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Added 2 mins ago
AU
Supply Chain and Sourcing Project Manager
ASML US, LP. (US20)
Wilton, CT
- $150,750 to $276,375 USD / year
…deliverables that will support the business case of the overall…
Added 4 mins ago
CO
Transportation and Long Range Planning Intern II
City of Charlottesville
Charlottesville, VA
- $20 USD / hour
May be asked to take a lead role on a department/division program or project, if approved by the department manager.
Added 4 mins ago
Geotechnical Project Manager
Kleinfelder Inc
Redmond, WA · Tacoma, WA
Kleinfelder is seeking a Geotechnical Project Manager in our Redmond, Washington office or our Tacoma, WA office. This is a great opportunity for someone looking for a role where they can…
Added 20 mins ago
Professional Project Manager - Senior, Furniture
Dewberry
UNAVAILABLE, DC
Dewberry is seeking an experienced Professional Project Manager - Senior Level, Furniture to support a high-profile federal client.
Added 20 mins ago
Professional Project Manager - Senior
Dewberry
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Dewberry is seeking an experienced Professional Project Manager - Senior Level to support a high-profile federal client.
Added 20 mins ago
Professional Project Manager - Senior Construction
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Dewberry is seeking an experienced Professional Project Manager - Senior Construction to support a high-profile federal client. The position shall support client related projects, including…
Added 23 mins ago
Senior Program Manager
Mujin
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The Senior Program Manager, Software Development, is responsible for the strategic planning, execution, and governance of complex systems and software development programs. The role…
Added 23 mins ago
Senior Program Manager
Mujin
Suwanee, GA
The Senior Program Manager, Software Development, is responsible for the strategic planning, execution, and governance of complex systems and software development programs. The role…
Added 26 mins ago
Senior Manager, Remanufacturing
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The Senior Manager – Reman & Refurb Operations leads the development, execution, and growth of SANY America’s component remanufacturing and full-machine refurbishment operations. This…
Added 26 mins ago
Staff Substation Physical Engineer - Transmission & Distribution (Mid Atlantic Region)
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Richmond, VA · Baltimore, MD · Washington, DC · Raleigh, NC
Bachelor of Science in Electrical Engineering, Mechanical Engineering or related degree from an ABET accredited program.
Added 26 mins ago
Staff Substation P&C Engineer - Transmission & Distribution (Mid Atlantic Region)
Burns & McDonnell
Richmond, VA · Baltimore, MD · Washington, DC · Raleigh, NC
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Added 27 mins ago
Sr. Electrical Engineer
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Program Analyst, Senior, (Logistics)
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We are currently seeking a Program Analyst, Senior, (Logistics) to support our customer in Patuxent River, Maryland location.
Added 31 mins ago
CS
Senior Manager - Web, CMS, E-commerce
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DANVERS, MA
- $166,000 to $212,000 USD / year
The Senior Manager - Web, CMS, E-commerce is the senior product owner for CST’s core content and commerce platforms: Contentstack (headless CMS) and commercetools (composable commerce).…
Added 38 mins ago
Senior Product Manager, Member Growth
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Remote, United States
We’re looking for a Senior Product Manager, Member Growth to own how people go from lead to enrolled, engaged member. Leads come from different channels (direct outreach, paid social, and…
Added 47 mins ago
Senior Design Manager, Project Architect
Suffolk
Boston, MA
…assigned projects, working in partnership with the Project Manager, who leads the project’s commercial and operational delivery. The successful candidate will frame decisions, establish…
Added 1 hour ago
VH
Housing Manager
Veterans Health Administration
Tucson, AZ
- $91,205 to $118,569 USD / year
The Fisher House Program provides temporary accommodations and support for families, support persons and Caregivers of Veterans and Active Duty Military receiving treatment at major…
Added 1 hour ago
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Civil Engineer
Bureau of Reclamation
Lakewood, CO
- $140,239 to $182,316 USD / year
A. Degree: Engineering. To be acceptable, the program must: (1) lead to a bachelor's degree in a school of engineering with at least one program accredited by ABET; or (2) include…
Added 1 hour ago
Technical Program Manager, Secure Connection Services (SCS), Tactical Edge Mission Engineering Group (TEMEG)
Amazon Development Center U.S., Inc.
Arlington, VA · Herndon, VA
Shape the future of secure communications for the world's most critical missions. As a Principal Technical Program Manager for SCS TEMEG, you'll define the strategy and lead customers and…
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Senior Research Associate (Farm Manager) (0097687T, CTAHR/CARES Kona)
University of Hawaii
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…Horticulture, Soil Science, Environmental Science, Agricultural Engineering, or related field and 4 year(s) of progressively responsible professional experience with responsibilities for…
Added 1 hour ago
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TELECOMMUNICATIONS SPECIALIST
Organization of the Joint Chiefs of Staff
Pentagon, Arlington, VA
- $143,913 to $187,093 USD / year
Serves as Joint Staff action officer and J6 Foreign Visit Coordinator, managing multilateral and bilateral visits to senior leadership at the Pentagon.
Added 1 hour ago
AN
ACCOUNTING OFFICER (T5)
Army National Guard Units
Montgomery, AL
- $89,508 to $116,362 USD / year
1. Provides financial accounting advice, analysis, and assistance to the Financial Manager, USPFO, and all organizational elements of the respective state NG regarding the development of…
Added 1 hour ago
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Senior Technical Services Engineer
EnsoData
Remote, United States
- $100,000 to $105,000 USD / year
As the Senior Technical Services Engineer, you will be part of a technical support team while working closely with our Customer Success and Engineering teams. You will play a vital role in…
Added 1 hour ago
Interconnection Manager
Enfinity Global
Miami, FL
Enfinity Global is seeking a Grid Interconnection Manager to lead and oversee all utility-facing interconnection activities for large‑scale renewable energy projects across the U.S.,…
Added 1 hour ago
Interconnection Manager
Enfinity Global
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Enfinity Global is seeking a Grid Interconnection Manager to lead and oversee all utility-facing interconnection activities for large‑scale renewable energy projects across the U.S.,…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Columbia, SC, 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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