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Added 4 mins ago
W
(USA) Staff, Product Manager - WMC Data Foundation
Walmart
BELLEVUE, WA · HOBOKEN, NJ
- $132,000 to $264,000 USD / year
As a Staff Product Manager, you will lead strategy and execution for complex products, driving end-to-end outcomes from discovery through value realization. This role requires deep…
Added 5 mins ago
W
Technician, Facility Services, Food Equipment
Walmart
LA HABRA, CA
- $31 to $61 USD / hour
…Operating under the supervision of the local General Maintenance Manager, you'll adhere to established maintenance schedules and guidelines, conducting inspections, cleaning, and repairing…
Added 5 mins ago
W
Technician, Facility Services, Food Equipment
Walmart
LA HABRA, CA
- $31 to $61 USD / hour
…Operating under the supervision of the local General Maintenance Manager, you'll adhere to established maintenance schedules and guidelines, conducting inspections, cleaning, and repairing…
Added 5 mins ago
W
(USA) Technician, Facility Services General Maintenance
Walmart
LANOKA HARBOR, NJ
- $29 to $56 USD / hour
…Operating under the supervision of the local General Maintenance Manager, you'll adhere to established maintenance schedules and guidelines, conducting inspections, cleaning, and repairing…
Added 5 mins ago
W
(USA) Technician, Facility Services General Maintenance
Walmart
LA HABRA, CA
- $31 to $61 USD / hour
…Operating under the supervision of the local General Maintenance Manager, you'll adhere to established maintenance schedules and guidelines, conducting inspections, cleaning, and repairing…
Added 6 mins ago
W
(USA) Principal, Technical Program Manager
Walmart
BENTONVILLE, AR
- $110,000 to $220,000 USD / year
Walmart is seeking a Principal, Technical Program Manager to lead complex, large-scale technology programs with cross-functional dependencies. This role requires expertise in program…
Added 6 mins ago
W
(USA) Senior Manager, Advanced Analytics
Walmart
BENTONVILLE, AR · SUNNYVALE, CA
- $90,000 to $234,000 USD / year
As a Senior Manager, Advanced Analytics for Inventory and Network Strategy, you will help shape Walmart’s cross-border expansion strategy. You'll uncover customer and country opportunities,…
Added 6 mins ago
W
Senior Manager, Electrical Engineering
Walmart
BENTONVILLE, AR
- $90,000 to $180,000 USD / year
The Senior Manager, Electrical Engineering is responsible for leading enterprise electrical safety and reliability programs across Walmart, Sam’s Club, and Supply Chain facilities. This…
Added 6 mins ago
W
Distinguished, Product Manager - Associate AI
Walmart
SUNNYVALE, CA · BENTONVILLE, AR · BELLEVUE, WA
- $169,000 to $338,000 USD / year
As a Distinguished Product Manager at Walmart, you will set the product vision and enterprise strategy for our associate-facing AI and agent platform. You’ll define how conversational and…
Added 29 mins ago
G
Waste Water Project Manager
GPAC
Chicago, IL
- $100,000 to $150,000 USD / year
…the state of Massachusetts for a Water/Waste Water Project Manager Role. If you are an experience Civil or Environmental Engineer with good Water, Waste Water, Water Resource experience, we…
Added 29 mins ago
Micro. Medical Technologist
PruittHealth
NORCROSS, GA
Assist Laboratory Manager with daily lab functions.
Added 37 mins ago
G
Senior Electrical Engineer
GPAC
Atlanta, GA
- $110,000 to $140,000 USD / year
This position offers the opportunity to serve as a Project Manager or Lead Electrical Engineer on complex building projects while partnering with multidisciplinary teams to deliver…
Added 39 mins ago
G
Senior Electrical Engineer
GPAC
Austin, TX
- $110,000 to $140,000 USD / year
This position offers the opportunity to serve as a Project Manager or Lead Electrical Engineer on complex building projects while partnering with multidisciplinary teams to deliver…
Added 39 mins ago
G
Senior Electrical Engineer
GPAC
Philadelphia, PA
- $110,000 to $140,000 USD / year
This position offers the opportunity to serve as a Project Manager or Lead Electrical Engineer on complex building projects while partnering with multidisciplinary teams to deliver…
Added 40 mins ago
G
Senior Electrical Engineer
GPAC
Des Moines, IA
- $110,000 to $140,000 USD / year
This position offers the opportunity to serve as a Project Manager or Lead Electrical Engineer on complex building projects while partnering with multidisciplinary teams to deliver…
Added 40 mins ago
G
Senior Electrical Engineer
GPAC
Baltimore, MD
- $110,000 to $140,000 USD / year
This position offers the opportunity to serve as a Project Manager or Lead Electrical Engineer on complex building projects while partnering with multidisciplinary teams to deliver…
Added 41 mins ago
G
Senior Electrical Engineer
GPAC
Las Vegas, NV
- $110,000 to $140,000 USD / year
This position offers the opportunity to serve as a Project Manager or Lead Electrical Engineer on complex building projects while partnering with multidisciplinary teams to deliver…
Added 41 mins ago
G
Senior Electrical Engineer
GPAC
Denver, CO
- $110,000 to $140,000 USD / year
This position offers the opportunity to serve as a Project Manager or Lead Electrical Engineer on complex building projects while partnering with multidisciplinary teams to deliver…
Added 41 mins ago
G
Senior Electrical Engineer
GPAC
Dallas, TX
- $110,000 to $140,000 USD / year
This position offers the opportunity to serve as a Project Manager or Lead Electrical Engineer on complex building projects while partnering with multidisciplinary teams to deliver…
Added 44 mins ago
G
Water/Wastewater Engineer
GPAC
Denver, CO
- $90,000 to $150,000 USD / year
Clear Growth Path: From Engineer → Project Manager → Technical Lead → Partner – we map it out with you.
Added 44 mins ago
G
Professional Civil Engineer / Project Manager
GPAC
El Paso, TX
- $80,000 to $125,000 USD / year
We are seeking an experienced Professional Civil Engineer (PE) to join our team as a Project Manager. If you have 8+ years of site/civil engineering experience and are ready to take…
Added 51 mins ago
Value Stream Manager / Starkville, MS
Southwire Company, LLC
Starkville, MS
Added 52 mins ago
Health Technician-Telemetry
Veterans Affairs, Veterans Health Administration
Jackson, MS
Added 52 mins ago
Registered Nurse-Assistant Nurse Manager, Emergency Department
Veterans Affairs, Veterans Health Administration
Jackson, MS
Added 52 mins ago
UO
HR IT Program Manager
University of Colorado Denver
Boulder, CO
- $109,000 to $119,000 USD / year
Human Resources at CU Boulder invites applications for an HR IT Program Manager! This position will serve as a program manager for Human Resources Information Technology (HRIT) and reports…

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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