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
E T Consultant (EC1)
World Bank Group
Washington, DC
…reputation as a prudent and innovative borrower, investor, and risk manager. Treasury is responsible for: (i) managing approximately $300 billion in assets for the World Bank Group and…
Added 2 mins ago
BP
Public Utilities Specialist (Business Analyst)
Bonneville Power Administration
Vancouver, WA
- $96,443 to $125,378 USD / year
…translating long-term business goals into clear, actionable project plans and technical…
Added 2 mins ago
AT
Equipment Specialist
Army Tank-Automotive and Armament Command (TACOM)
Texarkana, TX
- $61,722 to $80,243 USD / year
…Maintenance Study for prime mission assignment in support of the Project Manager's Office (PMO) and assists the proponent or major subordinate command in preparation of the Depot…
Added 2 mins ago
AT
Equipment Specialist
Army Tank-Automotive and Armament Command (TACOM)
Texarkana, TX
- $61,722 to $80,243 USD / year
…Maintenance Study for prime mission assignment in support of the Project Manager's Office (PMO) and assists the proponent or major subordinate command in preparation of the Depot…
Added 2 mins ago
OB
Lead Human Resources Specialist (Payroll)
Offices, Boards and Divisions
Washington, DC · Location Negotiable After Selection
- $121,785 to $158,322 USD / year
Communicate assignments, projects, or problems to be solved, and/or program issues under review, and deadlines for completion.
Added 2 mins ago
FA
Supervisory General Engineer
Federal Aviation Administration
Des Moines, WA
- $125,635 to $194,772 USD / year
Serves as first level manager to assigned workforce consisting of engineers, and support personnel. Directs the work of subordinate employees at the organizational unit level. Work includes…
Added 5 mins ago
OA
Special Assistant
Other Agencies and Independent Organizations
Washington, DC
- $121,785 to $158,322 USD / year
…readiness of the Front Office. Develops short and long-term project objectives and advises senior leadership on their implementation. Acts as liaison with other offices, coordinating the…
Added 5 mins ago
NS
PROGRAM MANAGER
Naval Sea Systems Command
Groton Submarine Base, CT
- $141,915 to $197,200 USD / year
You will serve as the US/UK Principal Assistant Program Manager, supervising and managing a team of NH-IV and NH-III personnel to support the UK's Polaris Sales Agreement and TRIDENT…
Added 5 mins ago
VH
Healthcare Engineer
Veterans Health Administration
Birmingham, AL
- $70,039 to $161,512 USD / year
Serves as a healthcare engineering advisor, engineer consultant, engineer designer, contract administrator, project manager, construction coordinator, and instructor during the design and…
Added 5 mins ago
G
QA/QC Manager - Mission Critical Construction
GPAC
Tyler, TX
- $130,000 to $170,000 USD / year
A growing commercial general contractor with a strong Texas presence is seeking a QA/QC Manager to lead quality on large mission critical projects in East Texas! Their data center work is…
Added 8 mins ago
NS
MANAGER
Naval Sea Systems Command
Indian Head, MD
- $143,913 to $197,200 USD / year
This position is covered by the Department of Defense Priority Placement Program.
Added 8 mins ago
OA
Supervisory Program Analyst
Other Agencies and Independent Organizations
Washington, DC
- $143,913 to $187,093 USD / year
Experience conducting complex program and project analysis and developing corresponding recommendations; and
Added 8 mins ago
FA
Program Support Specialist
Federal Aviation Administration
Atlantic City, NJ · Fort Worth, TX · Oklahoma City, OK · Washington, DC · College Park, GA · Des Moines, WA
- $95,489 to $148,037 USD / year
The incumbent performs a wide range of program support duties supporting the various programs of the organization at the Headquarters and Field Office level under the minimal direction of a…
Added 8 mins ago
NS
ADMINISTRATIVE/TECHNICAL SPECIALIST
Naval Sea Systems Command
Dahlgren, VA
- $121,785 to $187,093 USD / year
…private or public sector managing construction projects to ensure project requirements (e.g. timelines, budgets) are met, AND conducting electrical safety inspections or investigations in…
Added 8 mins ago
NR
Branch Chief
Nuclear Regulatory Commission
Rockville, MD
- $169,279 to $197,200 USD / year
Demonstrated ability to provide project management initiative and leadership to work effectively and efficiently in handling multiple assignments with competing priorities, often under…
Added 8 mins ago
NS
TECHNICIAN
Naval Sea Systems Command
Crane, IN
- $125,776 to $192,331 USD / year
…electrochemical knowledge. | You will provide technical and program support expertise to aid in development and sustainment of new or improved systems or equipment. | You will review and…
Added 8 mins ago
OA
Supervisory IT Program Manager
Other Agencies and Independent Organizations
Charleston, SC
- $147,945 to $192,331 USD / year
…development, database administration, and customer support into the project…
Added 10 mins ago
CO
*Departmental Promotional Only* Senior Board Services Specialist - Clerk of the Board's Office
County of Humboldt
Eureka, CA
- $31.77 to $40.77 USD / hour
Receives direction from the Board Services Manager/Clerk of the Board. Exercises technical and functional direction over and provides training to lower-level staff.
Added 10 mins ago
UF
Wildlife Refuge Manager
U.S. Fish and Wildlife Service
Devils Lake, ND
- $106,437 to $138,370 USD / year
Added 10 mins ago
US
Civil Engineer
United States Army Installation Management Command
Fort Belvoir, VA
- $102,415 to $133,142 USD / year
…and review for the Directorate of Public Works. | Serves as project manager for specified number of civil engineering projects to be designated and constructed annually. | Prepares plans,…
Added 10 mins ago
NS
GENERAL ENGINEER
Naval Sea Systems Command
Kittery, ME
- $46,137 to $74,297 USD / year
…will develop and maintain technical documents, and respond to program manager identified issues, support timely procurement and/or refurbishment of equipment. | You will examine changes and…
Added 10 mins ago
US
MANAGEMENT AND PROGRAM ANALYST
United States Space Force
Buckley AFB, CO
- $99,800 to $154,280 USD / year
The primary purpose of this position is to serve as the Program Manager for Air Force Lean/Six Sigma Continuous Process Improvement (CPI) and Air Force Lessons Learned (AFLL) programs in…
Added 11 mins ago
AT
Senior Technical Program Manager
Akamai Technologies, Inc.
Pierre, SD
- $119,600 to $215,400 USD / year
Have professional experience as a Project Manager/Program Manager working effectively with cross-functional teams
Added 11 mins ago
C
Program Manager, EBMS
CBRE
Pierre, SD
- $105,000 to $115,000 USD / year
Proficiency with project/program managementtracking software (e.g. SmartSheets, Asana, QuickSight (Power BI), MS Project,etc)
Added 11 mins ago
Construction Manager, Retail
Meta
Pierre, SD
Meta is seeking an experienced Construction Manager to lead the planning, design, and delivery of retail store construction projects across Meta's physical retail portfolio. In this role,…

Highmark Health

Manager Strategic Risk Adjustment Programs

Pierre, SD, United States

Apply About employer

Applications open in a new tab.

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

Apply About employer

Report this job