Jobs in the United States

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Added 4 mins ago
LC
Production Planner
LARSON CANDO INC
Fort Lauderdale, FL
- $26 to $38 USD / hour
…documentation, and on-time completion of maintenance and repair operations. Acting as a critical liaison between management and production teams, this role ensures that work orders,…
Added 11 mins ago
Health & Wellness Nurse
Molson Coors
Elkton
This position is part of the Brewery safety team, reports to the Safety Manager and works closely with human resources and operations.
Added 13 mins ago
GROCERY/ASST DEPT LEADER
The Kroger Co.
West Jordan, UT
Assist Department Manager in planning, organizing, staffing, training and directing Grocery Department associates;
Added 17 mins ago
CE
Part-Time Manager Brea B
Claires Essentials LLC
Brea, CA
- $18.5 USD / hour
- Part-time
Upon submitting your application, you can expect an update within 5 days. If the hiring manager wants to proceed with your application, the process will involve a face-to-face interview in…
Added 23 mins ago
FC
Behavior Management Counselor (Probation Counselor II)
Fairfax County
Fairfax, VA
- $33.73 to $59.02 USD / hour
…program or adolescent males monitored by a community-based case…
Added 23 mins ago
FC
Chief Building Engineer
Fairfax County
Fairfax, VA
- $37.01 to $64.77 USD / hour
This position reports directly to the facilities manager and/or the division director of operations and maintenance.
Added 23 mins ago
FC
Mechanical Engineer (Engineer IV)
Fairfax County
Fairfax, VA
- $42.68 to $74.68 USD / hour
…seeking a highly skilled Senior Mechanical Engineer / Project Manager to lead the development and execution of complex capital and non-capital projects in occupied county facilities. This…
Added 23 mins ago
FC
Senior Transportation Funding Manager (Financial Specialist IV)
Fairfax County
Fairfax, VA
- $42.68 to $74.68 USD / hour
…transportation projects; facilitating a collaborative review process among stakeholders; allocating proffer funding to transportation projects; and monitoring proffers for legislative and…
Added 28 mins ago
Media Manager, Prime Video
Amazon.com Services LLC
Culver City, CA
The successful candidate will be a blended balance of media strategist, innovative thinker, project manager, relationship builder and analyst. They will be comfortable working autonomously,…
Added 28 mins ago
Service Advisor/Writer
L. W. Tank Repair Inc.
Uxbridge, MA
…vehicle service experience. You’ll guide them through the repair process, from scheduling and service updates to final delivery, ensuring transparency, trust, and satisfaction every step of…
Added 29 mins ago
General Manager In Training
Red White and Blue Thrift
New Orleans, LA
Physical Strength: Must have the ability to occasionally lift and carry up to 25 lbs, frequently exert up to 25 lbs
Added 29 mins ago
General Manager In Training
Red White and Blue Thrift
New Orleans, LA
Physical Strength: Must have the ability to occasionally lift and carry up to 25 lbs, frequently exert up to 25 lbs
Added 33 mins ago
Retail Lead
Destination Death Valley LLC
Death Valley, CA
The Retail Lead is responsible for overseeing and supporting the day-to-day operations of the General Store, Nugget Retail Store, and Gas Station. Acting as the Retail Manager’s direct…
Added 35 mins ago
BR
General Manager (Kansas City)
Brodie Rec League
Kansas City, MO · Kansas City, KS
- $70,000 to $85,000 USD / year
Reports To: District Manager, with a dotted line to the Sr. Director of Growth
Added 35 mins ago
BR
General Manager (Houtson, TX)
Brodie Rec League
Houston, TX
- $70,000 to $85,000 USD / year
Reports To: District Manager, with a dotted line to the Sr. Director of Growth
Added 35 mins ago
BR
General Manager (Phoenix, AZ)
Brodie Rec League
Miami, FL
- $70,000 to $85,000 USD / year
Reports To: District Manager, with a dotted line to the Sr. Director of Growth
Added 35 mins ago
BR
General Manager (Dallas, TX)
Brodie Rec League
Dallas, TX
- $70,000 to $85,000 USD / year
Reports To: District Manager, with a dotted line to the Sr. Director of Growth
Added 35 mins ago
BR
General Manager (Miami, FL)
Brodie Rec League
Miami, FL
- $70,000 to $85,000 USD / year
Reports To: District Manager, with a dotted line to the Sr. Director of Growth
Added 35 mins ago
BR
General Manager (DMV)
Brodie Rec League
Arlington, VA · Washington, DC, DC · Rockville, MD
- $70,000 to $85,000 USD / year
Reports To: District Manager, with a dotted line to the Sr. Director of Growth
Added 35 mins ago
BR
General Manager (Austin, TX)
Brodie Rec League
Austin, TX
- $70,000 to $85,000 USD / year
Reports To: District Manager, with a dotted line to the Sr. Director of Growth
Added 35 mins ago
BR
General Manager (Connecticut)
Brodie Rec League
Stamford, CT · White Plains, NY
- $70,000 to $85,000 USD / year
Reports To: District Manager, with a dotted line to the Sr. Director of Growth
Added 35 mins ago
CO
Fiscal & Policy Manager
City of Seattle
Seattle, WA
- $61.9 to $92.84 USD / hour
The City Budget Office is recruiting qualified applicants for a Fiscal & Policy Manager job. You will oversee the work of 3-5 Fiscal & Policy analysts and may also manage your own portfolio…
Added 36 mins ago
Assistant Manager II
Family Dollar
San Antonio, TX
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 37 mins ago
Event Services Client Account Manager
Allied Universal
Washington, DC
Allied Universal Event Services ® is hiring a Client Account Manager. This position is responsible for the day-to-day operations and overseeing events at an assigned account. Account…
Added 50 mins ago
AT
Patient Care Coordinator
All Things HR, LLC
Seattle, WA
- $25 to $28 USD / hour
…patient experience, continuity of care, and efficient office…

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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Jobs in the United States