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
Senior Services Operations Manager, Managed Services
Ricoh
Cleveland, OH
The Senior Services Operations Manager, Managed Services functions in a leadership role as operational point of contact to assigned Global/Vertical customers, primarily in North America.
Added just now
Manager, IRS/DOE Tax Credit and Loan Compliance
Vistra Corporate Services Company
Irving, TX
The Manager, Supply Chain –Tax Credit & Loan Compliance leads the Supply Chain compliance team, which coordinates IRS tax-credit and DOE Loan compliance for the Nuclear Uprate program and…
Added 1 min ago
G
Civil/Site Land Development PE/PM
GPAC
Peoria, IL
- $100,000 to $145,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 1 min ago
G
Civil/Site Land Development PE/PM
GPAC
Champaign, IL
- $100,000 to $145,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 1 min ago
G
Civil/Site Land Development PE/PM
GPAC
Waukegan, IL
- $100,000 to $145,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 2 mins ago
Construction Project Manager
Nokia
United States
In this role, you will be the driving force behind project delivery, ensuring all timelines, budgets, and quality standards are met. You will build and manage resource-loaded schedules,…
Added 3 mins ago
EHS Coordinator
Skanska USA
Fort Lauderdale, FL
The Environmental Health & Safety (EHS) Coordinator is an entry-level safety professional responsible for supporting project teams in maintaining safe and compliant working environments.…
Added 3 mins ago
Environmental Heath and Safety Officer
INFOSYS NOVA HOLDINGS LLC
Cincinnati, OH · Boston, MA
Establish criteria for determining when a formal safety review is required before a project or activity proceeds.
Added 4 mins ago
Environmental Project Handler
UL Solutions
United States
UL Solutions is seeking an Environmental Project Handler for the electronics sustainability certification program. Reporting to the Electronics Sustainability Certifications Lead, the…
Added 6 mins ago
CO
Technology Integrator
City of Deerfield Beach
Deerfield Beach, FL
- $66,475.55 to $86,404.24 USD / year
Serves as technical lead, develop and implement project plans, risk assessments and contingency plans and IT project management.
Added 8 mins ago
SR Specialist, Training and Development, Customer Operations
Johns Creek, GA
Facilitates and delivers technical and skill training programs to end-users using appropriate tools and methods.
Added 9 mins ago
A
Construction Manager
Amentum
Hampton, VA
- $27.42 to $40.58 USD / hour
Have you built an impressive career but are ready to build something extraordinary? Not every construction project leaves a legacy. What if your next one helped power the future of…
Added 9 mins ago
Physical Infrastructure Engineer - Senior
Amentum
Fort Meade, MD
Review facility specifications, installation standards, ICD‑705 requirements, and construction schedules to ensure secure facilities can meet program technical and security objectives.
Added 9 mins ago
Physical Infrastructure Engineer - Senior
Amentum
Fort Meade, MD
Review facility specifications, installation standards, ICD‑705 requirements, and construction schedules to ensure secure facilities can meet program technical and security objectives.
Added 10 mins ago
Funding Advisor
Bolton & Menk, Inc.
MINNEAPOLIS, MN
Demonstrated technical expertise in the funding program and/or service area for which the position is leading.
Added 14 mins ago
Project Manager & Directorate Operations and Mission Support Lead, WHS ESD
Dexis
Washington, DC
Dexis is currently seeking a Project Manager & Directorate Operations and Mission Support Lead for a contract to support the Washington Headquarters Services (WHS) Executive Services…
Added 14 mins ago
W
Director, AI Product Management
Worldpac
Oakbrook, IL
- $146,000 to $195,000 USD / year
Position Overview: Worldpac is seeking an experienced, director level AI Product Manager to accelerate the adoption of artificial intelligence across our high-volume wholesale distribution…
Added 15 mins ago
Engineering Project Manager / Senior Engineer (Secret Clearance)
The Building People
Washington, DC, DC
The Building People, LLC is seeking an experienced Engineering Project Manager / Senior Engineer to support a mission-critical federal campus operations and facilities management program in…
Added 17 mins ago
SS
Operations Coordinator
Simple Staffing
Madison, WI
- $20 to $30 USD / hour
Prepares project file, truck folder, mechanic folder and Letter One Package using the booking packages provided by sales.
Added 17 mins ago
FMS Program Manager
Odyssey Systems Consulting Group
Hanscom Afb, MA
Odyssey Systems has an exciting opportunity for a FMS Program Manager providing support to the Air Force Life Cycle Management Center/Electronic Systems (AFLCMC/HB). The Air Force Program…
Added 17 mins ago
Project Manager - Rapid Project Team
Cenero Sept 2026
Malvern, PA · Columbia, MD · Charlotte, NC · Plano, TX · Lebanon, NJ
The Cenero Project Manager - Rapid Project Team, is responsible for planning, executing, and delivering projects on time, within budget, and to the highest quality standards. Operating as a…
Added 18 mins ago
Assoc Director -Solution Delivery Management, Clinical Operations
Eli Lilly and Company
United States
The Solution Manager for Clinical Operations serves as the technology delivery partner for one or more clinical solutions supporting key business capabilities across Lilly’s trials. Working…
Added 20 mins ago
Program Manager 2 (non-technical)
BROWN FEDERAL SERVICES LLC
Los Alamos, NM
Los Alamos National Laboratory (LANL) is seeking a Program Manager 2 to lead and manage an assigned portfolio of infrastructure program activities supporting PIT-INFRA priorities.
Added 21 mins ago
G
Water/Wastewater Engineer
GPAC
Indianapolis, IN
- $90,000 to $150,000 USD / year
Clear Growth Path: From Engineer → Project Manager → Technical Lead → Partner – we map it out with you.
Added 21 mins ago
CE
Civil/Site Senior Project Manager
Colliers Engineering & Design
Holmdel, NJ
- $131,670 to $186,780 USD / year
Colliers Engineering & Design is seeking a Senior Project Manager to join our Civil/Site team in our Headquarters office in Holmdel, NJ! The Senior Project Manager will be responsible for…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Lansing, MI, 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