Find work in the United States.

6,222,895 jobs across our US network. How we count

Jobs in the United States

25+ jobs

Save this search

Added just now
Design Engineer
Curtiss-Wright Corporation
East Farmingdale, NY
Acts as Project Manager (lead) for internally (PID) and externally funded Design/Development programs
Added just now
Sr. Principal Computer Systems Analyst - Windows/Linux
Northrop Grumman
Bethpage, NY
…system engineers, PC desktop technicians, networking engineers, project managers, end users, and IT/Cyber…
Added 1 min ago
DEIA Project Manager
New York Power Authority
White Plains, NY
Organizes project teams, assigns individual responsibilities, developing project schedules, and determines resource requirements. Monitors and reports on the status of projects including…
Added 1 min ago
Commercial Proposals Manager
GE Vernova
Schenectady, NY
…transaction strategy (engineering, manufacturing, finance, contracts, project management, legal, partner, etc.), negotiate and close…
Added 1 min ago
Principal Aftermarket Technical Product Manager
GE Aerospace
Schenectady, NY
As Principal Technical Product Manager – Aftermarket, you will own the product vision, strategy and roadmap for the digital solutions that support the Service & Repair value streams in…
Added 1 min ago
Sales Account Manager - Vertical Sales Discrete Mid-Market
Siemens
New York City, NY
Bachelor’s degree in business, technical, or management related program.
Added 2 mins ago
TI
Technical Program Manager, Manufacturing
Tesla, Inc.
BUFFALO, NY
- $87,120 to $151,200 USD / year
What to ExpectTesla isseekinga highly motivatedTechnical Program Managerfor our Gigafactory in Buffalo, New York tocontribute tothe design and development of new automation equipment and…
Added 2 mins ago
SME IT Governance Manager
Seneca Holdings
BUFFALO, NY
…that participate in the Small Business Administration 8(a) program. To learn more about SNG, visitthe website and follow us onLinkedIn.Our team of talented individuals is what makes us…
Added 2 mins ago
Manager, Manufacturing & Test Engineering
Plug Power Inc.
ALBANY, NY
Manager, Manufacturing & Test Engineering Status: Exempt (salaried) Reports To: Director, Manufacturing Engineering Position Summary The Manager, Manufacturing & Test Engineering leads the…
Added 2 mins ago
Manager, Manufacturing & Test Engineering
Plug Power Inc.
ALBANY, NY
Manager, Manufacturing & Test Engineering Status: Exempt (salaried) Reports To: Director, Manufacturing Engineering Position Summary The Manager, Manufacturing & Test Engineering leads the…
Added 2 mins ago
AT
Senior Technical Program Manager
Akamai Technologies, Inc.
Albany, NY
- $119,600 to $215,400 USD / year
As a Senior Technical Program Manager, you will require technical understanding of AI/ML systems, exceptional organizational and program management skills, and proven experience leading…
Added 2 mins ago
Senior Proposal Manager
Maximus
Albany, NY
Manages project teams and provides technical guidance and strategy to employees, colleagues and/or customers
Added 2 mins ago
Systems Administrator – Kiteworks
SitusAMC
Albany, NY
Support infrastructure workstreams on site and project development efforts, providing solution design input, effort estimates, and technical risk assessment during the planning phase.
Added 2 mins ago
Program Manager Special Projects
Plug Power Inc.
ALBANY, NY
Program Manager, Special Projects Status: Exempt Department: Program Management (Engineering) Position Summary The Program Manager will own and lead a portfolio of complex, high-impact…
Added 2 mins ago
Manager Strategic Risk Adjustment Programs
Highmark Health
Albany, NY
…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…
Added 2 mins ago
C
Program Manager, EBMS
CBRE
Albany, NY
- $105,000 to $115,000 USD / year
Proficiency with project/program managementtracking software (e.g. SmartSheets, Asana, QuickSight (Power BI), MS Project,etc)
Added 2 mins ago
Technical Manager - Software Engineering
L3Harris
Rochester, NY
The Technical Manager - Software Engineering leads and directs a team 15-25 software engineers of various levels of experience to develop complex engineering solutions. Must possess…
Added 2 mins ago
Principal Technical Account Manager
The Trade Desk, Inc.
NEW YORK, NY
…businesses responsibly. The scale of our platform brings unique technical challenges - from processing massive datasets in real time to building systems that operate reliably on a global…
Added 2 mins ago
Senior Technical Program Manager, Discovery Tech, US Prime & Marketing Technology
Amazon
New York, NY
…work through AI-native workflows. We are looking for a Senior Technical Program Manager who can operate across both, driving execution on complex cross-functional programs while connecting…
Added 2 mins ago
Principal, Product Manager-Tech , eShop
Amazon
New York, NY
We are seeking a Principal Product Manager-Tech to own the Content Freshness workstream - responsible for ensuring premium product pages, brand stores, and customer experience surfaces are…
Added 2 mins ago
Product Manager, Claims Automation & Integrations , On-Road Incident Management (ORIM)
Amazon
New York, NY
Experience in product, program, or project management in leading cross-functional teams in delivery of major new products or services
Added 2 mins ago
Briefing Program Manager, AWS Executive Briefing Center
Amazon
New York, NY
The Amazon Web Services (AWS) Executive Briefing Program is seeking an experienced Briefing Program Manager to plan and deliver high-value executive briefings for customers at one of our…
Added 2 mins ago
CC
Manager, Provider Configuration Services
Centene Corporation
NEW YORK, NY
- $87,700 to $157,800 USD / year
Position Purpose: Represents the highest level of technical expertise in the area of Provider Configuration, Provider, and Network Maintenance while providing leadership and partnering with…
Added 3 mins ago
NR
Continual Service Improvement Manager, Global Infrastructure and Operations
NYU Rory Meyers College of Nursing
New York, NY
- $160,000 to $180,000 USD / year
Deep knowledge of ITIL (specifically the CSI stage and the full service lifecycle). Strong project/program management skills with the ability to drive multiple parallel improvement…
Added 3 mins ago
Strategic Planner/ Integrator - Washington DC
Military Spouse Jobs & VetJobs
United States
15+ years of relevant experience in strategic planning, operations management, program/project management, or facilities and logistics operations within the DoD, Intelligence Community, or…

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.

Find open jobs More jobs with this employer

About employer

Job details

Posting language: English
Posted: Nov 6, 2026

Similar jobs hiring now

Search current openings

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

Report this job