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Added 2 mins ago
G
Commercial Loan Officer
GPAC
Watertown, SD
- $75,000 to $125,000 USD / year
Identify and cross-sell a wide range of commercial banking services by following a proactive sales and business development plan
Added 4 mins ago
Qualified Branch Manager
GPAC
Minnesota
Maintain an ongoing business development program in order to assist existing customers and solicit new customers to the bank
Added 4 mins ago
Qualified Branch Manager
GPAC
Minnesota
Maintain an ongoing business development program in order to assist existing customers and solicit new customers to the bank
Added 4 mins ago
Qualified Branch Manager
GPAC
Minnesota
Maintain an ongoing business development program in order to assist existing customers and solicit new customers to the bank
Added 4 mins ago
Qualified Branch Manager
GPAC
Minnesota
Maintain an ongoing business development program in order to assist existing customers and solicit new customers to the bank
Added 4 mins ago
Qualified Branch Manager
GPAC
Minnesota
Maintain an ongoing business development program in order to assist existing customers and solicit new customers to the bank
Added 4 mins ago
Service Manager
Bridgestone Americas
Powdersville, SC
…America and more than $4.5 billion in tire and auto service sales, Bridgestone Retail Operations is the right place to build a career. Whatever role you fill, when you represent the…
Added 4 mins ago
Branch Manager I
Woodforest National Bank
Boiling Springs, SC
…branch location, engaging customers and team members to drive sales and increase deposits. This position offers a dynamic opportunity to develop customer relationships through strategic…
Added 4 mins ago
Temp Store Manager
Extra Space Storage
Mt Pleasant, SC
…through in-person and phone interactions, presenting a structured sales process, and managing customer…
Added 5 mins ago
Brand Manager, Bacardi
Reyes Holdings
West Columbia, SC
The Marketing Brand Manager will strengthen supplier relations through development, communication, and monitoring of their business plans
Added 5 mins ago
Store Manager (Live on Site)
Extra Space Storage
Bluffton, SC
…through in-person and phone interactions, presenting a structured sales process, and managing customer…
Added 5 mins ago
Financial Center Manager Associate - Belle Hall
Fifth Third Bank, N.A.
Mount Pleasant, SC
GENERAL FUNCTION:The Financial Center Manager will participate in a comprehensive, customized on-boarding and education program. This includes rotations in Operations, Sales & Service,…
Added 5 mins ago
Intern - Credit Analyst, Year-Round
Continental Tire the Americas, LLC
Fort Mill, SC
…manufacturers. In fiscal 2025, the Tires group sector generated sales of 13.8 billion euros. Continental's tire division currently employs around 53,000 people worldwide and has 19…
Added 5 mins ago
Sr Sales Training Manager - East Coast Remote
ThermoFisher Scientific
Florence, SC
Globally support design, execution, and management of the PSG Commercial New Hire Sales training program as part of an “end to end” blended development curriculum.
Added 5 mins ago
Business Development-Southeast region
Nucor Steel Auburn, Inc.
Rock Hill, SC
…bonuses, Paid parental leave, Tuition reimbursement, Stock program, Scholarships and…
Added 5 mins ago
Automotive Maintenance Technician
Bridgestone Americas
Myrtle Beach, SC
…America and more than $4.5 billion in tire and auto service sales, Bridgestone Retail Operations is the right place to build a career. Whatever role you fill, when you represent the…
Added 5 mins ago
B
Retail Stocking Team Lead - Part-Time
Burlington
Greenville, SC
- $14 USD / hour
- Part-time
Maintain a neat and orderly stock, receiving area and sales floor
Added 5 mins ago
Assistant Store Manager
Extra Space Storage
Greenville, SC
…through in-person and phone interactions, presenting a structured sales process, and managing customer…
Added 5 mins ago
Assistant Store Manager
Extra Space Storage
Greenville, SC
…through in-person and phone interactions, presenting a structured sales process, and managing customer…
Added 5 mins ago
Technology Media & Telecom Merchant Payment Executive
U.S. Bank
Columbia, SC
We are seeking a high-performing sales executive to join our Institutional Client Group, Payments, Merchant & Institutional team as a Vice President, Merchant Sales Executive focused on the…
Added 5 mins ago
Advanced Specialist, Portfolio Management (Enterprise Learning)
Pearson
Columbia, SC
You will partner closely with Pearson's marketing, sales, and solutioning teams, so these offerings show up clearly and compellingly for enterprise partners and clients. You will connect…
Added 5 mins ago
EI
Editorial Project Manager
EBSCO Information Services
Columbia, SC
- $49,605 to $70,865 USD / year
Assist in the content development process, helping project managers in different areas, such as microlessons, practice tests, videos, etc.
Added 5 mins ago
Director, Sales Enablement - Business Insurance, Select and BI Field
Travelers Insurance Company
Columbia, SC
Monitors the accuracy and efficient distribution of sales reports and other intelligence essential to the sales organization. Recommends revisions to existing reports and assists in the…
Added 5 mins ago
Branch Manager I
Woodforest National Bank
Florence, SC
…branch location, engaging customers and team members to drive sales and increase deposits. This position offers a dynamic opportunity to develop customer relationships through strategic…
Added 8 mins ago
SC
Retail Sales Associate
Seasons Corner Market Corner Market Cafe
Lakeville, MA
- $17.5 USD / hour
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Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Charleston, WV, 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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