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Added 2 mins ago
C
Sales Manager (Part Time)
Carter's
Hagerstown, MD
- $18.25 to $22.25 USD / hour
- Part-time
Added 2 mins ago
C
Sales Manager (Part Time)
Carter's
St Peters, MO
- Part-time
Added 2 mins ago
AU
Security Officer Flex Travel Ready
Allied Universal
Washington D.C., DC
- $24.01 USD / hour
…schedule will vary week to week, based on a combination of manager-assigned shifts and those you pick up through our Earn More, Claim-A-Shift self-scheduling program. Shifts, days,…
Added 2 mins ago
W
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
NEPTUNE, NJ
- $17 to $23.25 USD / hour
Walgreens is proud to invest & champion an “earn while you learn” Pharmacy Technician Training Program recognized by ASHP & Department of Labor. This apprenticeship program gives you an…
Added 4 mins ago
BO
Senior Specialist-IC Market Risk Oversight & Governance I
Bank of Montreal (U.S.)
Chicago, IL
- $138,632 to $247,000 USD / year
…milestones, as you help our customers reach theirs. From in-depth training and coaching, to manager support and network-building opportunities, we’ll help you gain valuable experience, and…
Added 4 mins ago
BO
Senior Specialist-IC Market Risk Oversight & Governance I
Bank of Montreal (U.S.)
Chicago, IL
- $138,632 to $247,000 USD / year
…milestones, as you help our customers reach theirs. From in-depth training and coaching, to manager support and network-building opportunities, we’ll help you gain valuable experience, and…
Added 4 mins ago
Sr. Human Resources Generalist
SK FOOD GROUP
Cleveland, TN
Reporting to the Sr. Human Resources Manager, the Sr. Human Resources Generalist provides HR guidance to the plant associated and leadership team.
Added 5 mins ago
MA
Field Sales Representative - Seattle, WA
Mark Anthony Group Inc.
Seattle, WA
- $65,000 to $72,000 USD / year
Execute all aspects of sales plan with wholesaler network. Execute brand plans and programming by working with District Manager level influencers at their distributors.
Added 5 mins ago
MA
Field Sales Representative - Spokane, WA
Mark Anthony Group Inc.
Spokane, WA
- $65,000 to $72,000 USD / year
Execute all aspects of sales plan with wholesaler network. Execute brand plans and programming by working with District Manager level influencers at their distributors.
Added 8 mins ago
Store Assistant
CK Circle K Stores Inc.
United States
We want you to join our team as an Assistant Manager. If you have the desire to be challenged, work in a fast-paced, fun environment and create a career in management – look no further.
Added 9 mins ago
Shift Manager
Arby's
Toccoa, GA
As a Shift Manager you will ensure outstanding service and guest satisfaction by overseeing restaurant operations and direction of team members during assigned shifts. As a Shift Manager…
Added 9 mins ago
Shift Manager
Arby's
Jefferson, GA
As a Shift Manager you will ensure outstanding service and guest satisfaction by overseeing restaurant operations and direction of team members during assigned shifts. As a Shift Manager…
Added 9 mins ago
UC
Assistant Moving Center Manager
U-Haul Co. of California
Roseville, CA
- $18.5 to $20.5 USD / hour
…consider becoming U-Haul Company’s newest assistant general manager! As assistant general manager, you will frequently be responsible for the day-to-day operations of your center, working…
Added 11 mins ago
Produce Coordinator
Fresh Thyme Market
Bloomington, MN
Supervises, trains and manages their Department Team in the absence of the Dept. Manager to:
Added 11 mins ago
A
Part Sales Manager – Part Time
AutoZone
Austin, TX
- Part-time
Leadership – Assist the Store Manager in supervising, training, and developing high-performing employees, fostering a motivated and engaged team.
Added 16 mins ago
Manager Field Service
Twenty-Six Defense
Tucson, AZ
Job Summary: The Field Service Manager will manage a team of professional Field Service Technicians, ensuring service delivery excellence, customer satisfaction, and alignment with…
Added 16 mins ago
Restaurant Manager - Unit 1185
Whataburger Restaurants
United States
Possess ServSafe Food Manager Certification (or the ability to successfully obtain and pass the exam during training)
Added 17 mins ago
IT INFRASTRUCTURE SERVICES MANAGER
The GEO Group
Boulder, CO
The IT Infrastructure Services Manager leads the design, deployment, and support of cloud and on-premises infrastructure, including networks, servers, and telecom systems. Manages a team of…
Added 18 mins ago
Restaurant Manager
ClubCorp
Trophy Club, TX
Uphold Invited’s service standards as outlined in the service training program.
Added 20 mins ago
Military & Family Life Counselor - Child Development Center
Magellan Health Services
Fort Story, VA
…activated). These services may include non-medical counseling, training/health and wellness presentations, consultation with parents, personnel at child development centers, and…
Added 20 mins ago
WC
Lube-Grease-Fuel Field Technician
W-L Construction & Paving, Inc.
Chilhowie, VA
- $23 USD / hour
…requirements and participate in company safety programs and training. - Subject to post-accident, reasonable suspicion, and other drug and alcohol testing as permitted by company policy and…
Added 20 mins ago
DH
Oral Surgery and Maxillofacial Surgeon
Denver Health
Denver, CO
- $339,300 to $466,200 USD / year
Denver Health is home to an impressive OMFS 4 year training program that has produced several leaders in our field. Currently, we have a four year program that selects 2 trainees per…
Added 20 mins ago
DH
Lead Child Life Specialist
Denver Health
Denver, CO
- $62,200 to $90,200 USD / year
Job SummaryThe Lead Child Life Specialist is a key member of the pediatric healthcare team and Child Life program. The Lead Specialist, under minimal supervision, has shared accountability…
Added 20 mins ago
DH
Medical Assistant (MA) - Specialties Southeast
Denver Health
Denver, CO
- $21 to $26 USD / hour
Completion of a clinical Medical Assistant training program resulting in a diploma or Certified Clinical Medical Assistant (CCMA), or a registered apprentice program certificate. Required or
Added 20 mins ago
Loan Sales Specialist
OneMain Financial
Orange, VA
…can steer your career toward leadership roles such as Branch Manager and District Manager by taking advantage of a variety of robust training programs and opportunities to advance. Other…

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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