Find work in the United States.

6,395,425 jobs across our US network. How we count

Jobs in the United States

25+ jobs

Save this search

Added 5 mins ago
ASSET PROTECTION SPECIALIST District 4 (Omaha, NE)
The Kroger Co.
Omaha, NE
…equipment and partner with the district asset protection (AP) manager in the implementation and oversight of AP initiatives. Identify, observe and apprehend shoplifters and others (internal…
Added 9 mins ago
Regional Director of Maintenance/Project Manager
Supplied Talent
Pueblo, CO
Set the standard for, and audit, the preventive maintenance program at every community so it meets state and federal guidelines.
Added 9 mins ago
Regional Director of Maintenance/Project Manager
Supplied Talent
La Junta, CO
Set the standard for, and audit, the preventive maintenance program at every community so it meets state and federal guidelines.
Added 9 mins ago
Regional Director of Maintenance/Project Manager
Supplied Talent
Rocky Ford, CO
Set the standard for, and audit, the preventive maintenance program at every community so it meets state and federal guidelines.
Added 9 mins ago
Regional Director of Maintenance/Project Manager
Supplied Talent
Ordway, CO
Set the standard for, and audit, the preventive maintenance program at every community so it meets state and federal guidelines.
Added 10 mins ago
IF
Full Time/Part Time Site Manager- Maui
Integrated Facility Services Hawaii, Inc.
Kihei, HI
- Full-time
- Part-time
Added 10 mins ago
IF
Part Time Site Manager - Ewa Beach
Integrated Facility Services Hawaii, Inc.
Honolulu, HI
- $25 USD / hour
- Part-time
Added 10 mins ago
On Call Site Manager - Honolulu
Integrated Facility Services Hawaii, Inc.
Honolulu, HI
Added 10 mins ago
On Call Site Manager
Integrated Facility Services Hawaii, Inc.
Honolulu, HI
Added 10 mins ago
IF
Full Time Site Manager
Integrated Facility Services Hawaii, Inc.
Honolulu, HI
- Full-time
Added 10 mins ago
IF
Part TIme Site Manager
Integrated Facility Services Hawaii, Inc.
Honolulu, HI
- Part-time
Added 10 mins ago
On Call Site Manager (CPO)
Integrated Facility Services Hawaii, Inc.
Honolulu, HI
Added 10 mins ago
Manager - Cath Lab - FT - Edinburg - South Texas Health System
UHS
EDINBURG, TX
The manager serves as the lead in the Cardiac Cath Laboratory for the daily shift and, in this capacity, regularly performs specialized responsibilities and/or leads projects as part of…
Added 11 mins ago
Shift Manager 39479
Pizza Hut
Brownsville, TX
Ayvaz Pizza (Franchisee of Pizza Hut) is hiring Restaurant Shift Manager, who will be responsible for assisting with the daily operations of the restaurant. The Shift Manager assists with…
Added 13 mins ago
CH
Pharmacy Technician
CVS Health
Tamarac, FL
- $17 to $27 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 17 mins ago
General Manager 41467
Pizza Hut
Richmond, TX
Ayvaz Pizza LLC is looking for a Restaurant General Manager who leads from the floor, not from behind a desk. This is not a back-of-house or paperwork-first role - we need a player-coach in…
Added 17 mins ago
General Manager 41084
Pizza Hut
St Paul, MN
Ayvaz Pizza LLC is looking for a Restaurant General Manager who leads from the floor, not from behind a desk. This is not a back-of-house or paperwork-first role - we need a player-coach in…
Added 17 mins ago
General Manager 41058
Pizza Hut
Schertz, TX
Ayvaz Pizza LLC is looking for a Restaurant General Manager who leads from the floor, not from behind a desk. This is not a back-of-house or paperwork-first role - we need a player-coach in…
Added 17 mins ago
General Manager 40112
Pizza Hut
Durango, CO
Ayvaz Pizza LLC is looking for a Restaurant General Manager who leads from the floor, not from behind a desk. This is not a back-of-house or paperwork-first role - we need a player-coach in…
Added 17 mins ago
General Manager 40110
Pizza Hut
Albuquerque, NM
Ayvaz Pizza LLC is looking for a Restaurant General Manager who leads from the floor, not from behind a desk. This is not a back-of-house or paperwork-first role - we need a player-coach in…
Added 17 mins ago
General Manager 40109
Pizza Hut
Albuquerque, NM
Ayvaz Pizza LLC is looking for a Restaurant General Manager who leads from the floor, not from behind a desk. This is not a back-of-house or paperwork-first role - we need a player-coach in…
Added 17 mins ago
General Manager 40104
Pizza Hut
Rio Rancho, NM
Ayvaz Pizza LLC is looking for a Restaurant General Manager who leads from the floor, not from behind a desk. This is not a back-of-house or paperwork-first role - we need a player-coach in…
Added 17 mins ago
General Manager 40100
Pizza Hut
Truth Or Consequences, NM
Ayvaz Pizza LLC is looking for a Restaurant General Manager who leads from the floor, not from behind a desk. This is not a back-of-house or paperwork-first role - we need a player-coach in…
Added 17 mins ago
General Manager 40099
Pizza Hut
Albuquerque, NM
Ayvaz Pizza LLC is looking for a Restaurant General Manager who leads from the floor, not from behind a desk. This is not a back-of-house or paperwork-first role - we need a player-coach in…
Added 17 mins ago
General Manager 40094
Pizza Hut
Santa Fe, NM
Ayvaz Pizza LLC is looking for a Restaurant General Manager who leads from the floor, not from behind a desk. This is not a back-of-house or paperwork-first role - we need a player-coach in…

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