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
Territory Executive - Illinois
PagerDuty
Jackson, MS
PagerDuty, Inc. (NYSE: PD) is the global leader in AI-first digital operations. By automatically detecting, diagnosing, and remediating issues, the PagerDuty Platform orchestrates AI agents…
Added just now
Mgr Housekeeping BU EX MGRHO042895
Crescent Hotels & Resorts
Jackson, MS
Added just now
T
Information Security Engineer
TTEC
Jackson, MS
- $65,000 to $70,000 USD / year
…other members of the Information Security teams, internal IT Operations and Engineering teams, and vendor technical…
Added just now
Construction Manager, Retail
Meta
Jackson, MS
Meta is seeking an experienced Construction Manager to lead the planning, design, and delivery of retail store construction projects across Meta's physical retail portfolio. In this role,…
Added just now
EC
Continuous Improvement Manager
Eaton Corporation
Jackson, MS
- $113,000 to $165,000 USD / year
The Continuous Improvement Manager is responsible for leading and driving operational excellence, business process improvement, and lean transformation initiatives across a 550-employee…
Added just now
Manager Strategic Risk Adjustment Programs
Highmark Health
Jackson, MS
…Will be responsible for professional coaching and mentoring of program team…
Added just now
C
Test Analyst - QNXT
Cognizant
Jackson, MS
- $70,000 to $92,000 USD / year
Manager testing across QNXT Provider and Claims modules, validating claims adjudication, provider data integrity, and billing workflows.
Added just now
C
Delivery Manager, Healthcare Payer
Cognizant
Jackson, MS
- $130,000 to $153,000 USD / year
As a Delivery Manager Healthcare Payer you will make an impact by leading complex healthcare payer transformation programs through platform implementation, modernization, migration, and…
Added just now
Systems Administrator – Kiteworks
SitusAMC
Jackson, MS
…and transition of new products and services into post-launch operations throughout the life of the product or…
Added just now
C
Program Manager, EBMS
CBRE
Jackson, MS
- $105,000 to $115,000 USD / year
…education, training, and experience. The minimum salary for the Program Manager, EBMS position is $105,000 annually [or $50.48 per hour] and the maximum salary for the Program Manager, EBMS…
Added just now
Cyber Security Manager - Diego Garcia
Amentum
Jackson, MS
…critical infrastructure sectors, is seeking an FRCS Cybersecurity Manager to support a government contract based on the island of Diego…
Added just now
EG
Business Systems Analyst (BSA)
Eliassen Group
Jackson, MS
- $70 to $80 USD / hour
…and cross-functional teams with strategic planning, portfolio operations, communications, and organizational execution. This is not a traditional technical BSA or Project Manager role. The…
Added 2 mins ago
CH
Pharmacy Manager
CVS Health
Olmsted Twp, OH
- $65 to $85 USD / hour
As a Pharmacy Manager, you will lead and develop a pharmacy team that provides exceptional patient care by promoting best practices and leading through change while identifying and…
Added 2 mins ago
FBI Historical SME / Visitor Services Representative/Top Secret
LAUKOA
Washington, DC
Relay information and provide expansive responses via telephone, face-to-face interactions, or inquiries to the FBI Operations Manager, ensuring all coordinating internal employees are…
Added 2 mins ago
CH
Operations Manager
CVS Health
Chicago, IL
- $22.05 to $36.05 USD / hour
Unlike the Store Manager in Training position, the Operations Manager position is not part of the CVS/pharmacy Retail Management Development Program. Operations Managers are not eligible…
Added 2 mins ago
CH
Pharmacy Technician
CVS Health
Kansas City, MO
- $16.5 to $25 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
CH
Pharmacy Technician
CVS Health
Kansas City, MO
- $16.5 to $25 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
D
Residential House Manager
Dungarvin
Florence, KY
- $52,000 USD / year
As the House Manager you will have oversight and be responsible for coordinating and managing the overall assigned program or programs (residential and/or day program) in relation to…
Added 3 mins ago
A
Senior Manager, Information Assurance Services
Aprio
Remote, United States
- $157,000 to $262,000 USD / year
Hands-on leadership across client delivery, business development, and practice operations.
Added 3 mins ago
UG
Manager, Payer Advisory Services - Remote
UnitedHealth Group
Eden Prairie, MN
- $112,700 to $193,200 USD / year
This Manager position is within Optum's AI-first consulting organization and sits on the business advisory and consulting side of the organization, rather than within a technology…
Added 4 mins ago
Volunteer & Outreach Coordinator
Fuller Craft Museum
Brockton, MA
Oversees program materials and supplies with support from the Manager of Learning & Engagement
Added 5 mins ago
Rebate Account Specialist II
Navitus Health Services
Jefferson City, MO
…reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing.…
Added 8 mins ago
CATHETER COORDINATOR - Jeffersonville (11640)
FIRST UROLOGY P S C
Jeffersonville, IN
The Catheter Coordinator is responsible for supporting the daily operations of the First Urology Catheters program through customer service, catheter order processing, documentation…
Added 8 mins ago
Lead Maintenance Technician - Olympus Carrington
Olympus Property
Pooler, GA
The Lead Maintenance Technician (Maintenance Supervisor) oversees the day-to-day maintenance operations of the apartment community and achieving property maintenance goals.
Added 10 mins ago
MT
Director, Depot Compliance
Metropolitan Transportation Authority
Brooklyn, NY
- From $115,252 USD / year
Direct and conduct operational, maintenance, transportation, tactical, and compliance audits and investigations across all Buses operations.

Highmark Health

Manager Strategic Risk Adjustment Programs

Albany, NY, United States

Apply About employer

Applications open in a new tab.

Job details

Posting language: English
Posted: Nov 6, 2026

Original job description

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

Apply 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