Jobs in the United States

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Added 12 mins ago
CNA Rehab and Nursing
Corewell Health
Grand Rapids, MI
…therapists will provide patients with a customized therapy program designed to meet individual rehabilitation needs. Our expert team of therapists will use the latest technology and…
Added 15 mins ago
Specialty Artist - MAC
Ulta Beauty, Inc.
Gulfport, MS
…by sharing product knowledge, makeup application techniques, information on makeup trends, and MAC consciousness programs and philosophies, including the “Back to MAC”…
Added 15 mins ago
UB
Experience Manager
Ulta Beauty, Inc.
Petaluma, CA
- $33 to $40 USD / hour
The Experience Manager (EM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 15 mins ago
Skin Care Consultant
Ulta Beauty, Inc.
Dallas, TX
…cleanliness and replenishment. They support the Experience Manager (EM) through a focus on performance (service/retail sales and in-store events), people (guest service and associate…
Added 19 mins ago
Sr. Compensation Analyst
Lattice Semiconductor Corp
San Jose, CA
Added 20 mins ago
CO
Senior Public Information and Communications Specialist
City of Mesa
Mesa, AZ
- $87,958.83 to $118,687.71 USD / year
Must possess a valid Class D Arizona Driver’s License by hire or promotion date.Link to Job Description
Added 28 mins ago
Business Manager
Adams-Friendship Area School District
Friendship, WI
Adams-Friendship Area School District Job Title Business Manager Classification Administration Position Summary The Business Manager leads the district’s financial and business operations…
Added 30 mins ago
Project Manager, Tenant Fitout - Data Center
Related
St. Louis, MO
…that will deliver 1.2 GW of utility capacity for an American technology company. We are seeking an experienced Project Manager with a strong background in data center construction to…
Added 32 mins ago
SF
Painter Supervisor I (7242) - PEX - Buildings and Grounds
San Francisco Unified School District
California, CA
- $59.22 to $71.93 USD / hour
Meet with the maintenance manager to plan and prioritize work according to established product targets
Added 33 mins ago
PG
1000 Hour IT Systems Support Technician
Prince George's County Government
Bowie, MD · Greater Landover, MD
- $68,788 to $88,434 USD / year
Selected candidates will assist with the technology used in the daily operation of a Public Safety Answering Point / Emergency Communications Center. This is an essential, professional,…
Added 40 mins ago
Virtual Construction Manager
Jobgether
Remote, United States
The Virtual Construction Manager will lead Building Information Modeling (BIM) and Virtual Design and Construction (VDC) initiatives across construction projects, combining technical…
Added 40 mins ago
Director/Senior Director, New Products
Jobgether
Remote, United States
Identify the most valuable internal audit workflows to automate by engaging directly with Chief Audit Executives, audit directors, SOX program leaders, and internal audit teams.
Added 1 hour ago
Architecture Senior Advisor
The Cigna Group
Saint Louis, MO
- Collaborate with product owners, scrum masters, program manager and team members in a Scaled Agile framework.
Added 1 hour ago
J
Fleet Reliability Engineer
Jobgether
Remote, United States
- $125,000 to $140,000 USD / year
Collaborate with the Charge Reliability Engineering Manager, Commissioning teams, and Quality teams to investigate vehicle-related issues and improve fleet reliability.
Added 1 hour ago
Demand Generation Manager
Jobgether
Remote, United States
As a Demand Generation Manager, you will lead strategic marketing programs designed to generate qualified pipeline and accelerate business growth within the healthcare technology sector.…
Added 1 hour ago
Pharmacy Reimbursement Specialist
Vanderbilt University Medical Center
Nashville, TN
Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources,…
Added 1 hour ago
Assistant Nurse Manager, Emergency Department, FT Days - VWCH
Vanderbilt University Medical Center
Lebanon, TN
And many more... Ask us about our current inpatient nursing supplemental Pay Program!
Added 1 hour ago
Incident Response Analysis Manager
Cisco Systems, Inc.
RTP, NC · San Jose, CA · Austin, TX · Knoxville, TN
As an Incident Response Analysis Manager, you will play a critical role in safeguarding our products by proactively monitoring and responding to cybersecurity incidents. You will lead…
Added 1 hour ago
Senior Manager, Program Management
ModernaTX, Inc.
Cambridge, MA
As Senior Manager, Program Management within Portfolio Development, you will be an individual contributor based at Binney, partnering with Lead Program Managers, Program Leaders, and…
Added 1 hour ago
Digital/IT Program Architect - (Proposal, Capture, and Front End of the Business); Hybrid
RTX
United States
Qualifications You Must Have:
Added 1 hour ago
Account Executive II - Biosurgery - Chicago Downtown, IL - Johnson & Johnson MedTech - Surgery
Ethicon US LLC Legal Entity
Chicago, IL
Fueled by innovation at the intersection of biology and technology, we’re developing the next generation of smarter, less invasive, more personalized treatments.
Added 1 hour ago
Sr. PM
Hays
VA
We are seeking an experienced Project Manager to partner with technology leaders in organizing, governing, and advancing highly visible ServiceNow initiatives. This role will provide…
Added 1 hour ago
SO
Maintenance Specialist-Electrician-Journey 2/Lead (PCN 250941M)
State of Alaska
Anchorage, AK
- $34.43 USD / hour
Matching employer contribution into a defined contribution program (new employees)
Added 1 hour ago
SO
Project Assistant (PCN 26N24012)
State of Alaska
Anchorage, AK
- $31.82 USD / hour
The Project Assistant position is responsible for coordinating and implementation of ongoing program activities as they relate to hospital communications, program monitoring, policy,…
Added 1 hour ago
J
Senior Program Manager
Jobgether
Remote, United States
- $80,000 to $100,000 USD / year
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Program Manager based in the United States.

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Atlanta, GA, 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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Work requirements

Jobs in the United States