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Added 5 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Omaha, NE
- $152,000 to $222,000 USD / year
…Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build…
Added 5 mins ago
Senior Manager, Client Excellence, Global Consulting Services
Deloitte
Omaha, NE
Lead execution of the GLCP onboarding program in partnership with Industry Leaders, including welcome calls, onboarding materials, briefing packs, and targeted development sessions.
Added 5 mins ago
Advanced Specialist, Portfolio Management (Enterprise Learning)
Pearson
Lincoln, NE
…offerings at an important point in their evolution. As Portfolio Manager for Knowledge Suite and Pearson Live Training, you will help position these products at the center of enterprise…
Added 5 mins ago
Senior ALC Developer
Maximus
Lincoln, NE
Design and implement complex software components and perform advanced programming tasks across multiple technologies.
Added 5 mins ago
M
Senior ALC Developer PART TIME
Maximus
Lincoln, NE
- Part-time
The Sr. ALC Programmer will provide program analysis, design and development support, maintain source code and modify and/or upgrade code, and conduct testing and debugging, as necessary.
Added 5 mins ago
Sr Program Specialist -FAA Fire Alarm Project Manager -Remote
Honeywell Technologies
Lincoln, NE
As a Sr. Construction Manager- Fire Alarm Project Manager , you will be responsible for overseeing all aspects of multi-year, multisite national programs, managing teams to ensure project…
Added 5 mins ago
AI Operations Administrator - Gravitee - Remote US
SitusAMC
Lincoln, NE
…independent control assurance remain with those teams, and design and build of enterprise security infrastructure remains with Information Security Architecture and Engineering. The…
Added 5 mins ago
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Program Manager, RES (Risk Engineering Solutions)
CBRE
Lincoln, NE
- $105,000 to $125,000 USD / year
CBRE is seeking a detail-oriented Program Manager to supportproject planning, management, and execution activities for Amazon's GlobalBuilding Design Risk & Recovery (GBDR) organization,…
Added 5 mins ago
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Data Analytics Program Mgr - Business Intelligence
CBRE
Lincoln, NE
- $120,000 to $135,000 USD / year
DataAnalytics Program Manager - Business Intelligence
Added 5 mins ago
Manager, Enterprise Communications & Channels
Amentum
Lincoln, NE
The Manager, Enterprise Communications & Channels is responsible for developing and delivering employee communication programs that inform, engage, and connect employees to Amentum's…
Added 5 mins ago
C
Program Manager, RES (Risk Engineering Solutions)
CBRE
Lincoln, NE
- $105,000 to $125,000 USD / year
CBRE is seeking a detail-oriented Program Manager to supportproject planning, management, and execution activities for Amazon's GlobalBuilding Design Risk & Recovery (GBDR) organization,…
Added 5 mins ago
Senior ALC Developer
Maximus
Lincoln, NE
Design and implement complex software components and perform advanced programming tasks across multiple technologies.
Added 5 mins ago
EG
Product Manager, Team Digital Products
Eliassen Group
Lincoln, NE
- $50 to $55 USD / hour
Our client is seeking a Product Manager to own the day-to-day digital product relationship with its teams, primarily supporting team websites, CMS platforms, and related digital…
Added 6 mins ago
CS
Leasing Associate
Core Spaces
San Diego, CA
- $21.5 USD / hour
Founded in 2010, Core is a vertically integrated real estate investment manager focused on acquiring, developing and managing across the student housing and build-to-rent (“BTR”) sectors.…
Added 39 mins ago
IS
Program Manager IV
INSPYR Solutions
Menlo Park, CA
- $46 to $66 USD / hour
We are looking for a Project Manager IV to lead high-visibility field activations, product demonstrations, and partner engagements from planning through execution. This role requires a…
Added 41 mins ago
IPS Analysis Chief (Associate Project Manager 2)
City of New York
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ONLY APPLICANTS PERMANENT IN THE CIVIL SERVICE TITLE OF ASSOCIATE PROJECT MANAGER WILL BE CONSIDERED***
Added 41 mins ago
Quality Assurance Inspector
City of New York
New York City, NY
Only candidates who are permanent in the Construction Project Manager title or those who took and passed the Open-Competitive exam (#3042) or (#5058) or filed for open-competitive exam…
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Senior Design Reviewer (Mechanical)
City of New York
New York City, NY
The Department of Design & Construction, Division of Public Buildings, Architecture and Engineering Unit seeks a Senior Design Reviewer. The selected candidate will be responsible for…
Added 41 mins ago
Senior Estimator
City of New York
New York City, NY
The Department of Design and Construction seeks a Senior Cost Estimator to be part of Front-End Planning (FEP), a team of experienced professionals engaged in guiding capital project scope…
Added 41 mins ago
Senior Estimator
City of New York
New York City, NY
The Department of Design and Construction seeks a Senior Estimator to be part of Front-End Planning (FEP), a team of experienced professionals engaged in guiding capital project scope…
Added 41 mins ago
Senior Project Manager
City of New York
New York City, NY
The NYC Department of Design and Construction, Public Buildings Division seeks a Senior Project Manager. The selected candidate will manage complex capital commitment projects; review…
Added 41 mins ago
Senior Project Manager
City of New York
New York City, NY
The NYC Department of Design and Construction, Public Buildings Division is seeking a Senior Project Manager. The selected candidate will manage complex capital commitment projects; review…
Added 41 mins ago
Senior Project Manager
City of New York
New York City, NY
The Department of Design and Construction seeks a Senior Cost Estimator to be part of Front-End Planning (FEP), a team of experienced professionals engaged in guiding capital project scope…
Added 41 mins ago
Senior Project Manager
City of New York
New York City, NY
The NYC Department of Design and Construction, Public Buildings Division seeks a Senior Project Manager. The selected candidate will manage complex capital commitment projects; review…
Added 41 mins ago
Senior Project Manager
City of New York
New York City, NY
The NYC Department of Design and Construction, Public Buildings Division seeks a Senior Project Manager. The selected candidate will manage complex capital commitment projects; review…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Jackson, MS, 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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