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Added 1 min ago
BD Support Senior Manager
Orrick Herrington & Sutcliffe LLP
Any US Office · UNAVAILABLE · New York, NY · San Francisco, CA
Orrick currently has an excellent opportunity for a BD Support Senior Manager to join our Sector & Markets, Business Development team, reporting to the Chief of Staff – Business…
Added 7 mins ago
G
Restoration Residential Business Developer
GPAC
Stanton, CA
- $65,000 to $90,000 USD / year
This rapidly growing, family-owned restoration company is seeking an experienced Residential Business Development Manager to help expand its referral network and build out its residential…
Added 7 mins ago
G
Restoration Residential Business Developer
GPAC
Yorba Linda, CA
- $65,000 to $90,000 USD / year
This rapidly growing, family-owned restoration company is seeking an experienced Residential Business Development Manager to help expand its referral network and build out its residential…
Added 7 mins ago
G
Restoration Residential Business Developer
GPAC
Orange, CA
- $65,000 to $90,000 USD / year
This rapidly growing, family-owned restoration company is seeking an experienced Residential Business Development Manager to help expand its referral network and build out its residential…
Added 7 mins ago
G
Restoration Residential Business Developer
GPAC
Placentia, CA
- $65,000 to $90,000 USD / year
This rapidly growing, family-owned restoration company is seeking an experienced Residential Business Development Manager to help expand its referral network and build out its residential…
Added 7 mins ago
G
Restoration Residential Business Developer
GPAC
Santa Ana, CA
- $65,000 to $90,000 USD / year
This rapidly growing, family-owned restoration company is seeking an experienced Residential Business Development Manager to help expand its referral network and build out its residential…
Added 7 mins ago
G
Restoration Residential Business Developer
GPAC
Anaheim, CA
- $65,000 to $90,000 USD / year
This rapidly growing, family-owned restoration company is seeking an experienced Residential Business Development Manager to help expand its referral network and build out its residential…
Added 7 mins ago
G
Restoration Residential Business Developer
GPAC
Cypress, CA
- $65,000 to $90,000 USD / year
This rapidly growing, family-owned restoration company is seeking an experienced Residential Business Development Manager to help expand its referral network and build out its residential…
Added 30 mins ago
Clinical Trial Management Support, Late Phase Metabolic Studies
Eliassen Group
Augusta, ME
Our client is seeking a Clinical Trial Manager to support two Phase III global studies in the MASH therapeutic area. The role will provide hands-on operational support for monitoring visit…
Added 30 mins ago
EG
Product Manager, Team Digital Products
Eliassen Group
Augusta, ME
- $50 to $55 USD / hour
Eliassen Group is a strategic consulting firm that helps organizations reach further and achieve more through our technology, business advisory, and life sciences solutions. For nearly 40…
Added 35 mins ago
Clinical Trial Management Support, Late Phase Metabolic Studies
Eliassen Group
Helena, MT
Our client is seeking a Clinical Trial Manager to support two Phase III global studies in the MASH therapeutic area. The role will provide hands-on operational support for monitoring visit…
Added 35 mins ago
EG
Product Manager, Team Digital Products
Eliassen Group
Helena, MT
- $50 to $55 USD / hour
Eliassen Group is a strategic consulting firm that helps organizations reach further and achieve more through our technology, business advisory, and life sciences solutions. For nearly 40…
Added 40 mins ago
Clinical Trial Management Support, Late Phase Metabolic Studies
Eliassen Group
Baton Rouge, LA
Our client is seeking a Clinical Trial Manager to support two Phase III global studies in the MASH therapeutic area. The role will provide hands-on operational support for monitoring visit…
Added 40 mins ago
EG
Product Manager, Team Digital Products
Eliassen Group
Baton Rouge, LA
- $50 to $55 USD / hour
Eliassen Group is a strategic consulting firm that helps organizations reach further and achieve more through our technology, business advisory, and life sciences solutions. For nearly 40…
Added 44 mins ago
Senior Technical Program Manager, Engineering Strategy & Business Operations
Keysight Technologies, Inc.
Santa Rosa, CA
We are looking for a Senior Technical Program Manager to lead analysis, scoping and initial planning of high-priority strategic initiatives for HFTC Engineering. The role will initially…
Added 49 mins ago
Assistant General Manager
Chipotle Mexican Grill
Fort Dodge, IA
…to grow into General Managers by assisting in the day-to-day operations of our restaurants. You’ll learn what it takes to run a strong business, hire and train great people, and deliver a…
Added 50 mins ago
Clinical Trial Management Support, Late Phase Metabolic Studies
Eliassen Group
Des Moines, IA
Our client is seeking a Clinical Trial Manager to support two Phase III global studies in the MASH therapeutic area. The role will provide hands-on operational support for monitoring visit…
Added 50 mins ago
EG
Product Manager, Team Digital Products
Eliassen Group
Des Moines, IA
- $50 to $55 USD / hour
Eliassen Group is a strategic consulting firm that helps organizations reach further and achieve more through our technology, business advisory, and life sciences solutions. For nearly 40…
Added 1 hour ago
BH
Solution Architect
Banner Health
Remote, United States
- $51.13 to $85.21 USD / hour
This position supports Banner Health’s mission by assisting in the design, documentation, and implementation of technology solutions that meet business needs while adhering to…
Added 1 hour ago
WF
Sr. Lead Digital Product Management - CBL Deposit Payments
Wells Fargo
CHANDLER, AZ
- $175,000 to $305,000 USD / year
Manage engagement with key internal stakeholders across the organization including Technology, Digital, Operations, Gov Relations, Payment Strategy, Independent Risk Management, and Legal
Added 1 hour ago
Systems Operations Manager - Platform Front Line
Wells Fargo
CHANDLER, AZ
Wells Fargo is seeking a Systems Operations Manager to lead a Platform Front Line team responsible for the support and delivery of File Transmission technology services.
Added 1 hour ago
AE
Campus Undergraduate Summer Internship Program - 2027 AI Engineer, Enterprise Technology Services- Phoenix, AZ
American Express
Phoenix, AZ
- $24.05 to $63 USD / hour
The Enterprise Technology Services organization partners with every part of the American Express business to power the company’s growth and innovation with trust and efficiency, and drive…
Added 1 hour ago
EG
Product Manager, Team Digital Products
Eliassen Group
Phoenix, AZ
- $50 to $55 USD / hour
Eliassen Group is a strategic consulting firm that helps organizations reach further and achieve more through our technology, business advisory, and life sciences solutions. For nearly 40…
Added 1 hour ago
Clinical Trial Management Support, Late Phase Metabolic Studies
Eliassen Group
Phoenix, AZ
Our client is seeking a Clinical Trial Manager to support two Phase III global studies in the MASH therapeutic area. The role will provide hands-on operational support for monitoring visit…
Added 1 hour ago
Senior Manager of Customer Success
Healthix
NY · New York, NY
The Senior Manager of Customer Success will translate each customer's business objectives, operational challenges, and strategic priorities into actionable, measurable success plans. As a…

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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About employer

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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