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 just now
Sr Technical Program Manager, Consolidation Program
Cengage Group
Baltimore, MD
We are looking for an accomplished and dedicated Sr. Technology Program Manager to join our team. This role is responsible for leading our Consolidations program that spans all areas of our…
Added just now
Sr Learning Manager
Cengage Group
Baltimore, MD
The Cengage Work Editorial and Learning Team develops a content and program investment strategy specific to the Healthcare and Trades portfolio. This strategy sets the global standard for…
Added just now
JH
Sr. GCA II - PostAward (Research Administration) - #Staff
Johns Hopkins University
Baltimore, MD
- $64,470 to $112,850 USD / year
Review sponsored project proposals for assigned faculty prior to forwarding to the Grants & Contracts Manager and/or ORA for signature.
Added just now
Principal Aftermarket Technical Product Manager
GE Aerospace
Baltimore, MD
As Principal Technical Product Manager – Aftermarket, you will own the product vision, strategy and roadmap for the digital solutions that support the Service & Repair value streams in…
Added just now
Cyber SAP Internal Controls Manager/ Engineering Manager II
Deloitte
Baltimore, MD
…transformation, ERP and cloud modernization, and implementations. The Manager will lead business process and IT general controls strategy, design, testing, and deployment across SAP ERP…
Added just now
EG
Program Manager
Eliassen Group
Annapolis, MD
- $75 to $80 USD / hour
Our client seeks a Program Management leader to drive delivery of software that provides business value. The role will supervise and mentor Technical Program Managers and Scrum Masters,…
Added just now
Technical Recruiter
Internet 2
United States
Strong ability to adapt to diverse hiring manager styles and build trusted partnerships that drive recruiting success
Added 13 mins ago
Principal Project/Program Manager
BlueCross BlueShield of North Carolina
Remote, United States
The Principal Project/Program Manager will lead, plan, design, and develop multiple, larger and/or more complex programs on an enterprise level. Translate clinical needs into effective…
Added 13 mins ago
Prototype Production Planner
BorgWarner Inc.
Arden, NC
Tuition Reimbursement Program after 18 months
Added 13 mins ago
Sr. Manager Quality Assurance
AUMOVIO
Morganton, NC
Coordinate an effective SPC program throughout the plant and monitor the implementation
Added 13 mins ago
RN New Graduate Nurse- 6BT: Med Surg
UNC Health Care
Holly Springs, NC
In addition to clinical orientation on the unit, the Residency program provides structured clinical and professional growth. The first component of the Residency involves engaging classroom…
Added 14 mins ago
Sr Principal Agile Product Owner - Morrisville (TS/SCI)
Northrop Grumman
Morrisville, NC
Work with Project Leads to prioritize Features and Capabilities
Added 14 mins ago
Staff Agile Product Owner - Morrisville (TS/SCI)
Northrop Grumman
Morrisville, NC
Work with Project Leads to prioritize Features and Capabilities
Added 14 mins ago
UH
HCS IT Project Manager - ISD Project Management Office
UNC Health Care
Morrisville, NC
- $44.56 to $64.06 USD / hour
● Proven ability to lead complex project initiatives, develop and implement program strategies, and manage multiple projects simultaneously is required. Excellent analytical and…
Added 14 mins ago
CHIEF OF BUDGET AND PURCHASING
Town of Mooresville
Mooresville, NC
Added 14 mins ago
Coordinator Maintenance
Williams Companies
Mooresville, NC
Works in a project manager capacity and as a member of the local leadership team
Added 14 mins ago
Electrical Engineer - Power System Protection (Transmission) Job Details | Black & Veatch Family of Companies
Black & Veatch
Cary, NC
Independently applies knowledge and complies with B&V quality program relative to assigned tasks. May be responsible for ensuring compliance with B&V quality program. Provides related…
Added 14 mins ago
Sr Sales Training Manager - East Coast Remote
ThermoFisher Scientific
Greenville, NC · Wilmington, NC
The Sr Manager, Sales Training will be a part of the Pharma Services Group Sales Training team in the Commercial Operations Group. This individual will share responsibilities for the…
Added 14 mins ago
Principal Aftermarket Technical Product Manager
GE Aerospace
Asheville, NC · Wilmington, NC
As Principal Technical Product Manager – Aftermarket, you will own the product vision, strategy and roadmap for the digital solutions that support the Service & Repair value streams in…
Added 14 mins ago
PS
Sr. Events Specialist
PSI Services
Raleigh, NC
- Up to $80,000 USD / year
…delegated portfolio of events within the PSI global B2B events program – a portfolio spanning seven business programs, approximately 160+ annual events, and seven strategic Tier 1 events…
Added 14 mins ago
Sr Technical Program Manager, Consolidation Program
Cengage Group
Raleigh, NC
We are looking for an accomplished and dedicated Sr. Technology Program Manager to join our team. This role is responsible for leading our Consolidations program that spans all areas of our…
Added 14 mins ago
Sr Learning Manager
Cengage Group
Raleigh, NC
The Cengage Work Editorial and Learning Team develops a content and program investment strategy specific to the Healthcare and Trades portfolio. This strategy sets the global standard for…
Added 14 mins ago
C
Program Manager, EBMS
CBRE
Raleigh, NC
- $105,000 to $115,000 USD / year
Proficiency with project/program managementtracking software (e.g. SmartSheets, Asana, QuickSight (Power BI), MS Project,etc)
Added 14 mins ago
Sr Technology Project Manager- Vulnerability and Product Support Team - Remote
SitusAMC
Raleigh, NC
…are completed in a timely fashion and within the predefined project scope. This role will plan and designate project resources, monitor progress, and keep stakeholders informed throughout…
Added 14 mins ago
Senior Proposal Manager
Maximus
Raleigh, NC
Maximus is thrilled to announce an opportunity for a Senior Proposal Manager. The primary responsibility of this role is to lead cross‑functional proposal teams, including collaboration…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Boise, ID, 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

Report this job