Find work in the United States.

A simpler way to find your next job.

Jobs in the United States

25+ jobs

Save this search

Added 7 mins ago
Senior Director II, Engineering
The Coca-Cola Company
Atlanta, GA
The Senior Director II, Engineering is a senior technical and strategic leadership role responsible for engineering strategy, manufacturing technology, and technical execution in support of…
Added 7 mins ago
Operations Change Manager
U.S. Bank
Atlanta, GA
…initiatives across U.S. Bank. This individual works closely with project teams, product partners, developers, business leaders, frontline teams, and subject-matter experts to understand…
Added 7 mins ago
Manager SAP Project NA
Smurfit Westrock
Atlanta, GA
Manage all aspects of project life cycle to facilitate successful delivery together with Business Project Management.
Added 7 mins ago
Business Analyst III or Senior
Southern Company
Atlanta, GA
This position will support Enterprise Asset Management (MATRiX) organization in Southern Company Gas. The role plays a versatile part within our project teams, offering a broad range of…
Added 21 mins ago
PC
Senior Grant Writer
Pillars Community Health
La Grange, IL
- $35,625 to $40,625 USD / year
The Senior Grant Writer is an integral member of the Pillars Community Health Grants Management and External Affairs Teams. The Senior Grant Writer takes a lead role in the grant process…
Added 26 mins ago
Senior Director of Development for Special Projects - MSUAASF Range E
Minnesota State
Marshall, MN
…University in meaningful and mutually beneficial ways. The Senior Director of Development for Special Projects leads major and principal gift fundraising for assigned university and project…
Added 26 mins ago
SO
Assistant Projects Engineer - Engineer Senior
State of Minnesota
St. Paul, MN
- $39.06 to $57.47 USD / hour
Project management and assist with the project coordination, research and sharing of technical information related to special projects led or co-led by State Aid Operation.
Added 26 mins ago
SO
Early Childhood Special Projects Manager / State Prog Admin Manager Sr
State of Minnesota
St. Paul, MN
- $44.8 to $64.46 USD / hour
Job Class: State Program Administrator, Manager Senior
Added 27 mins ago
AS
Health Reinsurance Actuarial Leader, Managed Care Analytics and Advisory
Aon Service Corporation
Bloomington, MN
- $235,000 to $255,000 USD / year
In this role, you will serve as a senior client-facing leader, blending deep health actuarial expertise, managed care knowledge, and strategic insight. You will lead a team of actuaries and…
Added 27 mins ago
SO
Air Project Management Unit Supervisor - Pollution Cont Spec Prin
State of Minnesota
Various, MN · Albert Lea, MN · Brainerd, MN · Bloomington, MN · Mankato, MN · Anoka, MN · Brooklyn Park, MN · Hibbing, MN · Moorhead, MN · Bemidji, MN · Maplewood, MN · International Falls, MN · Buffalo, MN · Duluth, MN · Hastings, MN · Fergus Falls, MN · Alexandria, MN · Marshall, MN · Eden Prairie, MN · Saint Cloud, MN · Rochester, MN · Willmar, MN · Woodbury, MN · Pipestone, MN · Stillwater, MN · Plymouth, MN · Roseville, MN · Shakopee, MN
- $40.23 to $60.1 USD / hour
3) Three years of environmental experience performing work equivalent to an Environmental Specialist 3 level or senior level work involving project management, directing, designing AND…
Added 27 mins ago
A
Senior Quality Engineer
Actalent
Saint Paul, MN
- $92,000 to $98,000 USD / year
…plays a key role in shaping and maintaining robust quality management systems and standards throughout the…
Added 27 mins ago
Data Science Specialist
Stride, Inc.
Saint Paul, MN
…applying data analytics to audit, testing, monitoring, and risk management activities. This role combines audit and internal control knowledge with technical data skills to improve the…
Added 27 mins ago
Family Support Specialist III (Social and Human Services Exp.)
Urban Strategies Inc.
Minneapolis, MN
Analyze data and develop strategies with the Senior Project Manager and management team.
Added 27 mins ago
US
Family Support Specialist III (Social and Human Services Exp.)
Urban Strategies, Inc
Minneapolis, MN
- $63,000 USD / year
Analyze data and develop strategies with the Senior Project Manager and management team.
Added 27 mins ago
CC
Technical Solutions Architect - ServiceNow
Clear Channel Outdoor
Minneapolis, MN
- $11.41 USD / hour
As a Technical Solution Architect for ServiceNow, you will serve as the senior technical authority for the platform, translating complex business needs into scalable, resilient, and secure…
Added 38 mins ago
UO
Research Associates - National Security Initiatives
University of Colorado Denver
Boulder, CO
- $70,000 to $210,000 USD / year
…applications for Postdoctoral Associates, Research Associates and Senior Research Associates in multiple domains, who will support the growth of the campus's National Security research…
Added 38 mins ago
SC
Architect, Professional Services (Microsoft Security)
Softchoice Corporati
Denver, CO
- $128,800 to $161,000 USD / year
…plan, and architect technology solutions based on the identity management and workplace security portfolio. As the lead subject matter expert on identity management and workplace security,…
Added 38 mins ago
UO
Director of Strategy and Partnerships
University of Colorado Denver
Boulder, CO
- $225,000 to $265,000 USD / year
The Director of Strategy and Partnerships is a senior leadership team role, reporting to LASP's Director, that develops and executes LASP's strategic vision, cultivates the partnerships…
Added 51 mins ago
H
Compliance Officer
HIFI
New York City, NY
- $145,000 to $210,000 USD / year
The Head of Financial Crime Compliance owns that effort day to day. You'll run HIFI's BSA/AML and sanctions program across both fiat and on-chain flows, and you'll be the primary point of…
Added 1 hour ago
Sr Manager, Analytics and AI
Panasonic
De Soto, KS
Provide concise portfolio updates to senior leadership, including progress, value delivered, risks, resource needs, and decisions required.
Added 1 hour ago
VI
Senior Strategic Program Partner
Vizient, Inc.
Centennial, CO
- $31,533 USD / year
…organization's strategic execution capabilities by improving portfolio management practices and influencing organizational…
Added 1 hour ago
Senior Advisor Manufacturing Package Design
Lilly
Remote, United States
We are currently seeking an Senior Advisor, Manufacturing Package Design. This individual will lead the design, development, and technical strategy for primary and secondary packaging…
Added 1 hour ago
Sr. Engineer, Automation Engineering, Controls Hardware - Lilly Medicine Foundry
Lilly
Lebanon, IN
Provide periodic status updates to Project Management.
Added 1 hour ago
Sr Director - Advanced Therapies External Manufacturing
Lilly
Lebanon, IN
High-quality skills to include: Teamwork and interpersonal, technical, leadership, project management, administrative, financial background, organizational, independent, decision making,…
Added 1 hour ago
C
BAS Construction Sales Representative - Indianapolis
Carrier
Muncie, IN
- $79,000 to $158,000 USD / year
…outreach, networking, attending industry events, and responding to project…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Juneau, AK, United States

This opening has closed.

The original listing is kept below for reference.

Find open jobs More jobs with this employer

About employer

Job details

Posting language: English
Posted: Nov 6, 2026

Similar jobs hiring now

Search current openings

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

About employer

More about this job

Skills

ACA
Process engineering
Patient care
Documentation
Reporting
Process improvement
Coaching
Performance management
Communication skills
Mental health
Program management
Leadership
Strategic planning
Microsoft Teams
PMP
Computer technology
Financial statements
Sell products
Sales
Regulatory compliance

Report this job