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Added 3 mins ago
RI
Staff Nuclear Engineer
Radiant Industries
El Segundo, CA
- $195,713 to $262,500 USD / year
- Provide technical leadership across reactor physics, core performance, shielding, dose and activation, thermal-hydraulics, safety analysis, I&C, and reactor operations.
Added 4 mins ago
AO
Enterprise Architect
Administrative Office of the Courts
Olympia, WA
- $9,478 to $12,437 USD / month
Our Mission: To advance the timely, effective, and equitable operations of the Washington State judicial branch.
Added 4 mins ago
Business Operational Excellence, Director
Blue Origin LLC
Seattle, WA
…that are impactful, measurable, and tightly aligned with the program's priorities. You will work closely with the Operations leadership team and stakeholders across other organizations to…
Added 5 mins ago
I
EEC Graduate Program Recruitment Manager
IslandWood
Bainbridge Island, WA
- $27 to $30 USD / hour
The Graduate Program Recruitment Manager provides strategic direction and hands-on leadership for recruitment to IslandWood’s Education, Environment & Community (EEC) graduate program,…
Added 6 mins ago
YO
Operations Director
YMCA Of Greater Seattle
Longbranch, WA
- $205 to $225 USD / day
Operations Directors provide leadership across all of camp’s programs. Responsibilities include coaching and supervising staff, managing camp operations, and assisting in problem solving as…
Added 6 mins ago
YO
Food Service Supervisor
YMCA Of Greater Seattle
Eastsound, WA
- $24 to $26.4 USD / hour
Overnight Camp Food Service Supervisor assists in the operations of the camp food service program for camp staff and guests. Our kitchen staff take part in trainings with other members of…
Added 6 mins ago
YO
Spring Outdoor Environmental Education Program Coordinator
YMCA Of Greater Seattle
Eastsound, WA
- $115 to $123 USD / day
Responsibilities for Outdoor Environmental Education Program Coordinators include coaching and supervising staff, working with school groups during their time at camp, managing the…
Added 6 mins ago
YO
Assistant Program Director
YMCA Of Greater Seattle
Eastsound, WA
- $145 to $155 USD / day
Assistant Program Directors provide leadership across all of camp’s summer programs. Assistant Director responsibilities include coaching and supervising staff, working with campers,…
Added 6 mins ago
YO
Media Director
YMCA Of Greater Seattle
Eastsound, WA
- $115 to $123 USD / day
The Media Director provides supervision and oversight of Media Team operations at Camp Orkila on beautiful Orcas Island, WA. The Media Team is responsible for capturing and editing candid…
Added 7 mins ago
Program Manager - Data Center Construction Security
First Coast Security
St. Louis, MO
We are looking for a Program Manager based in St. Louis to lead a security project management program for one of our largest enterprise clients. The client is building a series of new,…
Added 7 mins ago
FC
Program Manager
First Coast Security Solutions
Rochester, NY
- $115,000 to $135,000 USD / year
…Transportation Security Administration (TSA) Screening Partnership Program. The Project Manager will be responsible for overseeing daily contract operations, managing personnel and ensuring…
Added 7 mins ago
Assistant Program Manager
First Coast Security Solutions
Bethesda, MD
First Coast Security Solutions provides security services nationwide. We are seeking an Assistant Program Manager of Operations to support security operations for National Institutes of…
Added 7 mins ago
Maintenance Engineering Supervisor
PepsiCo
Indianapolis, IN
The Maintenance Engineer Supervisor contributes to the success of the plant by providing leadership around ensuring the consistent, reliable and efficient operation of the manufacturing…
Added 9 mins ago
VI
Program Manager, Space and Mission Systems
Viasat, Inc.
Carlsbad, CA
- $224,500 to $336,500 USD / year
We have an exciting opportunity for a Senior Program manager to join our Viasat Government team! Viasat combines experienced leadership, advanced technology, operational agility, and a…
Added 10 mins ago
Senior Director, Immunology- AI Systems
Janssen Research & Development, LLC Legal Entity
Remote, United States
This is a senior executive leadership role at the intersection of Immunology discovery & clinical science, data, AI, product strategy, and organizational execution in a complex…
Added 13 mins ago
Assistant Nurse Manager Inpatient Rehab
Ascension
Anderson, IN
Lead daily nursing operations to ensure seamless department workflows, high-quality patient outcomes, and alignment with clinical standards.
Added 19 mins ago
Marketing Operations Manager - University of Maryland Eastern Shore
Thompson Hospitality Corporation
Princess Anne, MD
The Marketing Operations Manager will report to the Vice President of Marketing & Programs, with day-to-day accountability to the Food Service Director and Thompson Hospitality Marketing…
Added 23 mins ago
CO
Community Services Program Coordinator
City of Davis
Davis, CA
- $34.75 to $42.24 USD / hour
…methods to plan, schedule, and direct the community services program operations, activities, and services. Work is typically reviewed upon completion for soundness, appropriateness, and…
Added 24 mins ago
Resort Manager, State Game Lodge Area - Custer State Park Resort
Xanterra Travel Collection
Custer, SD
…rooms and cabins, restaurants and lounges, retail, Jeep Safari operations, weddings, banquets, group business, special events, employee housing, and associated guest and operating areas.…
Added 24 mins ago
Resort Manager, Sylvan Lake Area - Custer State Park Resort
Xanterra Travel Collection
Custer, SD
…rooms, hillside and specialty cabins, restaurant and lounge operations, the Sylvan General Store, watercraft rentals, employee housing, and access to the heavily visited Sylvan Lake day-use…
Added 24 mins ago
XT
Stewarding Manager - Grand Canyon South Rim
Xanterra Travel Collection
GRAND CANYON, AZ
- $62,712 USD / year
Maintaining sanitation standards in all property kitchen operations, kitchen equipment, and facility cleanliness. Train new kitchen utility personnel. Oversee kitchen cleanup crews. Be the…
Added 24 mins ago
Executive Chef - Custer State Park Resort
Xanterra Travel Collection
Custer, SD
The Executive Chef provides creative and operational culinary leadership for Custer State Park’s distinctive collection of lodge restaurants and food experiences. Located in the Black Hills…
Added 24 mins ago
Bartender - Grand Canyon South Rim
Xanterra Travel Collection
GRAND CANYON, AZ
Remain fluid with all hours of operations for the restaurant and current menu selections as well as the daily feature.
Added 24 mins ago
LS
Regional Vice President of Operations
Lucky Strike Entertainment
Philadelphia, PA
- $200,000 to $225,000 USD / year
Significant multi-unit operations leadership across a large geographic region, preferably in entertainment, hospitality, retail, or food and beverage
Added 24 mins ago
Industrial Engineer
Avago Technologies U.S. Inc.
United States
Broadcom is seeking an experienced Industrial Engineer to leverage operations analysis, lean manufacturing techniques, and data science to optimize manufacturing workflows, improve yield,…

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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