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Added 1 min ago
Material Control Supervisor 2nd Shift (5860)
ECOPLASTIC AMERICA CORPORATION
Register, GA
Reports to: General Manager, Material Control
Added 1 min ago
Material Control Supervisor 1st Shift (5861)
ECOPLASTIC AMERICA CORPORATION
Ellabell, GA
…change based on production demands.)Reports to: Material Control…
Added 2 mins ago
Infusion RN - Jackson
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Demonstrates compliance with agency operations, Option Care’s policies and procedures, professional standards, local, state, federal regulations/guidelines, and accreditation standards.
Added 2 mins ago
SAF Specialist
American Red Cross
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…policies and procedures. When volunteers are unavailable, the manager is responsible in delivering the mission specific…
Added 2 mins ago
Flex First Line Leader- Power
International Paper
Vicksburg, MS
Operations - The Power Shift Manager manages daily shift operations of the Power Department with a focus on reliable operation. The Shift Manager is responsible for meeting and exceeding…
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Flex First Line Leader- Finished Products
International Paper
Vicksburg, MS
Operations - The Finished Products Shift Manager manages daily shift operations of Finished Products with a focus on reliable operation. The Shift Manager is responsible for meeting and…
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Area Process Manager- Power
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The Vicksburg Mill is a fully integrated pulp and paper manufacturing facility. The mill includes multiple process lines of wood handling, pulping, paper machine, power and recovery…
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PRODUCTION CONTROLLER (AUTOMOTIVE)
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…procedures. Performs analytical support for vehicle maintenance process. Assists the fleet manager in managing and accounting for vehicle control/inventory programs. Requirements Conditions…
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Assistant TLC Leader- Jackson, MS
TireHub
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The Assistant TLC Leader’s primary responsibility is to manage all aspects of the facilities operations. This position manages the inbound and outbound flow of products with a focus on…
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Finance Analyst - South Central District (Entry Level)
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…Specialist will be an integral part of the month end close out process, and assist with preparing a financial reporting package for project…
Added 2 mins ago
Traveling Senior Commissioning Manager - MSG - Dat
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Project Coordinator/4078/Jackson
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…availability of project and client documentation to local office/operations including tracking & routing of documentation. Partner with financial analysts/ accountants and the project team…
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Data Center Facility Operations Area Director
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Jackson, MS
Meta is seeking a Senior Director to lead Data Center Facility Operations across a multi-area region, including operating campuses and future sites that are yet to be announced or built.…
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AI Operations Administrator - Gravitee - Remote US
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The AI Operations Administrator is a member of the IT Engineering & Operations function, responsible for the administration, configuration, and day-to-day operation of SitusAMC’s enterprise…
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GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Jackson, MS
- $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 2 mins ago
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Part-time Nabisco Merchandiser
Mondelez International
Philadelphia, MS · Louisville, MS
- $15.57 to $18 USD / hour
- Part-time
…in-store execution. You’ll work closely with your Retail Territory Manager (RTM) to ensure our iconic brands - Oreo, Ritz, belVita, Chips Ahoy!, Triscuit, and more - are stocked, displayed,…
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Clinical Trial Management Support, Late Phase Metabolic Studies
Eliassen Group
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Our client is seeking a Clinical Trial Manager to support two Phase III global studies in the MASH therapeutic area. The role will provide hands-on operational support for monitoring visit…
Added 2 mins ago
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Product Manager, Team Digital Products
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- $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 2 mins ago
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Insurance Operations Specialist
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- $62,004.8 to $66,965.18 USD / year
We are looking for someone to join our Operations team as an Operations Specialist to help our team maintain agent carrier appointments, ensure carrier website access, monitor compliance of…
Added 4 mins ago
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Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
EDMONDS, WA
- $20.25 to $27.75 USD / hour
Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. If PTCB certified, assists with and coaches pharmacy technicians in the operation of…
Added 4 mins ago
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Certified Pharmacy Technician
Walgreens
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- $21.25 to $28.75 USD / hour
Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. If PTCB certified, assists with and coaches pharmacy technicians in the operation of…
Added 4 mins ago
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Pharmacy Manager
Walgreens
LAKE OSWEGO, OR
- $67.05 to $90.55 USD / hour
Participates and assists in events that reflect the unique communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager.
Added 4 mins ago
W
Pharmacy Manager
Walgreens
SPRINGFIELD, OR
- $67.05 to $90.55 USD / hour
Participates and assists in events that reflect the unique communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager.
Added 5 mins ago
CE
Part-Time Manager
Claires Essentials LLC
Rockford, IL
- $16 to $16.5 USD / hour
- Part-time
Upon submitting your application, you can expect an update within 5 days. If the hiring manager wants to proceed with your application, the process will involve a face-to-face interview in…
Added 5 mins ago
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Structural Steel Business Development Manager
GPAC
Holland, MI
- $130,000 to $180,000 USD / year
Track upcoming projects and engage with clients early in the procurement process

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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