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
EHS Manager
Skanska USA
Fort Lauderdale, FL
The Environmental Health & Safety (EHS) Manager is responsible for integrating EHS practices into project delivery and ensuring compliance with regulatory and corporate SHEMS requirements…
Added just now
CC
Platform Engineer
Colorado College
Colorado Springs, CO
- $75,748 to $92,791 USD / year
…networking, security, and overall IT architecture. Provides project leadership, project management, and hands-on architectural support for College-wide IT projects and strategic…
Added 1 min ago
Operations Program Manager 3 Advanced Electronic Warfare - Nashua NH
Military Spouse Jobs & VetJobs
United States
As an Operations Program Manager in the PBO we are looking for an individual with a strong background in manufacturing and supply chain who will take that knowledge and drive the program…
Added 2 mins ago
Predoctoral Research Associate (Summer 2027), Division of Research and Faculty Development
Harvard University
Boston, MA
…the empirical and institutional skills needed for a top PhD program. Professor Cullen's prior predocs are currently pursuing PhDs at MIT, Princeton, Chicago, and…
Added 2 mins ago
NL
Research Coordinator
NYU Langone Health
New York, NY
- $66,299.99 to $66,300 USD / year
…studies. Develops preliminary study budgets for review by the Project Manager, Assistant Director, PI, and other designated leadership. Evaluates sponsor-proposed budgets to assess whether…
Added 2 mins ago
G
Project manager Professional Engineer
GPAC
San Antonio, TX
- $93,000 to $140,000 USD / year
Civil Engineer / Project Manager Opportunity with an Established Civil Engineering Firm
Added 2 mins ago
G
Project manager Professional Engineer
GPAC
Chicago, IL
- $93,000 to $140,000 USD / year
Civil Engineer / Project Manager Opportunity with an Established Civil Engineering Firm
Added 2 mins ago
G
Project manager Professional Engineer
GPAC
New York, NY
- $93,000 to $140,000 USD / year
Civil Engineer / Project Manager Opportunity with an Established Civil Engineering Firm
Added 2 mins ago
G
Project manager Professional Engineer
GPAC
Philadelphia, PA
- $93,000 to $140,000 USD / year
Civil Engineer / Project Manager Opportunity with an Established Civil Engineering Firm
Added 2 mins ago
G
Project manager Professional Engineer
GPAC
Dallas, TX
- $93,000 to $140,000 USD / year
Civil Engineer / Project Manager Opportunity with an Established Civil Engineering Firm
Added 2 mins ago
G
Project manager Professional Engineer
GPAC
San Diego, CA
- $93,000 to $140,000 USD / year
Civil Engineer / Project Manager Opportunity with an Established Civil Engineering Firm
Added 2 mins ago
G
Project manager Professional Engineer
GPAC
Los Angeles, CA
- $93,000 to $140,000 USD / year
Civil Engineer / Project Manager Opportunity with an Established Civil Engineering Firm
Added 2 mins ago
Principal Water Engineer
Arcadis
Philadelphia, PA · East Windsor, NJ
…development of water and wastewater projects as a client-facing project manager. You will utilize your knowledge of water distribution systems, wastewater collection systems, pump/lift…
Added 3 mins ago
Senior Occupancy Planner / Design Manager
US AMR-Jones Lang LaSalle Americas, Inc.
Remote, United States
What this job involves - JLL has an exciting opportunity for a Senior Occupancy Planner / Design Manager supporting a key financial services client across its workplace and retail…
Added 4 mins ago
D
Director of Convening Operations
DREAM
NY
- $125,000 to $140,000 USD / year
Lead end-to-end planning and execution of two-day in-person Convenings held once per semester for all partner schools, serving as the primary driver and project manager;
Added 4 mins ago
L
Merchandising Part Time Days
Lowes
Schererville, IN
- Part-time
Communicate project priorities, schedule, and needs with Merchandising Services Team and Manager
Added 4 mins ago
L
Full Time - Merchandising Service Associate - Day
Lowes
Jacksonville, FL
- Full-time
Communicate project priorities, schedule, and needs with Merchandising Services Team and Manager
Added 5 mins ago
SC
Human Resources Partner - Employee Relations
Skookum Contract Services
Bremerton, WA
- $38.54 to $44.68 USD / hour
Support RVP and Project Manager with Union negotiations, drafting MOUs, and building partnership with Union representatives.
Added 5 mins ago
Site Quality Manager
Amentum
Richland, WA
The WTCC QA Manager leads the WTCC Quality Management System (QMS) and provides independent oversight of quality program implementation across Commissioning, Maintenance, and Operations.…
Added 5 mins ago
Deputy Quality Manager
Amentum
Richland, WA
The WTCC Deputy Quality Assurance Manager (DQAM), reports directly to the WTCC Manager of Quality (MOQ) aka WTP Site Quality Manager. The WTCC DQAM is responsible for implementation and…
Added 5 mins ago
Accreditation Program Manager - Quality Care Management
Kadlec
Richland, WA
Under the general supervision of the Director of Quality, the Regulatory Readiness Program Manager has wide latitude for independent decision-making and understanding of the overall…
Added 5 mins ago
Co-Op Intern (CBC/WSU-TC)
Hanford Tank Waste Operations & Closure, LLC
Richland, WA
Provides support to the TOC Project Manager and the Work Area Managers in the coordination and integration of project and interface functions and resources. The organization maintains…
Added 5 mins ago
Engineering Manager, Core Trust
Google
Kirkland, WA
…Engineers are able to optimize theirs. As a Software Engineering Manager you manage your project goals, contribute to product strategy and help develop your team. Teams work all across the…
Added 5 mins ago
Technical Program Manager III, Capacity Planning, Technical Infrastructure
Google
Kirkland, WA
…whether down the street or across the globe. As a Technical Program Manager at Google, you’ll use your technical expertise to lead complex, multi-disciplinary projects from start to finish.…
Added 5 mins ago
Senior Supplier Program Manager – Supplier Performance & Strategic Sourcing, Amazon Leo
Amazon
Bellevue, WA
Drive supplier performance against contractual commitments, proactively identifying risks and leading recovery plans to maintain program schedule and business objectives.

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.

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

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

Report this job