Find work in the United States.

6,265,094 jobs across our US network. How we count

Jobs in the United States

25+ jobs

Save this search

Added just now
EHS Specialist
PPG
Sheffield Village, OH
As the EHS Specialist, you will manage a comprehensive Environmental, Health and Safety program for PPG's Sheffield, Ohio plant. The role also includes providing support to a secondary…
Added 1 min ago
Materiel Quality and Configuration Management Specialist [P1ACBRNP022]
ProSidian Consulting, LLC
Jefferson County, AR
Serve as Materiel Quality and Configuration Management Specialist | Chemically Protected Deployable Medical System Product Support Integrator and Materiel Integration Support [P1ACBRNP022]…
Added 1 min ago
Defense Materiel Quality Assurance Manager [P1ACBRNP023]
ProSidian Consulting, LLC
Jefferson County, AR
…Materiel Integration Support. ProSidian seeks a Quality Assurance Manager to lead quality management, maintain audit readiness, and drive continuous improvement for CP DEPMEDS. The role…
Added 1 min ago
Warehousing, Kitting, and Assembly Lead [P1ACBRNP024]
ProSidian Consulting, LLC
Jefferson County, AR
Service alignment - NAICS 541611, Management and Financial Consulting, Acquisition and Grants Management Support, and Business Program and Project Management Services.
Added 1 min ago
Manager, Technology Operations & Enablement
The Institute of Internal Auditors Inc
Lake Mary, FL
The IIA is seeking an experienced, highly organized, and financially skilled Manager, Technology Operations & Enablement to oversee technology business operations, IT financial management,…
Added 2 mins ago
TopStitch - Early Career Development Program
Stitch Consulting Services, Inc.
Indianapolis, IN
This program is a launching pad. You'll be mentored by and learn from leaders across Stitch's delivery functions - including our Technical Architects, Solution Architects, Technical…
Added 3 mins ago
2027 MBA Intern-Global Healthcare Non-Therapeutics
Marshall Wace
NY
Our 10-week Summer Internship Program is based in our New York City office. The goal of the program is to provide high performing, entrepreneurial MBA students with the breadth, variety and…
Added 3 mins ago
Sr. Human Resources Business Partner
Direct Travel
United States
Partner with the Senior Manager - HR, on complex change management initiatives including reorganizations, acquisitions and transformations.
Added 4 mins ago
Senior Mainframe Systems Programmer
ewminds consulting Services
Clifton, NJ
10. Technical leadership, project/program management, and stakeholder communication
Added 4 mins ago
EHS Specialist
PPG Industries, Inc.
United States
As the EHS Specialist, you will manage a comprehensive Environmental, Health and Safety program for PPG's Sheffield, Ohio plant. The role also includes providing support to a secondary…
Added 5 mins ago
Ford Account Manager
Magna Seating of America, Inc.
Novi, MI
· Assists in the development and leads negotiation of program pricing and responds to internal, corporate, and customer pricing requests. Generally, under the guidance and parameters set by…
Added 6 mins ago
A
Principal Engineer, Salesforce
AbbVie
North Chicago, IL
- $124,500 to $236,500 USD / year
…Services and Architecture team. This role provides strategic and technical leadership for the planning, architecture, design, integration, implementation, and operations of Patient Services…
Added 6 mins ago
Head HRBP – US Petcare
Zoetis Services LLC
United States
We are looking for a senior HR leader who can own both ends of the HR mandate: serving as a trusted strategic partner to a commercial leadership team and building the talent engine that…
Added 6 mins ago
Head HRBP – Global Diagnostics
Zoetis Services LLC
United States
Coach senior leaders on performance differentiation, accountability, feedback quality, and retention-linked decisions, with sensitivity to cross-cultural management norms.
Added 7 mins ago
Underwriting Manager, Houston, AIGRM
National Union Fire Insurance Company of Pittsburgh, Pa.
Houston, TX
Provides technical direction to management, less senior specialists, producers, and claims adjusting personnel.
Added 7 mins ago
VP, Home Office Commercial Auto Underwriter
ACE American Insurance Company
Whitehouse Station, NJ
Serve as a senior Home Office underwriting resource for Commercial Auto, providing technical expertise, underwriting guidance, and decision-making support for complex new business and…
Added 8 mins ago
Staff Technical Program Manager, IT Audit & Governance
MongoDB
Austin, TX
Own the end-to-end SOX IT program: scoping inputs, control design, ownership, evidence, readiness testing, and issue management
Added 10 mins ago
CO
Project Manager
City of Gainesville, GA
Gainesville, GA
- $33 to $41.23 USD / hour
Under senior engineering supervision, manage design and construction of infrastructure projects including, but not limited to roads, bridges, irrigation systems, stormwater ponds, pipes and…
Added 10 mins ago
OAAA Contract Specialist V
TX-HHSC-DSHS-DFPS
AUSTIN, TX
Under the direction of the Contract Administration Manager I, performs advanced (senior level) contract management work. Work includes contract administration work that is not limited to…
Added 12 mins ago
W
Senior Implementation Manager
Wise
Austin
- $168,000 to $217,000 USD / year
We are looking for a Senior Implementation Manager to join our team in Austin and play a crucial role in growing Wise Platform by delivering our highest impact partner integrations. You’ll…
Added 12 mins ago
Manager, Manufacturing Engineering
L3Harris Technologies
Salt Lake City, UT
…closely with Engineering, Operations, Quality, Supply Chain, Program Management, and other cross-functional stakeholders to ensure manufacturing processes are safe, efficient, scalable, and…
Added 12 mins ago
Manager, Manufacturing Engineerig
L3Harris Technologies
Salt Lake City, UT
…closely with Engineering, Operations, Quality, Supply Chain, Program Management, and other cross-functional stakeholders to ensure manufacturing processes are safe, efficient, scalable, and…
Added 12 mins ago
Manager, Manufacturing Engineering
L3Harris Technologies
Salt Lake City, UT
…closely with Engineering, Operations, Quality, Supply Chain, Program Management, and other cross-functional stakeholders to ensure manufacturing processes are safe, efficient, scalable, and…
Added 15 mins ago
Senior Commissioning Manager
The GOR Group
North Carolina · North Carolina, NC
…client satisfaction. Due to continued growth, they are seeking a Senior Commissioning Manager to lead commissioning activities on large-scale projects throughout the Chicago…
Added 15 mins ago
Senior Manager, Audio Visual (Workspace Technology)
UMG Recordings Inc
Nashville, TN
The A/V Senior Manager leads the strategy, architecture, engineering, and operational excellence of UMG’s global audiovisual and workplace technology capabilities. This role enables…

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