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Occupational Therapy Assistant (COTA)
Genesis Healthcare
Bourne, MA
- $32 to $40 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
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Physical Therapist (PT)
Genesis Healthcare
Leeds, MA
- $46 to $55 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
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Operations Superintendent - Wastewater Treatment Facility
Veolia North America
Agawam, MA
- $90,000 to $100,000 USD / year
Under the direction of the Project Manager plans, organizes, directs, trains and supervises the staff of wastewater treatment plant operators, residual technicians, and supervisors, in the…
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GH
Occupational Therapy Assistant (COTA)
Genesis Healthcare
North Adams, MA
- $32 to $40 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
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Accountant (ON-SITE MA/NH residents)
Community Health Connections
Fitchburg, MA
· Work with Grant Program Directors to ensure that they are aware of the grant requirements and timelines
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Physical Therapist (PT)
Genesis Healthcare
Great Barrington, MA
- $46 to $55 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
Added just now
GH
Physical Therapy Assistant (PTA)
Genesis Healthcare
Greenfield, MA
- $32 to $40 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
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Recovery Coach
Beth Israel Lahey Health
Gloucester, MA
Refer the individual to Intensive Case Management Program (ICM) if within their health insurance benefit.
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Sr. Consulting Manager, Investment & Client Data and Information Delivery, Banking & Finance Consulting
Cognizant
Needham, MA
- $130,000 to $155,000 USD / year
Senior Consulting Manager, Investment & Client Data and Information Delivery
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Physical Therapist (PT)
Genesis Healthcare
Danvers, MA
- $46 to $55 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
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Senior Engineering Section Manager - X-BAT & Advanced Design Engineering
GE Aerospace
Lynn, MA
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SR. CHEF MANAGER- WESTBOROUGH, MA
Compass Group, North America
Westborough, MA
Working as the Chef Manager Senior you will be responsible for back and front of the house operations for the food service departments. You will maintain a quality culinary program and…
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Software Quality Engineer I
Medtronic
Newton, MA
…accountability for completing assigned functional work within program…
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Software Test Engineer I
Medtronic
Newton, MA
…computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each…
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Sr. Application Infrastructure Engineer
Medtronic
Newton, MA
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Principal Application Infrastructure Engineer
Medtronic
Newton, MA
…computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each…
Added just now
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Physical Therapist (PT)
Genesis Healthcare
New Bedford, MA
- $46 to $55 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
Added just now
GH
Physical Therapist (PT)
Genesis Healthcare
New Bedford, MA
- $46 to $55 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
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Senior Learning and Development Specialist
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Chelmsford, MA
…and delivering impactful learning solutions that strengthen manager capability, enhance organizational effectiveness, and improve employee engagement across a global workforce, in line with…
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Supply Chain Production Supervisor
Honeywell Aerospace
Woburn, MA
- $89,000 to $111,000 USD / year
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Physical Therapist (PT)
Genesis Healthcare
Pittsfield, MA
- $46 to $60 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
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Occupational Therapist (OT)
Genesis Healthcare
Pittsfield, MA
- $40 to $48 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
Added just now
GH
Occupational Therapist (OT)
Genesis Healthcare
Pittsfield, MA
- $40 to $48 USD / hour
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition…
Added just now
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Case Manager/Family Support Worker
Clinical & Support Options
Pittsfield, MA
- $44,000 USD / year
CSO is looking for a Case Manager to join our Family Support Services team in Pittsfield. Family Support Workers provide community-based direct care services to children, adults, and…
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C&
ESP Second Shift Supervisor
Clinical & Support Options
Pittsfield, MA
- $48,000 USD / year
ESP Second Shift Supervisor, Pittsfield CSO is looking for a Second Shift Supervisor for our Respite Emergency Services Program (ESP) in Pittsfield. This position will provide leadership…

Highmark Health

Manager Strategic Risk Adjustment Programs

Pierre, SD, United States

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Job details

Posting language: English
Posted: Nov 6, 2026

Original job description

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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