP
Associate Director SLED Sales
Cellco Partnership
Albany, NY
- $119,500 to $208,000 USD / year
Whether you're early in your career or a seasoned sales professional, join today and earn a competitive lucrative salary, which includes base pay and target individual-based commission.…
Added 1 min ago
B
Retail Front End Supervisor - Full-Time
Burlington
AUSTIN, TX
- $17 to $19 USD / hour
- Full-time
Maximize sales results through training, developing, and coaching of direct reports
Added 1 min ago
W
(USA) Optical Associate, Non-Certified – Sam’s Club
Walmart
AUSTIN, TX
- $19.5 to $27.5 USD / hour
…securing fragile and high-shrink merchandise. Maintains the sales floor in the Optical area in accordance with company policies and procedures by properly handling claims and returns,…
Added 1 min ago
USCAN East Zone Leader Commercial, Genomic Medicine
Danaher Corporation
Austin, TX
10+ years Experience in life sciences, biotechnology, or biopharmaceutical sales and account management, including selling technical products or workflow solutions to research, therapeutic…
Added 1 min ago
Director - Customer Response Engineering
Trellix
Austin, TX
You also work well across teams. CRE succeeds only when Technical Support, Customer Success, Sales Engineering, Product Management, and Engineering pull in the same direction.
Added 1 min ago
Bilingual Store Manager (Sales, Customer Service)
Freeway Insurance Services America, LLC
Coeur D Alene, ID
Unlimited/uncapped commission – based on individual sales performance, including policies sold and related production metrics. Total compensation will vary based on performance
Added 1 min ago
Bilingual Sales Representative (Sales, Customer Service)
Freeway Insurance Services America, LLC
Boise, ID
Unlimited/uncapped commission – based on individual sales performance, including policies sold and related production metrics. Total compensation will vary based on performance
Added 1 min ago
Bilingual Store Manager (Sales, Customer Service)
Freeway Insurance Services America, LLC
Spokane Valley, WA
Unlimited/uncapped commission – based on individual sales performance, including policies sold and related production metrics. Total compensation will vary based on performance

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