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Added 7 mins ago
BI
Site IT Manager
BorgWarner Inc.
Dixon, IL
- $107,600 to $147,950 USD / year
The Site IT Manager is fully accountable IT leader for all IT services at the assigned plant(s). The role ensures stable, secure, and standardized IT service delivery, aligned with…
Added 8 mins ago
Manufacturing Engineering and Automation Manager
Caterpillar, Inc.
Decatur, IL
As the Manufacturing Engineering Manager and Automation Manager in Decatur, IL , you will work closely with operations and product leaders to align automated manufacturing systems,…
Added 8 mins ago
Assistant General Manager - Jared Jewelers - Meridian Square
Signet Jewelers
Aurora, IL
The Assistant General Manager is a culture carrier, floor leader, and coach who helps bring the Jared Brand Promise to life through daily execution, team development, and elevated customer…
Added 8 mins ago
Senior Product Owner/Manager, Next Best Action Configuration
Humana
Springfield, IL
To help deliver on this mission, we are seeking a Product Owner to support the continued expansion of Humana's enterprise Next Best Action (NBA) decisioning capability. As part of the NBA…
Added 8 mins ago
Senior Administrative Assistant
BMO Financial Group
Chicago, IL
Provides coaching and mentoring to more junior administrative assistants to support them in developing capability to carry out current job accountabilities.
Added 9 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Arlington Heights, IL · Barrington, IL · Bloomington, IL · Chicago, IL · Loves Park, IL
- $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 9 mins ago
Consulting Manager, Life Sciences Consulting
Cognizant
Chicago, IL
Consulting Manager role in a global IT consulting environment focused on delivering high impact advisory and implementation services for enterprise clients through hybrid work and day shift…
Added 9 mins ago
Director Manufacturing
Mondelez International
Chicago, IL
…enable safe, reliable, flexible and cost efficient manufacturing capability that is a demonstrable competitive advantage to Mondelēz. Partner with multi-functional leads to define and meet…
Added 9 mins ago
EG
Product Manager, Team Digital Products
Eliassen Group
Springfield, IL
- $50 to $55 USD / hour
Our client is seeking a Product Manager to own the day-to-day digital product relationship with its teams, primarily supporting team websites, CMS platforms, and related digital…
Added 9 mins ago
EG
Program Manager
Eliassen Group
Springfield, IL
- $75 to $80 USD / hour
Facilitate portfolio-level ceremonies, remove roadblocks, and align decisions with priorities across the portfolio or capability.
Added 13 mins ago
Team Manager- Roxboro Road 1993
Panera, LLC
601993 Durham, NC
As a Team Manager, you’ll be part of the bakery-cafe’s leadership team, helping to run great shifts, support team development, and maintain the high standards our guests expect.
Added 13 mins ago
Team Manager- Ninth Street
Panera, LLC
601749 Durham, NC
As a Team Manager, you’ll be part of the bakery-cafe’s leadership team, helping to run great shifts, support team development, and maintain the high standards our guests expect.
Added 34 mins ago
W
Group Director, Product Management – Global Fraud, Identity & Account Protection
Walmart
San Bruno, CA
- $254,000 to $481,000 USD / year
…the next generation of fraud and identity capabilities that support emerging technologies, including AI-driven and agent-to-agent…
Added 34 mins ago
AD
Strategic Account Manager
Antech Diagnostics
Remote, United States
- $117,500 to $146,000 USD / year
…of individuals who are committed to each other’s growth and development. Our culture is centered on our guiding philosophy, The Five Principles: Quality, Responsibility, Mutuality,…
Added 34 mins ago
Program Manager
Alluvionic
Port Hueneme, CA
Alluvionic is seeking an experienced Program Manager to support the Naval Surface Warfare Center, Port Hueneme Division. The role focuses on planning, executing, and managing financial and…
Added 34 mins ago
District Manager Imperial Gateway
Wells Fargo
SOUTH GATE, CA
…People leadership is central to this role. You will build Branch Manager capability through regular branch visits, observation and coaching, performance management, and disciplined business…
Added 34 mins ago
EC
Program Manager II - Aerospace
Eaton Corporation
Camarillo, CA
- $129,000 to $165,000 USD / year
Eaton’s IS AER ITD Aerospace Interconnect division is currently seeking a Program Manager II - Aerospace.
Added 35 mins ago
Transmission Engineering Manager
Southern California Edison
Pomona, CA
Equally important, the manager builds a best in class engineering organization by developing technical and leadership capability through coaching, mentoring, training, knowledge sharing,…
Added 35 mins ago
Vice President of Paid Media
Buyerlink
Walnut Creek, CA
7+ years in paid social performance marketing, and are still hands-on in Meta Ads Manager today (i.e. personally building, launching, and optimizing campaigns in Meta)
Added 36 mins ago
Service Marketing Manager – MDP/ALD (E5)
Applied Materials
Santa Clara, CA
Sponsors/drives inorganic growth activities and partnership development to support business execution and delivery
Added 36 mins ago
C
Senior Regional Facilities Manager
CBRE
Daly City, CA · San Francisco, CA · Emeryville, CA · San Bruno, CA · Alameda, CA · Oakland, CA · Berkeley, CA · South San Francisco, CA · San Mateo, CA
- $165,000 to $175,000 USD / year
As a Sr. Regional Facilities Manager, you will serve as atrusted partner to client leadership, including senior executives based in SanFrancisco. Success in this role requires a…
Added 36 mins ago
Team Leader, Customer Site
ThermoFisher Scientific
San Diego, CA
Deliver on committed contractual scope of work. Develop, track, and trend business metrics. Collaborate and support the Program/Regional Manager for customer performance reviews.
Added 37 mins ago
EG
Product Manager, Team Digital Products
Eliassen Group
Sacramento, CA
- $50 to $55 USD / hour
Our client is seeking a Product Manager to own the day-to-day digital product relationship with its teams, primarily supporting team websites, CMS platforms, and related digital…
Added 37 mins ago
EG
Program Manager
Eliassen Group
Sacramento, CA
- $75 to $80 USD / hour
Facilitate portfolio-level ceremonies, remove roadblocks, and align decisions with priorities across the portfolio or capability.
Added 40 mins ago
Director of Learning and Development
Plymouth Housing Group
Seattle, WA
Personally design and facilitate key programs, including organization-wide orientation, manager capability building, and leadership development, both on-site at housing locations and…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Pierre, SD, United States

This opening has closed.

The original listing is kept below for reference.

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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

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