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Added 3 mins ago
CO
PROGRAM SPECIALIST - RISK ANALYST I
City of Stockton
Stockton, CA
- $38.48 USD / hour
Performs analytical work under the direction of the Risk Manager or designee, which requires the application of technical skills and knowledge of detailed or specialized activities related…
Added 26 mins ago
Nuclear Operations Technician I / Nuclear Operations Technician II - Oconee Nuclear Station
Duke Energy
Seneca, SC
…entails successfully completing a generic fundamentals training program as well as a plant specific license class leading to an NRC administered license exam. There is a progression of…
Added 43 mins ago
AE
Senior Manager - Application Security Research
American Express
Phoenix, AZ
- $123,000 to $215,250 USD / year
American Express is seeking a highly technical and innovative Senior Manager of Application Security Research to help advance our application security research, vulnerability discovery, and…
Added 52 mins ago
CP
Fleet Technician
CALIFORNIA PATROL OPERATIONS
SACRAMENTO, CA
- $16.9 to $18.5 USD / hour
…more. We are rapidly growing and are seeking to hire a fleet manager to oversee and manage our growing number of patrol…
Added 55 mins ago
Senior Project Management Specialist - F-15 PIO
The Boeing Company
Berkeley, MO
The successful candidate will directly support the Program Integration Office (PIO) Senior Manager for the F-15 organization and execute a wide variety of projects including but not limited…
Added 55 mins ago
SAP Technology Architecture Senior Manager - S/4HANA Migration
PwC
Kansas City, MO
As a SAP Technology Architecture Senior Manager - S/4HANA Migration you will lead SAP architecture work that helps clients shape migration strategies, design future-state landscapes, and…
Added 55 mins ago
SAP Technology Architecture Senior Manager - S/4HANA Migration
PwC
Saint Louis, MO
As a SAP Technology Architecture Senior Manager - S/4HANA Migration you will lead SAP architecture work that helps clients shape migration strategies, design future-state landscapes, and…
Added 57 mins ago
Senior Risk Manager - AI Risk & Governance
Edward Jones
Saint Louis, MO
The Senior Risk and Control Associate - AI Risk & Governance will effectively control the risks associated with business activities via the execution of firm's Enterprise Risk Management…
Added 58 mins ago
Principal Technical Product Manager, Data & Platform
GE Aerospace
Kansas City, MO
As part of the GE Aerospace Digital Technology organization supporting the Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir…
Added 58 mins ago
Principal Technical Product Manager, Data & Platform
GE Aerospace
Saint Louis, MO
As part of the GE Aerospace Digital Technology organization supporting the Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir…
Added 1 hour ago
PF
Senior Associate, Client Service Onboarding Manager - Pension Risk Transfer
Principal Financial Group
Des Moines, IA
- $55,800 to $87,600 USD / year
As a Senior Associate, Client Service Onboarding Manager, you'll manage the onboarding of assigned Pension Risk Transfer clients, acting as the main liaison throughout the process. This…
Added 1 hour ago
Business Development Representative
Safe Haven Security Services, LLC.
Overland Park, KS · Belton, MO · Kansas City, KS · Kansas City, MO · Olathe, KS · Independence, MO · Lenexa, KS · Lees Summit, MO
Clear path to promotions - Senior roles, Manager roles and more!
Added 1 hour ago
A
Cybersecurity SME (Hanscom AFB)
Avint
Hanscom Air Force Base, MA
- $175,000 to $190,000 USD / year
The Cybersecurity SME serves as a cybersecurity and RMF expert within the technical domain and acts as a senior advisor to government cybersecurity and program leadership.
Added 1 hour ago
Senior Manager, Internal and External Reporting
Eliassen Group
Raleigh, NC
The Senior Manager will have significant exposure to senior finance leadership and external auditors and will lead a team of accounting and reporting professionals. The ideal candidate…
Added 1 hour ago
M
Senior Critical Environment Program Manager
Microsoft
GA · Atlanta, GA · Atlanta
- $127,600 to $253,300 USD / year
…engine that powers our cloud services. As a Critical Environment Program Manager, you will perform a key role in delivering the core infrastructure and foundational technologies for…
Added 1 hour ago
M
Business Program Manager, Strategy & Transformation - MCAPS Core
Microsoft
United States
- $97,600 to $206,400 USD / year
Business Program Manager - Financial Services industry
Added 1 hour ago
M
Senior Technical Program Manager
Microsoft
United States
- $119,800 to $261,000 USD / year
We are seeking a Senior Technical Program Manager for Infrastructure and Platform team to drive the programs, operating rhythm, and cross-organization execution that turn the Technical…
Added 1 hour ago
M
Senior Product Marketing Manager - Azure
Microsoft
WA · Redmond, WA · Redmond
- $106,400 to $222,600 USD / year
We are looking for a Senior Product Marketing Manager to help shape the future of Microsoft Azure and drive the success of our cloud and AI businesses.
Added 1 hour ago
M
Senior Logistics Technician
Microsoft
IL · Chicago, IL · Chicago
- $27.16 to $47.74 USD / hour
Serve as primary liaison for overseeing the fleet management program, maintenance vendors and equipment check-in and check-out process. Define numbers of vehicles needed and what type of…
Added 1 hour ago
M
Senior Lead, Skills Assessment & Validation
Microsoft
United States
- $116,900 to $222,600 USD / year
Lead pilots with selected role cohorts and program owners, incorporate learner and manager feedback, and refine designs before recommending broader adoption.
Added 1 hour ago
M
eCommerce Experience Manager
Microsoft
WA · GA · CA · NY · Redmond, WA · Atlanta, GA · Mountain View, CA · Redmond · Atlanta · Mountain View · New York
- $106,400 to $222,600 USD / year
…mindset, excellence, and inclusion. The eCommerce Experience Manager, which sits within the Global Site Experience team, leads complex, cross-functional work where ownership or the path…
Added 1 hour ago
Senior Acquisition Security Manager
ODYSSEY SYSTEMS CONSULTING GROUP
Dayton, OH
Senior Acquisition Security Manager Job Locations US-OH-Dayton ID 2026-9544 Category Security Type Full Time Biweekly Hours 80 Location : Name Wright Patterson AFB Position Summary Odyssey…
Added 1 hour ago
Regulatory Compliance and Financial Crime Consulting Senior Manager
Crowe LLP
Cleveland, OH
…invest in innovative ideas, such as AI-enabled insights and technology-powered solutions, to enhance our services. Join us at Crowe and embark on a career where you can help shape the…
Added 1 hour ago
Program Facilitator - Meals on Wheels
Meals on Wheels
Cincinnati, OH
Program Facilitator Radcliff Main Office - CINCINNATI, OH 45204 Overview Position Type Full Time Job Shift Day Education Level 2 Year Degree Travel Percentage Road Warrior Category…
Added 2 hours ago
A&
Senior Project Manager
Astor & Sanders
McLean, VA
- $120,000 to $145,000 USD / year
Systems Integration & Development (SID) is an award-winning IT solutions provider headquartered in McLean, VA seeking a Project Manager. This is a full-time and hybrid position.

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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