Jobs in the United States

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Added 1 min ago
Manager, Compensation & Incentives
Mews
United States
…driving the right behaviour, outcomes and performance across the business, and this role turns that into a scalable, trusted system. Mews sells to hotels around the world through sales,…
Added 3 mins ago
JA
Store Lead
Jos. A. Bank Clothiers, LLC
Cranberry Township, PA · Cranberry Twp, PA · Cranberry Twp
- $16 to $20 USD / hour
Participates in driving business outreach opportunities and communicates leads to Store Manager.
Added 7 mins ago
Logistics Manager, Principal - TS
DCS Corporation
Bedford, MA, MA
Must have an Active Secret Clearance and be willing to obtain TS/SCI
Added 16 mins ago
Plan Risk Coordinator
NJ Compensation Rating & Inspection Bureau
Newark, NJ
processing applications, maintaining policy records, and supporting the administration of residual market operations in accordance with Bureau rules, policies, and regulatory requirements.…
Added 16 mins ago
Underwriting Analyst
NJ Compensation Rating & Inspection Bureau
Newark, NJ
To: Manager, Classification & Field Operations
Added 24 mins ago
Assistant Manager I
Dollar Tree Stores INC
Ypsilanti, MI
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 26 mins ago
Project Manager
City of New York
Queens, NY
Under direction and with wide latitude for independent judgment, this position serves as a project manager for the development and implementation of new technical systems that support…
Added 26 mins ago
Director of Health Justice Network (HJN), Bureau of Health Promotion for Justice- Impacted Populations
City of New York
Long Island City, NY
…policies, procedures, clinical trainings, and protocols to optimize program operations within the context of forensic mental health and public health…
Added 27 mins ago
Shift Manager
Coborn's, Inc.
Brillion, WI
The Shift Manager is responsible for providing leadership coverage and manage the store operations in the absence of the Store Director and Assistant Store Director.
Added 27 mins ago
Partnerships Business Manager
S&P Global Inc.
NY
As Partnerships Business Manager, you will work closely with the Head of Enterprise Partnerships to drive the strategy, execution, and operating rhythm of the Enterprise Partnerships…
Added 29 mins ago
Program Manager III, Transportation Operations, Cloud Customer Logistics
Google
Atlanta, GA
…everyone, whether down the street or across the globe. As a Program Manager at Google, you’ll lead complex, multi-disciplinary projects from start to finish - working with stakeholders to…
Added 32 mins ago
ICU Assistant Nurse Manager
AdventHealth
Tavares, FL
Ability to think critically in relation to the operations of the unit and delivery of patient care
Added 32 mins ago
Advertising Sales Account Manager, Full Funnel Seller, Adapt
Amazon
Virtual Location - Florida, FL
Amazon Adapt is a program designed to offer coverage solutions for business gaps which may occur due to extended leave (parental, medical) and unexpected account transitions. Amazon Adapt…
Added 32 mins ago
BP
Practice Manager - Trinity
Banfield Pet Hospital
Trinity, FL
- $62,450 to $90,205 USD / year
In partnership with the chief of staff, the Practice Manager plays a vital role in the hospital, managing day-to-day operations so the medical team can devote their time to delivering the…
Added 32 mins ago
Phlebotomist
CenterWell
The Villages, FL
CPR/BLS Healthcare Provider Certification required within 90 days of employment
Added 33 mins ago
RN Operations Assistant Nurse Manager
AdventHealth
Tavares, FL
Ability to think critically in relation to the operations of the unit and delivery of patient care
Added 33 mins ago
Defense Acquisition Program Management Subject Matter Expert (SME)
Trinzic
Elgin AFB, FL
Provide guidance and develop products required to execute weapon-system acquisition programs, as directed by the Senior Materiel Leader and System Program Manager(s).
Added 33 mins ago
M
Outdoor Restaurant Manager
Marriott
Bal Harbour, FL
- $62,000 to $75,000 USD / year
…F&B policies, standards, and procedures. Manages day-to-day operations verifying that the quality, standards and meeting the expectations of the customers on a daily basis. Maintains the…
Added 33 mins ago
Systems Engineer-IT Asc Mgr - L4
Lockheed Martin
Kennedy Space Center, FL
This Lockheed Martin Enterprise Operations (EO) Systems IT Program Manager position will support the Human Space Exploration programs including Orion within the Commercial Civil Space (CCS)…
Added 33 mins ago
M
Senior Food & Beverage Operations Manager
Marriott
LAKE BUENA VISTA, FL
- $91,000 to $116,000 USD / year
…F&B policies, standards and procedures. Manages day-to-day operations, monitors quality, and standards and meets the expectations of the customers on a daily basis. Maintains the operating…
Added 33 mins ago
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care
Sebring, FL
Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding,…
Added 33 mins ago
Assistant Nurse Manager PCU/Observation Night Shift
AdventHealth
Winter Garden, FL
Must live 50 miles outside of campus address
Added 33 mins ago
S
Project Manager - Building Automation
Siemens
Miramar, FL
- $70,894 to $121,533 USD / year
The Project Manager facilitates the execution of project/program solution plan for clearly defined sub-projects or sub-programs. This role requires the coordination and delivery of…
Added 34 mins ago
Pharmacy Senior Manager Oncology Infusion
AdventHealth
Altamonte Springs, FL
Facilitates pharmacy operations to optimize medication utilization, manages pharmacy supply chains and inventory processes, and coordinates effective medication cost containment…
Added 34 mins ago
Deputy Program Manager
Trinzic
Orange Park, FL
We are seeking a Deputy Program Manager to oversee multiple reliability-centered maintenance (RCM) and related sustainment projects supporting Naval Aviation. Reporting to the Program…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Lincoln, NE, 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

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

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Work requirements

Jobs in the United States