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Added 1 min ago
G
Controls Engineer
GPAC
Terre Haute, IN
- $75,000 to $95,000 USD / year
Lead and support automation, Lean, and continuous improvement projects.
Added 1 min ago
G
Controls Engineer
GPAC
Brazil, IN
- $75,000 to $95,000 USD / year
Lead and support automation, Lean, and continuous improvement projects.
Added 1 min ago
G
Controls Engineer
GPAC
Clinton, IN
- $75,000 to $95,000 USD / year
Lead and support automation, Lean, and continuous improvement projects.
Added 1 min ago
G
Controls Engineer
GPAC
West Terre Haute, IN
- $75,000 to $95,000 USD / year
Lead and support automation, Lean, and continuous improvement projects.
Added 1 min ago
G
Controls Engineer
GPAC
Montezuma, IN
- $75,000 to $95,000 USD / year
Lead and support automation, Lean, and continuous improvement projects.
Added 1 min ago
G
Controls Engineer
GPAC
Paris, IL
- $75,000 to $95,000 USD / year
Lead and support automation, Lean, and continuous improvement projects.
Added 1 min ago
G
Controls Engineer
GPAC
Casey, IL
- $75,000 to $95,000 USD / year
Lead and support automation, Lean, and continuous improvement projects.
Added 1 min ago
G
Controls Engineer
GPAC
Marshall, IL
- $75,000 to $95,000 USD / year
Lead and support automation, Lean, and continuous improvement projects.
Added 1 min ago
G
Controls Engineer
GPAC
Martinsville, IL
- $75,000 to $95,000 USD / year
Lead and support automation, Lean, and continuous improvement projects.
Added 1 min ago
G
Controls Engineer
GPAC
Robinson, IL
- $75,000 to $95,000 USD / year
Lead and support automation, Lean, and continuous improvement projects.
Added 1 min ago
VH
Industrial Engineer
Veterans Health Administration
Location Negotiable After Selection
- $106,437 to $172,980 USD / year
A. Degree: Engineering. To be acceptable, the program must: (1) lead to a bachelor's degree in a school of engineering with at least one program accredited by ABET; or (2) include…
Added 1 min ago
VH
Medical Administration Officer
Veterans Health Administration
Manchester, NH
- $120,548 to $156,715 USD / year
Heath Information Management Program Oversight
Added 1 min ago
VH
Lead Supply Technician
Veterans Health Administration
Fort Harrison, MT
- $45,409 to $59,031 USD / year
This position serves as the Lead Supply Technician (Medical) within the Supply Chain Management Service at the Montana VA Health Care System.
Added 1 min ago
NA
INFORMATION TECHNOLOGY SPECIALIST (ENTARCH)
National Air and Space Intelligence Center
Wright-Patterson AFB, OH
- $148,275 to $192,764 USD / year
Added 1 min ago
TS
Transportation Security Officer
Transportation Security Administration
Florence, SC
- $40,736 to $56,844 USD / year
…risk-based security screening protocols that vary based on program…
Added 3 mins ago
Shift Leader (P1-4120700-1)
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As a Shift Lead for our team, you will have the opportunity to embrace a central role in a fast-paced and growth-oriented environment. Our restaurants are the heart and soul of our company,…
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Shift Leader (P1-1474454-2)
Panda Restaurant Group
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Shift Leader (P1-1474164-2)
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Shift Leader (P1-1473946-4)
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As a Shift Lead for our team, you will have the opportunity to embrace a central role in a fast-paced and growth-oriented environment. Our restaurants are the heart and soul of our company,…
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Shift Leader (P1-1361116-2)
Panda Restaurant Group
Upland, CA
- $23 to $26 USD / hour
As a Shift Lead for our team, you will have the opportunity to embrace a central role in a fast-paced and growth-oriented environment. Our restaurants are the heart and soul of our company,…
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Shift Leader (P1-1360891-8)
Panda Restaurant Group
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As a Shift Lead for our team, you will have the opportunity to embrace a central role in a fast-paced and growth-oriented environment. Our restaurants are the heart and soul of our company,…
Added 3 mins ago
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IT Systems Auditor
Defense Finance and Accounting Service
Indianapolis, IN · Whitehall, OH · Cleveland, OH
- $90,341 to $121,502 USD / year
…Prepares detailed, logically organized workpapers that fully support audit findings, conclusions, and recommendations in strict compliance with Generally Accepted Government Auditing…
Added 3 mins ago
DO
IT SPECIALIST (INFOSEC)
Department of the Air Force
Peterson AFB, CO
- $109,246 to $142,022 USD / year
Provides guidance to the test and evaluation community, and the program community for the completion of engineering, development, and sustainment activities in support of verification of…
Added 3 mins ago
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Maintenance Worker Leader (Trails)
National Park Service
Los Alamos, NM
- $29 to $34 USD / hour
Ability To Lead Or Supervise - 73 (SCREEN OUT)
Added 3 mins ago
VH
Registered Nurse(Short Stay Unit)
Veterans Health Administration
Loma Linda, CA
- $103,350 to $186,937 USD / year
…performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service…

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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