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VH
Physician (Interventional Cardiologist)
Veterans Health Administration
Asheville, NC
- $350,000 to $400,000 USD / year
…of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians involved in academic training programs may be…
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VH
Nurse (Federal Electronic Health Record Training Coordinator)
Veterans Health Administration
Boise, ID
- $71,488 to $147,277 USD / year
…by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on…
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VH
Registered Nurse- Outpatient Mental Health (Murfreesboro)
Veterans Health Administration
Nashville, TN
- $81,958 to $141,398 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and…
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VH
Diagnostic Radiologic Technologist
Veterans Health Administration
Asheville, NC
- $54,230 to $86,756 USD / year
Added just now
VH
Physician-General Surgeon
Veterans Health Administration
Fayetteville, AR
- $300,000 to $375,000 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and…
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VH
Advanced Practice Nurse Primary Care
Veterans Health Administration
Omaha, NE
- $116,526 to $169,322 USD / year
Position(s) listed under this Open Continuous Announcement (OCA) MAY be eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. Applicants…
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AO
Maintenance Mechanic Assistant Supervisor
Architect of the Capitol
Washington, DC
- $45 to $53 USD / hour
This position is located in the Architect of the Capitol (AOC), Office of the Chief of Operations, Facility Manager Building and Grounds Supreme Court, Operations and Maintenance Division,…
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VH
Registered Nurse-Home Based Primary Care Outpatient Staff
Veterans Health Administration
Scottsburg, IN
- $74,486 to $133,592 USD / year
…coordination, as it pertains, to Veterans, their care within the HBPC Program and is responsible for case management, assessment, triage, Veteran education, resource coordination,…
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VH
Nursing Assistant
Veterans Health Administration
Milwaukee, WI
- $40,878 to $66,741 USD / year
…specialized, occupation-related [training] course of study [or program] of less than one year as a NA may also meet in full the experience requirements for a GS-3. (TRANSCRIPTS or…
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VH
CLINICAL PHARMACIST
Veterans Health Administration
Hines, IL
- $142,007 to $184,613 USD / year
…Health-Systems Pharmacists (ASHP) and set forth by the residency program…
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VH
CLINICAL PHARMACIST
Veterans Health Administration
Hines, IL
- $142,007 to $184,613 USD / year
…Health-Systems Pharmacists (ASHP) and set forth by the residency program…
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VH
Boiler Plant Operator
Veterans Health Administration
Hines, IL
- $32 to $37 USD / hour
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)
Added just now
NA
GENERAL ENGINEER
Naval Air Systems Command
Patuxent River, MD
- $143,913 to $197,200 USD / year
You will serve as the E-130J TACAMO Recapitalization Air Vehicle Lead Assistant Program Manager for Systems Engineering (APMSE) with PMA-271, the Airborne Strategic Command, Control and…
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VH
Physical Therapy Assistant
Veterans Health Administration
Saginaw, MI
- $40,736 to $72,644 USD / year
Presents inservice program or journal club information as may be required.
Added just now
VH
Healthcare Engineer - Network
Veterans Health Administration
Lexington, KY
- $105,366 to $136,979 USD / year
…failure, latency, or data loss carries immediate patient safety, financial, and accreditation risk, requiring expert judgment and rapid response. The work involves non-routine, highly…
Added 2 mins ago
VH
Healthcare Engineer- Project
Veterans Health Administration
Lexington, KY
- $61,685 to $136,979 USD / year
Added 2 mins ago
VH
Supervisory Dietitian (Chief, Nutrition and Food Services)
Veterans Health Administration
Memphis, TN
- $125,776 to $163,514 USD / year
Knowledge of organizational structure to assess impact on program operations.
Added 2 mins ago
VH
Environmental Services Technician
Veterans Health Administration
Cheyenne, WY
- $18 to $22 USD / hour
Added 2 mins ago
VH
Healthcare Engineer (Plumbing Engineer)
Veterans Health Administration
Northport, NY
- $130,369 to $169,484 USD / year
…cultural resources, in accordance with the goals of the VA GEMS program, plans, designs, and oversees major healthcare system…
Added 2 mins ago
VH
Tractor Operator
Veterans Health Administration
Asheville, NC
- $23 to $27 USD / hour
Added 2 mins ago
VH
Audiologist
Veterans Health Administration
Saint James, MO · Rolla, MO
- $74,678 to $116,362 USD / year
May perform ancillary assignments, including program management duties on an occasional basis, where the complexity and amount of work is not substantial
Added 2 mins ago
VH
Licensed Practical Nurse - Primary Care
Veterans Health Administration
Clarksville, TN
- $65,202 to $84,765 USD / year
The LPN, Primary Care GS-7 is under the supervision of the Nurse Manager at the
Added 2 mins ago
DC
Store Worker Leader
Defense Commissary Agency
Fort Myer, VA
- $24 to $28 USD / hour
Priority Placement Program (PPP) DoD Retained Grade Preference (RGP): To receive this preference, you must choose to apply using the (RGP) eligibility. If you are claiming RGP and are…
Added 2 mins ago
VH
Pharmacist - Facility Program Manager
Veterans Health Administration
Saginaw, MI
- $143,016 to $185,923 USD / year
The primary responsibility of the Clinical Program Manager, Pharmacy, is to assume responsibility for assigned Clinical Pharmacy Services and supervise assigned staff and clinics.
Added 2 mins ago
VH
Lead Medical Record Technician (Release of Information)
Veterans Health Administration
Kansas City, MO
- $51,283 to $66,670 USD / year

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Denver, CO, 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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