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Added 15 mins ago
IT Program Manager
Jobgether
Remote, United States
The IT Program Manager will provide executive-level leadership for a major federal IT services program supporting the modernization of supply chain and logistics operations within the…
Added 17 mins ago
Retail Assistant Store Manager
The ODP Group
Baton Rouge, LA · Denham Springs, LA
The Retail Assistant Store Manager at Office Depot plays a pivotal role in driving total sales and service growth within our stores. Additionally, your enthusiasm and expertise will help us…
Added 26 mins ago
CC
Administrative Assistant - Planning and Institutional Effectiveness
Cabrillo College
Aptos, CA
- $44.04 to $59.02 USD / hour
Provides administrative support to an administrative Dean, Director, or department head (supporting the operations of Planning, Research, Institutional Effectiveness and the Grants Office);…
Added 28 mins ago
EG
Business Systems Analyst (BSA)
Eliassen Group
Juneau, AK
- $70 to $80 USD / hour
Our client is seeking a highly proactive and versatile Business Systems Analyst (BSA) to support senior leadership and cross-functional teams with strategic planning, portfolio operations,…
Added 30 mins ago
MC
JFS Aide
Montgomery County
Dayton, OH
- $17.19 to $21.96 USD / hour
Under direct supervision from Job and Family Services Supervisor, Job and Family Services Manager or higher level administrator performs receptionist and clerical support services by…
Added 30 mins ago
MC
JFS Manager
Montgomery County
Dayton, OH
- $42.51 to $57.39 USD / hour
…Assistant Director, Deputy Assistant Director, and/or Social Program Manager of Job and Family Services requiring considerable knowledge of job and family services; under general direction,…
Added 30 mins ago
MC
JFS Aide - Part Time
Montgomery County
Dayton, OH
- $17.19 to $21.96 USD / hour
- Part-time
Under direct supervision from Job and Family Services Supervisor, Job and Family Services Manager or higher level administrator performs receptionist and clerical support services by…
Added 31 mins ago
NS
GENERAL BUSINESS AND INDUSTRIAL SPECIALIST
Naval Sea Systems Command
Bath, ME
- $120,548 to $156,715 USD / year
You will serve as a Test Manager with the responsibility of independently planning, integrating, coordinating, analyzing, and managing one or more complex projects, products, initiatives,…
Added 34 mins ago
OB
Personnel Liaison Specialist
Offices, Boards and Divisions
Washington, DC
- $102,415 to $158,322 USD / year
With minimal direction provides program planning and project management support on HR issues.
Added 34 mins ago
VH
Lead Medical Support Assistant
Veterans Health Administration
Bedford, MA
- $62,805 to $81,649 USD / year
This Lead Medical Support Assistant position is located within the Connected Care Service Line of the VA Bedford Healthcare System.
Added 34 mins ago
AN
Primary Prevention Specialist (PREV WF)
Army National Guard Units
Cheyenne, WY
- $74,678 to $97,087 USD / year
The primary purpose of this position is to implement and support integrated prevention programs. It collaboratively identifies, implements, and assesses public health-informed and…
Added 34 mins ago
UM
TRAINING SPECIALIST (BUSINESS OPERATIONS) NF3
U.S. Marine Corps
Twentynine Palms, CA
- $22 to $25 USD / hour
Remains up to date on all Retail, RecTrac, and Radiant purchase systems for training. Provides technical training support on all listed systems on a one-on-one or small group basis.…
Added 34 mins ago
UM
EXPERIENCE SPECIALIST NF2
U.S. Marine Corps
Twentynine Palms, CA
- $20 USD / hour
Leads the Customer Service Desk or central checkout operations in collaboration with the Experience Manager, Sales Manager, Store Manager or Marine Mart Manager. Completes all sales and…
Added 34 mins ago
AN
SURFACE MAINTENANCE MECHANIC INSPECTOR
Army National Guard Units
Carson City, NV
- $34 to $40 USD / hour
…etc.). May also inspectheavy artillery, small arms, powered support and other equipment or components of equal or…
Added 34 mins ago
AN
PRODUCTION CONTROLLER
Army National Guard Units
Carson City, NV
- $55,934 to $72,716 USD / year
…prioritizes resources to ensure the highest level of readiness in support oftraining and mobilization requirements of supported units. Works with other sections within theorganization to…
Added 34 mins ago
FA
Program Manager (Business Analysis & Formulation)
Federal Aviation Administration
Washington, DC
- $150,392 to $228,000 USD / year
The Program Manager serves as a Team Manager within the Budget Analysis and Formulation Group (AJV-H6), overseeing a diverse and geographically distributed team of highly skilled analysts,…
Added 34 mins ago
VH
Lead Medical Support Assistant - Community Care
Veterans Health Administration
Location Negotiable After Selection
- $64,771 to $84,204 USD / year
…order to assist in providing clerical, administrative, and program…
Added 34 mins ago
AN
SUPERVISORY LOGISTICS MANAGEMENT SPECIALIST
Army National Guard Units
Carson City, NV
- $99,218 to $128,987 USD / year
Administers, plans, organizes, directs, monitors, controls and coordinates the logistical support of the Supply and Services Division, to include supply and storage management, property…
Added 34 mins ago
VH
Clinical Laboratory Scientist (Ancillary Testing Coordinator)
Veterans Health Administration
Columbia, MO
- $100,350 to $130,458 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in…
Added 34 mins ago
VH
Licensed Practical Nurse- Home Based Primary Care
Veterans Health Administration
Bismarck, ND
- $61,361 to $79,772 USD / year
Join a collaborative Home-Based Primary Care team where you will provide complex nursing support for adult and geriatric Veterans while helping coordinate the daily operations of the…
Added 34 mins ago
VH
Licensed Practical Nurse- Women's Health
Veterans Health Administration
Fargo, ND
- $37,816 to $68,824 USD / year
…patients within the Primary Care setting. Provides clinical support with Women's Health PACT team to ensure an efficient workflow and develop comprehensive health care plans and…
Added 34 mins ago
VH
Nurse (Community Living Center)
Veterans Health Administration
Boise, ID
- $71,488 to $147,277 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and…
Added 34 mins ago
VH
Primary Care Physician for Women Veterans
Veterans Health Administration
Tacoma, WA
- $200,000 to $315,000 USD / year
Education Debt Reduction Program (EDRP) Authorized: This position is eligible for EDRP, a student loan payment reimbursement program. See "Duties" below for more information.
Added 37 mins ago
VH
Lead Health System Specialist (Credentialing and Privileging)
Veterans Health Administration
West Haven, CT
- $88,005 to $114,413 USD / year
…providing lead administrative, consulting, technical direction and support to the C&P Specialists, C&P Manager and to program…
Added 37 mins ago
VH
Health Technician (Hearing Instrument Specialist)
Veterans Health Administration
Wichita, KS
- $44,595 to $64,623 USD / year
Experience. Completion of the Department of Labor Apprenticeship Program for Hearing Aid Specialists.

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Boston, MA, 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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