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Added 1 min ago
C
Senior Manager - US Transfer Pricing
Coupang
United States
- $155,000 to $267,000 USD / year
…markets and business lines, we are seeking a highly capable Senior Manager of Transfer Pricing to lead our US-based transfer pricing operations and transactional planning. This role is…
Added 14 mins ago
Resource Support Analyst
BOOZ, ALLEN & HAMILTON, INC.
Honolulu, HI
…training resources to help our customer succeed. You'll work with program managers, action officers, resource managers, and stakeholders to develop an actionable plan for your client to…
Added 19 mins ago
CO
Nutrition Site Specialist - Senior Nutrition Program (Temporary, Non-Benefited)
City of Campbell
Campbell, CA
- $19 USD / hour
The Campbell Recreation and Community Services Department is recruiting a Nutrition Site Specialist to work in the Senior Nutrition Program for older adults age 60+. This role involves…
Added 19 mins ago
J
Commercial Manager
Jobgether
Remote, United States
- $105,000 to $115,000 USD / year
This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Commercial Manager based in the United States.
Added 19 mins ago
BD Support Senior Manager
Jobgether
Remote, United States
This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a BD Support Senior Manager based in the United States.
Added 24 mins ago
HC
Elections Program Manager - Ballot Programming (Internal Elections department applicants only)
Hennepin County
Minneapolis, MN
- $70,158.95 to $111,224.12 USD / year
Hennepin County’s Elections department is seeking an Election Program Manager specializing in ballot programming. This candidate will perform essential administrative tasks to administer…
Added 39 mins ago
Registered Nurse Case Manager PRN
HCA Healthcare
Sanford, FL
As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that…
Added 39 mins ago
Sr Project Manager - AI Data Centers
Jacobs
North Miami Beach, FL · Orlando, FL
This is your opportunity to elevate your career to the next level - leading complex, multi-discipline programs as a Senior Project Manager (CA) Lead, across OE, EPCM, and Design-Build…
Added 39 mins ago
Senior Manager - Materials, Planning & SIOP (Onsite)
Collins Aerospace
Hollywood, FL
Collins Aerospace is looking to hire a Senior Manager -Materials, Planning & SIOP who will develop strategies and be responsible for the implementation and sustainment of the SIOP process…
Added 52 mins ago
C
Senior Project Manager-Supply Chain
Capgemini
New York, NY, NY
- $106,906 to $281,842 USD / year
Added 53 mins ago
DO
Senior Safety Engineer
Department of Water Resources
CA
- $11,427 to $14,298 USD / month
Under the general direction of the DWR Executive Safety Manager, the incumbent provides technical support for the DWR Safety Program by conducting audits, safety inspections and accident…
Added 53 mins ago
DO
Senior Safety Engineer
Department of Water Resources
CA
- $11,427 to $14,298 USD / month
Under the general direction of the DWR Executive Safety Manager, the incumbent provides technical support for the DWR Safety Program by conducting audits, safety inspections and accident…
Added 58 mins ago
Senior Manager, Software Development, Amazon Leo
Amazon Kuiper Manufacturing Enterprises LLC
Sunnyvale, CA
As the manager of this team, you will define the long-term vision for the team and its products as well as hiring and organizing to succeed. The candidate must have expertise with modern…
Added 1 hour ago
GM
Tax Senior, Estate and Trust
Geffen Mesher & Company PC
Portland, OR
- $85,000 to $106,000 USD / year
We are seeking a Tax Senior to join our Estate & Trust team. In this role, you will provide tax compliance services and assist with tax planning and consulting projects for high-net-worth…
Added 1 hour ago
MS
Restaurant Shift Supervisor
MOD Super Fast Pizza, LLC
Mooresville, NC
- $13 USD / hour
…during scheduled shifts and support training for all new hires, program rollouts, and standards in your restaurant. At times, you will be the most senior squad member working the shift, and…
Added 1 hour ago
DN
Senior Program Manager-540197
Delaware Nation Industries
Washington, DC
- $165,000 to $175,000 USD / year
The purpose of this task order is to provide professional services in the form of one (1) Senior Program Manager who will support the R/PPR front office by performing the tasks described in…
Added 1 hour ago
DN
Content Writer (Part Time)
Delaware Nation Industries
Remote, United States
- Part-time
Supply Manager Course-This course provides students with facilitated hands-on training designed to enhance the knowledge and job performance of ARNG full-time logistics management…
Added 1 hour ago
Senior Advisor-536430-A
Delaware Nation Industries
Arlington, VA
The Bureau of Overseas Buildings Operations (OBO) directs the worldwide overseas building program for the U.S. Department of State. Working with other offices and bureaus, foreign affairs…
Added 1 hour ago
Senior Creative Operations and Production Manager
Jobgether
Remote, United States
…all applications and next steps. Our partner is looking for a Senior Creative Operations and Production Manager based in the United…
Added 1 hour ago
CO
Aging Care Manager 2 (LG) - Schuylkill County Area Agency on Aging (Multiple Vacancies)
Commonwealth of Pennsylvania
Pottsville, PA
- $36,913.5 USD / year
Aging Care Manager with the Schuylkill County Office of Senior Services, our local Area Agency on Aging, offers a chance to make a meaningful impact each day! This role is responsible for…
Added 1 hour ago
T
Site Operations Manager
TEKsystems
St Francisville, LA
- $85 USD / hour
This on-site role leads the critical facilities program at a data center and is accountable for the safe, reliable operation of the sites critical environment. The Site Manager serves as…
Added 1 hour ago
JC
Environmental Health Specialist III – Senior Onsite Wastewater Specialist
Jefferson County
United States
- $41 to $42 USD / hour
The position, Environmental Health Specialist III – Senior Onsite Wastewater Specialist provides advanced technical expertise and program support for the Onsite Wastewater (OW) Program,…
Added 1 hour ago
Director of Academic Finance & Strategic Planning
Cornell Univ (NYS Colleges & Exper Sta)
United States
…budget policies; coordinating allocation and policy issues with senior leadership; monitoring resource use; modeling the impact of program and policy changes; and providing specialized…
Added 2 hours ago
DG
Benefits Manager
DeSilva Gates Construction
Dublin, CA
- From $140,000 USD / year
…projects across Northern California. We are seeking a Benefits Manager to join our team in Dublin. As a Benefits Manager, you will play a critical role in ensuring the proper administration…
Added 2 hours ago
Sr. Forward Deployed Engineer (FDE)
PVM, Inc.
Arlington, VA
As a Senior Forward Deployed Engineer (FDE), you will contribute directly to the development and delivery of Army Vantage capabilities. You will build analytical dashboard features, support…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Topeka, KS, 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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