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
GE
Paraprofessional/Teacher's Aide (part-time)- Excel Center Meadows
Goodwill Education Initiatives, Inc.
Indianapolis, IN
- $13 to $15 USD / hour
- Part-time
…classroom support to students while helping coordinate school operations, procedures, and resources to promote an effective and organized learning environment at The Excel Center. This…
Added just now
Director of Quality – Women’s and Children Services
University Hospitals Career Section
Cleveland, OH
Provide leadership for the patient safety program and establish expectations for a culture of safety, high
Added 1 min ago
AR
Executive Business Process Specialist
Applied Research Solutions
Bedford, MA
- $115,000 to $125,000 USD / year
The Contractor shall assist the Government program manager in daily office efforts be able to develop, or perform management operations that involve planning, coordinating, or evaluating…
Added 1 min ago
Advanced Sourcing Engineer, HTAS
Black & Decker (U.S.) Inc.
Towson, MD
· Partner with cross-functional, Global Teams and manage Sourcing actions for the New Product Development (NPD) Process from End to End
Added 1 min ago
Supply Planner
Black & Decker (U.S.) Inc.
Towson, MD · New Britain, CT · Valley City, OH
Work collaboratively with all functional areas of the business; Sales, Marketing, Finance, Sales Operations, Demand Planning, to solve problems and identify business improvement…
Added 1 min ago
Machinist
Black & Decker (U.S.) Inc.
Towson, MD
…while supporting safe, efficient, and high-quality machining operations. You’ll get…
Added 1 min ago
Director, Business Intelligence
CAI Cox Automotive Corp Svcs., LLC
Atlanta, GA
…eligible for additional compensation that may include an incentive…
Added 1 min ago
Industry Marketing Sr. Analyst
Unisys Corporation
Remote, United States
…forms of content, digital demand-generation campaigns, webpage development and updates, media and analyst initiatives, sales-enablement tools and training for our internal…
Added 1 min ago
Project Procurement Operations Manager
Bechtel
Millersport, OH
…from initial planning and investment, through start-up and…
Added 1 min ago
Pentesting Engineer
Bechtel
Glendale, AZ
…from initial planning and investment, through start-up and…
Added 1 min ago
Construction Superintendent
NV5
New York, NY
This position requires a hands-on construction professional with experience coordinating contractors, managing site operations, monitoring construction progress, and identifying and…
Added 2 mins ago
AC
Project Manager
AIR Control Concepts
Remote, United States
- $90,000 to $150,000 USD / year
Collaborate with sales, purchasing, accounting, and operations to ensure successful project execution.
Added 2 mins ago
MV
Medical Director
Manhattan Veterinary Group, P.C.
Farmingville, NY
- $150,000 to $220,000 USD / year
…ownership. Plus, you'll have the solid backing of experts in Operations, Marketing, Human Resources, Payroll, and more, to help you…
Added 2 mins ago
Medical Director
Vicar Operating, Inc. dba VCA
Findlay, OH
Support provided in Operations, Marketing, Humban Resources, Payroll, and more
Added 2 mins ago
DH
Senior Account Manager
Daniels Health
Albany, NY
- $90,000 to $130,000 USD / year
…customers by focusing largely on client retention and account development in our rapidly growing customer base. The Account Manager will also take ownership of a portfolio of customers as…
Added 2 mins ago
RM
Mobility Equipment Technician
Rehab Medical
Cincinnati, OH
- $18 to $28 USD / hour
…resumes. With continued national growth, we’re expanding our Operations Team and looking for compassionate, motivated individuals to help support our mission and more than 200,000 mobility…
Added 3 mins ago
Clinical Services Rep. Medical Assistant (Greer North)
Four Winds Health
Greer, SC
…providing hands-on patient care and ensuring smooth clinic operations. This role is ideal for those who thrive in a high-energy, team-oriented setting and are committed to delivering…
Added 3 mins ago
AS
RESIDENTIAL MANAGER
Apis Services Inc
Philadelphia, PA
- $27.91 USD / hour
Resources for Human Development | Mainstay Program
Added 3 mins ago
Senior Director, Legal Administration
Covenant Logistics
KS
…review, negotiation, execution, tracking, storage, template development, onboarding documentation, and related…
Added 3 mins ago
A
Multi Craft Maintenance Technician
Aerotek
Mount Jackson, VA
- $24 to $30 USD / hour
…organization that invests in your growth through an apprenticeship program, paid technical training, and opportunities for additional education and certifications. The culture emphasizes…
Added 3 mins ago
Export Control & Research Security Analyst
University of North Carolina at Charlotte
NC
…security issues related to research and certain University operations at UNC Charlotte. The office ensures compliance with federal, state, and local applicable policies and laws on human…
Added 3 mins ago
A
Assembler
Aerotek
Tempe, AZ
- $19 to $21 USD / hour
…documentation to determine the proper method and sequence of operations, as well as dimensional and finish specifications. The Assembler also maintains accurate inventory and ensures all…
Added 3 mins ago
Territory Manager
Allegion Access Technologies LLC
Columbus, OH
Perform other assignments in support of the sales operations as requested by Regional Sales Manager.
Added 3 mins ago
Lot Manager
Principle Automotive
Selma, TX
Retirement & Savings: Traditional 401(k), Roth IRA, and Christmas savings program with discretionary matching
Added 3 mins ago
Used Car Manager
Principle Automotive
Selma, TX
Retirement & Savings: Traditional 401(k), Roth IRA, and Christmas savings program with discretionary matching

Highmark Health

Manager Strategic Risk Adjustment Programs

Sacramento, CA, United States

Apply About employer

Applications open in a new tab.

Job details

Posting language: English
Posted: Nov 6, 2026

Original job description

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

Apply 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