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Added 1 hour ago
Senior Manager, HR Technology and People Operations
Versant Health
NY
We are seeking a Senior Manager, HR Technology & People Operations to provide strategic and operational leadership across our HR technology ecosystem and key People Operations functions.
Added 1 hour ago
C
Program Manager B-52 (WBD) - (Part-Time) - 01.3.11
Credence
Tinker Air Force Base, OK
- Part-time
Support program offices during Materiel Solution Analysis (MSA), Technology Maturation and Risk Reduction (TMRR), Engineering and Manufacturing Development (EMD), Production and Deployment,…
Added 1 hour ago
Program Manager - Program Integration WAX 01.4.04
Credence
Wright-Patterson Air Force Base, OH
…USAF AFMC, AFLCMC, AFRL, ACC, AFGSC, and higher-HQ staff to support F/B capability…
Added 1 hour ago
Senior Program Manager F-16 WAM (Top Secret)- 211
Credence
WPAFB, OH
Support the OFP software development and testing processes, interpreting user requirements, and possesses a thorough understanding of the MNFP cost-sharing process.
Added 1 hour ago
Systems Engineer B-2 (WBZ) 01.6.07
Credence
Tinker Air Force Base, OK
Support development of strategies for crosscutting capability requirements. The Contractor shall assist with initiating, writing, reviewing, developing and implementing documentation…
Added 1 hour ago
Principal Technical Manager- C3I DCGS
Credence
Warner Robins, GA
Credence has an immediate need for a Principal Technical Manager at Robins AFB, GA. The Principal Technical Manager shall support the assigned IPT and is responsible for the systems…
Added 1 hour ago
Program Manager - Aircraft Installation B-2 (WBZ) 01.6.06
Credence
Oklahoma City, OK
Credence has an upcoming need for a Program Manager - B-2 Aircraft Installation (WBZ) at the principal level to support the B-2 Division who is responsible for the modernization, test,…
Added 1 hour ago
Logistics Manager/Design Interface Support Manager AFLCMC/LG - 11.5
Credence
WPAFB, OH
Credence has an immediate need for a Logistics Manager/Design Interface Support Manager at the principal level who will be primarily responsible for supporting the Air Force Life Cycle…
Added 2 hours ago
Senior Manager, IT Operations
SABERT CORPORATION
Sayreville, NJ
Lead cloud transformation. Build team capability. Make an impact.
Added 2 hours ago
Group Manager, Water Resources Engineering
CP Engineers
Remote, United States
Conduct regular staff reviews and collaborate on individualized development plans that support company objectives.
Added 2 hours ago
Group Manager, Water Resources Engineering
CP Engineers
Remote, United States
Conduct regular staff reviews and collaborate on individualized development plans that support company objectives.
Added 2 hours ago
Senior Factory Manager
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The Senior Factory Manager is responsible for the strategic oversight and management of all factory operations. This role involves leading line managers to achieve production goals,…
Added 2 hours ago
Digital Program Management Sr Manager
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IL · NV · TX
We are seeking a Digital Program Management Senior Manager to lead how our Digital Commerce organization plans, governs, and delivers its portfolio of programs. Reporting to the VP, Digital…
Added 3 hours ago
Senior Construction Manager
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Support team development, succession planning, and continuous improvement initiatives
Added 3 hours ago
Program Manager, Leadership Development Programs
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Remote, United States
In collaboration with the Sr. Manager of Talent Development, the Program Manager, (Leadership) Development Programs will assist in leading, growing and executing organizational leadership…
Added 4 hours ago
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Back of House Employee
Flyway Brewing LLC
Little Rock, AR
- $14 USD / hour
Position Overview: We are looking for a dedicated Back of House Employee to support our kitchen. This role involves a variety of tasks, including food preparation, cooking, cleaning, and…
Added 4 hours ago
Staff Software Engineer
Conga
Boston, MA · Houston, TX
At Conga, we’ve built a community where our colleagues can thrive. Here you’ll find opportunities to innovate and support growth through individual and team development, all within an…
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Reporting to the Senior Director, the Community Health and Nutrition Manager is responsible for the execution of CFBNJ’s food and health strategy which includes the implementation,…
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Senior Project Manager | Commercial Construction
GPAC
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- $120,000 to $150,000 USD / year
Job Title: Senior Project Manager – Commercial & Multifamily Construction
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Sr Regional Marketing Manager: Marketing Operations & Field Programs Manager
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Test Coordinator
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Cloud Solutions Engineer
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…Audits & Inspections, Investigations & Intake, and Strategy & Support. Responsibilities This position is located in the Office of Strategy and Support, which leads integrated strategy and…
Added 6 hours ago
Federal Business Development Representative
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It can take the government longer to buy a capability than an adversary takes to field one, and we exist to close that gap.
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Assistant General Manager /Manager in Training
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Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Springfield, IL, 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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