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Added 1 min ago
Project Administrator
Nuclear Fuel Services
Mt Vernon, IN
Will be assigned a collection of individual contracts to manage and oversee within a larger program. Will work very closely with the Project Manager and fellow Project Administrators.
Added 1 min ago
Quality Unit Manager
Nuclear Fuel Services
Mt Vernon, IN
Join our dynamic team as an Quality Unit Manager at our facility located in Mount Vernon, Indiana. In this pivotal role, you will provide exceptional engineering services for our diverse…
Added 1 min ago
Quality Unit Manager
BWX Technologies, Inc.
Mt Vernon, IN
Join our dynamic team as an Quality Unit Manager at our facility located in Mount Vernon, Indiana. In this pivotal role, you will provide exceptional engineering services for our diverse…
Added 1 min ago
Project Administrator
BWX Technologies, Inc.
Mt Vernon, IN
Will be assigned a collection of individual contracts to manage and oversee within a larger program. Will work very closely with the Project Manager and fellow Project Administrators.
Added 2 mins ago
Commodity Manager
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…Supply Management Team to support new product development (NPD) program launches. Manage supplier projects/initiatives; including process improvements, standardization, cost reduction, etc.…
Added 2 mins ago
AT
Senior Technical Program Manager
Akamai Technologies, Inc.
Indianapolis, IN
- $119,600 to $215,400 USD / year
Have professional experience as a Project Manager/Program Manager working effectively with cross-functional teams
Added 2 mins ago
Manager Strategic Risk Adjustment Programs
Highmark Health
Indianapolis, IN
…Health), including CFO, EVP, Chief Actuary, and Vice President, on project status including program strategy, performance, timelines, risks, and…
Added 2 mins ago
Principal Aftermarket Technical Product Manager
GE Aerospace
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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 2 mins ago
Construction Manager, Retail
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Added 2 mins ago
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Test Analyst - QNXT
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- $70,000 to $92,000 USD / year
Manager testing across QNXT Provider and Claims modules, validating claims adjudication, provider data integrity, and billing workflows.
Added 2 mins ago
Systems Administrator – Kiteworks
SitusAMC
Indianapolis, IN
Support infrastructure workstreams on site and project development efforts, providing solution design input, effort estimates, and technical risk assessment during the planning phase.
Added 2 mins ago
Senior Proposal Manager
Maximus
Indianapolis, IN
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…
Added 2 mins ago
Sr Technology Project Manager- Vulnerability and Product Support Team - Remote
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Indianapolis, IN
…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 2 mins ago
Vice President, Cloud Platform Engineer
SitusAMC
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Collaboration & Communication: Partner with internal and external stakeholders on design and architecture decisions and provide clear project updates to leadership.
Added 2 mins ago
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Program Manager, EBMS
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- $105,000 to $115,000 USD / year
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Added 2 mins ago
Principal Portfolio Manager, Infrastructure Development
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…Infrastructure team is seeking an experienced Principal Portfolio Manager to serve as the operational backbone of our Energy Infrastructure Investments pillar. This individual will be…
Added 2 mins ago
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Delivery Manager, Healthcare Payer
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Indianapolis, IN
- $130,000 to $153,000 USD / year
As a Delivery Manager Healthcare Payer you will make an impact by leading complex healthcare payer transformation programs through platform implementation, modernization, migration, and…
Added 2 mins ago
EG
Business Systems Analyst (BSA)
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- $70 to $80 USD / hour
…organizational execution. This is not a traditional technical BSA or Project Manager role. The ideal candidate operates as a strategic generalist, helping create structure around…
Added 19 mins ago
Manager, Operations Program Management
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Remote, United States
Samsara is seeking a highly motivated people manager for our Operations Program Manager (OPM) team with a strong background in New Product Introduction (NPI) within the hardware…
Added 19 mins ago
Technical Program Manager II
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As a Technical Program Manager, you will lead complex, cross-functional initiatives that drive platform modernization, improve service integration, streamline onboarding experiences, and…
Added 19 mins ago
Healthcare Engineer
Veterans Affairs, Veterans Health Administration
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Added 19 mins ago
Principal Aftermarket Technical Product Manager
GE Aerospace
Huntsville, AL
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 19 mins ago
Technical Project Manager
Leidos
Huntsville, AL
Leidos’ Defense Sensors Open Air Sensors Division is seeking a Technical Project Manager to join a diverse team to create unique solutions for complex sensor and radar orientated problems.…
Added 19 mins ago
AT
Senior Technical Program Manager
Akamai Technologies, Inc.
Montgomery, AL
- $119,600 to $215,400 USD / year
Have professional experience as a Project Manager/Program Manager working effectively with cross-functional teams
Added 19 mins ago
Construction Manager, Retail
Meta
Montgomery, AL
Meta is seeking an experienced Construction Manager to lead the planning, design, and delivery of retail store construction projects across Meta's physical retail portfolio. In this role,…

Highmark Health

Manager Strategic Risk Adjustment Programs

Montgomery, AL, United States

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Job details

Posting language: English
Posted: Nov 6, 2026

Original job description

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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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

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