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Added 1 min ago
UA
Program Analyst
U.S. Army Corps of Engineers
Galveston, TX
- $103,225 to $134,195 USD / year
As a senior program analyst, incumbent is responsible for the entire budget/ programming process and full range of procedural and technical duties involved in the program formulation,…
Added 1 min ago
VH
Biomedical Engineer
Veterans Health Administration
Chesapeake, VA · Hampton County, VA
- $61,008 to $140,686 USD / year
Serves as a Biomedical Engineer (BME) within a Healthcare Technology Management (HTM) department at a VA facility. Works in support of the medical equipment management program. In addition…
Added 1 min ago
AN
SUPERVISORY FACILITY OPERATIONS SPECIALIST
Air National Guard Units
Camp Murray, WA
- $83,935 to $109,122 USD / year
…and state accounting personnel. Through the application of management principles, incumbent interviews applicants, selects employees, and promotes good working conditions. Determines the…
Added 1 min ago
UF
FISH AND WILDLIFE BIOLOGIST
U.S. Fish and Wildlife Service
Charleston, SC
- $74,678 to $97,087 USD / year
Prepares management plans adequate to ensure preservation, protection, and enhancement of fish and wildlife habitat on project sites. This requires coordination with other experts and…
Added 4 mins ago
AF
SUPERVISORY COMMUNITY PLANNER
Air Force Special Operations Command
Cannon AFB, NM
- $106,437 to $138,370 USD / year
…systems. Examples of specialized experience includes providing management oversight for activities assigned to the Portfolio Optimization Element of the Engineering Flight, Civil…
Added 4 mins ago
DO
IT SPECIALIST (INFOSEC)
Department of the Air Force
Peterson AFB, CO
- $109,246 to $142,022 USD / year
…cyberspace concepts, practices and tools, necessary to perform technical performance evaluations and certify Missile Defense and ITWAA system across the Department of Defense. Knowledge of…
Added 4 mins ago
AN
IT SPEC (INFOSEC)
Air National Guard Units
Lincoln, NE
- $57,331 to $97,867 USD / year
2. Manages the Network Security Program. Maintains required information assurance certification IAW DoD 8570.01-M, Federal Information Security Management Act of 2002, Clinger Cohen Act of…
Added 4 mins ago
US
INSTRUCTIONAL SYSTEMS SPECIALIST
United States Space Force
Buckley AFB, CO
- $99,800 to $129,742 USD / year
…extensions of instructional materials for specialty areas or career management fields which are complicated by factors such as changing situations or educational developments resulting in…
Added 5 mins ago
Mid Career Spaceflight Hardware Propulsion Engineer
Amentum
Houston, TX
Coordinate technical activities with NASA program and project offices, spacecraft organizations, suppliers, prime contractors, sub-tier contractors, and international partners.
Added 5 mins ago
Mid Career Spaceflight Hardware Propulsion Engineer
Amentum
Houston, TX
Coordinate technical activities with NASA program and project offices, spacecraft organizations, suppliers, prime contractors, sub-tier contractors, and international partners.
Added 5 mins ago
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Houston, TX
Strong technical communication skills and ability to present rationale to multidisciplinary and program leadership teams.
Added 5 mins ago
Early Career Spaceflight Hardware Propulsion Engineer
Amentum
Houston, TX
Coordinate technical work with engineers, technicians, analysts, project personnel, suppliers, and contractor organizations.
Added 5 mins ago
Early Career Spaceflight Hardware Propulsion Engineer
Amentum
Houston, TX
Coordinate technical work with engineers, technicians, analysts, project personnel, suppliers, and contractor organizations.
Added 7 mins ago
FA
Program Analyst
Federal Acquisition Service
Boston, MA · Atlanta, GA · San Francisco, CA · Chicago, IL · Lakewood, CO · Tacoma, WA · Washington, DC · New York, NY · Philadelphia, PA · Kansas City, MO · Fort Worth, TX
- $108,173 to $172,980 USD / year
Serves as an expert program analyst and technical advisor to management on assigned program activities such as category management, program management, business management including…
Added 7 mins ago
VH
Program Support Assistant
Veterans Health Administration
Martinsburg, WV
- $57,736 to $75,059 USD / year
Perform work related to office administration including issues related to budgeting, supply management and purchasing, personnel administration, time keeping, data processing, project…
Added 9 mins ago
General Superintendent in Lebanon, IN
GRAYWOLF INTEGRATED CONSTRUCTION COMPANY
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…solutions from design, fabrication, construction, and facility management with a footprint that is nationwide. With more than 45-years of experience in the industry, we have strong…
Added 11 mins ago
VH
Program Analyst
Veterans Health Administration
Washington, DC · Location Negotiable After Selection
- $89,508 to $172,980 USD / year
Serves as a technical resource for CCL, DA2, Vertica SQL, Tableau, SAP Business Objects, Hypertext Markup Language (HTML), JavaScript and Cascading Style Sheets (CSS), as well as,…
Added 11 mins ago
EP
Education Program Specialist (Environmental)
Environmental Protection Agency
Washington, DC
- $121,785 to $158,322 USD / year
…schedules, and relationships to the objectives of the total training…
Added 11 mins ago
VH
Supervisory Healthcare Engineer
Veterans Health Administration
Kings, NY
- $174,922 to $227,406 USD / year
…as Maintenance and Repair, Utility Plant Operations, Energy Management and Conservation Program, Safety, Fire Prevention, Industrial Hygiene, Disaster Preparedness, Green Environmental…
Added 11 mins ago
UF
Wildlife Refuge Specialist
U.S. Fish and Wildlife Service
Rockland, ME
- $74,678 to $116,362 USD / year
…defined as demonstrated experience: 1) Managing the biological program at a national wildlife refuge or other protected area by analyzing, evaluating, and selecting the appropriate…
Added 11 mins ago
TF
Human Resources Specialist
Treasury, Financial Crimes Enforcement Network
Parkersburg, WV · Vienna, VA · Washington, DC
- $125,776 to $187,093 USD / year
Provide expert advice and consultation to FinCEN Leadership and supervisors in assigned areas and other Human Resources staff on program, policy, and project efforts and issues.
Added 11 mins ago
VH
Program Specialist (WVPP)
Veterans Health Administration
Charleston, SC
- $61,722 to $80,243 USD / year
…analysis software; knowledge of PowerPoint and SharePoint website management or comparable systems, strong verbal presentation and communication skills; physical ability needed to instruct…
Added 12 mins ago
VN
Operations Superintendent - Wastewater Treatment Facility
Veolia North America
Agawam, MA
- $90,000 to $100,000 USD / year
…sets production schedules and coordinates a diversified sludge management program for delivery of residual solids products to multiple disposal…
Added 12 mins ago
Engineer V
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Acton, MA
Supports technical leadership on product design, development, and improvement projects in concert with Program Management.
Added 13 mins ago
Sourcing Agent, Gas & Building Services (Hybrid Schedule)
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Demonstrated project management and leadership skills, including the ability to manage conflict and encourage collaboration.

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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