Find work in the United States.

A simpler way to find your next job.

Jobs in the United States

25+ jobs

Save this search

Added just now
VH
Senior Social Worker - BHIP Mental Health Treatment Coordinator
Veterans Health Administration
The Villages, FL
- $100,090 to $130,120 USD / year
Maintain data and statistical compilations to comply with JC, VA and medical center policy and procedures.
Added just now
AM
FLIGHT SIMULATOR TRAINING MANAGER
Air Mobility Command
Joint Base Lewis-McChord, WA
- $83,935 to $109,122 USD / year
…for protecting computer and simulator systems from viruses, data tampering, and unauthorized system entry. Knowledge of a full range of network systems (LAN/WAN" design principles,…
Added just now
VH
Management & Program Analyst
Veterans Health Administration
Washington, DC
- $121,785 to $158,322 USD / year
Perform complex analysis duties related to the innovative design, implementation, and maintenance of information systems and technical assessment to enhance system capabilities.
Added just now
UN
IT PROGRAM MANAGER (APPSW/SYSANALYSIS)
U.S. Northern Command
Peterson AFB, CO
- $109,246 to $142,022 USD / year
…evaluative methods and techniques as well as measurement of data to plan, schedule, and conduct projects and studies to evaluate and recommend ways to improve the effectiveness and…
Added 2 mins ago
GS
GEOLOGIST
Geological Survey
Reston, VA
- $121,785 to $158,322 USD / year
Design and carry out plans for new research in the Midcontinent region, including conducting fieldwork, evaluating outcrops and core samples, and performing laboratory analyses.
Added 2 mins ago
US
Engineering Technician
United States Army Installation Management Command
Fort Hood, TX
- $50,460 to $80,243 USD / year
…(RFP), and Change Orders. | Prepare planning and engineering design cost estimates, i.e., feasibility, baseline estimate, General Design Memoranda (GDM), and Feature Design Memoranda (FDM).…
Added 5 mins ago
AF
ENGINEERING TECHNICIAN
Air Force Global Strike Command
Whiteman AFB, MO
- $41,400 to $73,829 USD / year
…civil, mechanical, electrical, and environmental) to ensure all design and construction considerations are…
Added 5 mins ago
NS
CLOTHING DESIGNER
Naval Supply Systems Command
Natick, MA
- $84,579 to $109,959 USD / year
…sample models, and information concerning materials, special design features, and other details. | You will prepare periodic, interim, and final reports documenting efforts, findings,…
Added 5 mins ago
US
MARITIME OPERATIONS CENTER TRAINING ANALYST (IAMD)
United States Fleet Forces Command
Naval Base, Norfolk, VA
- $127,646 to $165,945 USD / year
…(BMD), and the joint function of Operational Protection to design, develop, and execute an operational level of warfare (OLW) training and exercise…
Added 6 mins ago
T
Senior Solutions Architect
Teknowledge
Colorado Springs, CO
- $106,969 to $160,453 USD / year
…create value, shape the problem, qualify the opportunity and design a credible path to measurable…
Added 9 mins ago
HA
ELECTRONICS TECHNICIAN
Headquarters, Air Force Reserve Command
Westover Air Reserve Base, MA
- $84,260 to $109,545 USD / year
Fabrication - Designing and analyzing circuits, determining design feasibility, evaluating equipment performance under varying environmental conditions, and collecting performance data.…
Added 9 mins ago
CF
Data Scientist
Centers for Disease Control and Prevention
Atlanta, GA
- $112,556 to $146,325 USD / year
Design, develop, implement, and maintain scalable applications, automated data pipelines, and integrated data systems using programming languages such as R and Python to support complex…
Added 9 mins ago
AN
INTERDISCIPLINARY ENGINEER TITLE 5 PERMANENT
Air National Guard Units
Newington, NH
- $101,375 to $131,790 USD / year
The primary purpose of this position is to serve as a professional general engineer, performing design, project programming, construction management/monitoring duties and improvement…
Added 9 mins ago
CF
Health Scientist
Centers for Disease Control and Prevention
Atlanta, GA
- $133,007 to $172,915 USD / year
…quality, biosafety, research methodologies (e.g., study or survey design and data analysis), and advanced technologies for the detection, diagnosis, prevention, and control of infectious…
Added 9 mins ago
NA
INTERDISCIPLINARY ENGINEER
Naval Air Systems Command
Patuxent River, MD
- $102,415 to $158,322 USD / year
…sensor systems; 3) Developing procedures that support collecting data for the analyses of combat effectiveness, survivability, and specification compliance of assigned aircraft and…
Added 13 mins ago
VH
Psychologist (PTSD)
Veterans Health Administration
Phoenix, AZ
- $107,176 to $193,145 USD / year
Added 13 mins ago
DO
ISS (Special Education)
Department of War Education Activity
Camp Lejeune, NC
- $101,242 to $136,011 USD / year
…daily structure). | Advise educators in leveraging interpreted data to improve teaching…
Added 14 mins ago
J
Super SWE - AI Factory
Jobgether
Remote, United States
- $200,000 to $275,000 USD / year
Design and implement the internal AI factory, including the infrastructure, tooling, and workflows needed to orchestrate autonomous AI agents.
Added 14 mins ago
Senior Software Engineer, Cloud Applications
Jobgether
Remote, United States
Design, implement, and optimize high-throughput data pipelines for usage and operational data, balancing data freshness, query performance, cost efficiency, tenant isolation, and fault…
Added 14 mins ago
J
Senior Security Engineer, Infrastructure Security
Jobgether
Remote, United States
- $160,000 to $210,000 USD / year
…networking, identity systems, and development pipelines. You will design and implement security solutions, lead threat investigations, and build intelligent automation to improve security…
Added 14 mins ago
J
Senior Manager, Government Affairs and Regulatory Policy
Jobgether
Remote, United States
- $109,900 to $157,000 USD / year
Design and lead proactive engagement strategies with state insurance departments regarding new products and business lines, determining priority markets, relevant stakeholders, key…
Added 14 mins ago
J
Operational Risk, Senior Associate
Jobgether
Remote, United States
- $123,000 to $141,375 USD / year
Design, implement, and conduct independent monitoring and testing activities to evaluate the effectiveness of key operational controls.
Added 20 mins ago
Surveyor
EMC Renewables
Bloomsburg, PA
…construction. The Surveyor plays a critical role in translating design data into actionable field layouts that meet engineering specifications and project quality…
Added 21 mins ago
EI
Postdoctoral Researcher - Multifunctional Materials Development
Elve Inc
Davis, CA
- $65,000 to $120,000 USD / year
…optimization of materials used to fabricate NST emitters including the design and execution of experiments focused on the electrical and thermal properties of those emitters. The candidate…
Added 21 mins ago
EI
Test Engineer
Elve Inc
Davis, CA
- $85,000 to $125,000 USD / year
…remote locations. Elve delivers a transformative approach to the design and manufacturing of high-efficiency lightweight millimeter-wave and near-THz RF power amplifiers in large…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Nashville, TN, 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

Report this job