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
General Manager-Construction & Building Materials Service Industry
DH Pace
Topeka, KS
Overhead Door Company of Northeast Kansas™, a DH Pace Company aspires to hire a General Manager located in Topeka, Kansas. This position will have direct responsibly for leading, managing…
Added just now
Inventory Control Specialist
Tractor Supply Company
Hollister, MO
…processes while maintaining partnership with the Store Operations…
Added just now
AE - Merchandising Team Leader (Assistant Manager)
AEO
Santa Rosa, CA
…wellness benefits; 401(k) retirement benefits; life and disability insurance; employee stock purchase program; paid time off; paid sick leave; and parental leave and…
Added just now
Small Commercial Renewal Underwriter
Merchants
Bedford, NH
Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for a Small Commercial Renewal Underwriter for our Commercial Lines Underwriting team…
Added 1 min ago
Specimen Collector I - Phlebotomy
Aegis Sciences Corp
Frederick, MD
…maintaining records for reporting purposes, obtaining initial insurance verification for billing purposes, and packaging the specimens for…
Added 1 min ago
CH
Staff Pharmacist Full Time
CVS Health
Charlotte, NC
- $60 to $76 USD / hour
- Full-time
…care for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you are accountable for supporting the management, oversight, and operation…
Added 1 min ago
CH
Staff Pharmacist
CVS Health
Logan, UT
- $60 to $76 USD / hour
…care for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you are accountable for supporting the management, oversight, and operation…
Added 1 min ago
CH
District Support Pharmacist
CVS Health
Sandy, UT
- $60 to $76 USD / hour
…pharmacist scheduling gaps, under the direction of the Pharmacy Manager (PM) and Rx District Leader (DL) to support our pharmacy teams. While working in stores throughout the district, you…
Added 1 min ago
Supervisor of Referral Services
CVS Health
Work at Home, IL
…Additionally, the position is responsible for assisting the manager with development, analyses, and implementation of staffing, scheduling and reward/recognition…
Added 1 min ago
CH
Pharmacy Technician
CVS Health
League City, TX
- $16.5 to $25 USD / hour
As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing and certification…
Added 1 min ago
CH
Pharmacy Technician
CVS Health
Houston, TX
- $16.5 to $25 USD / hour
As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing and certification…
Added 1 min ago
CH
Pharmacy Technician
CVS Health
Katy, TX
- $16.5 to $25 USD / hour
As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing and certification…
Added 1 min ago
CH
Pharmacy Manager
CVS Health
Killeen, TX
- $65 to $85 USD / hour
As a Pharmacy Manager, you will lead and develop a pharmacy team that provides exceptional patient care by promoting best practices and leading through change while identifying and…
Added 1 min ago
CH
District Support Pharmacist - FT
CVS Health
Frisco, TX
- $60 to $76 USD / hour
…pharmacist scheduling gaps, under the direction of the Pharmacy Manager (PM) and Rx District Leader (DL) to support our pharmacy teams. While working in stores throughout the district, you…
Added 1 min ago
CH
Staff Pharmacist - FT
CVS Health
Northlake, TX
- $60 to $76 USD / hour
…care for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you are accountable for supporting the management, oversight, and operation…
Added 1 min ago
CH
District Support Pharmacist - FT
CVS Health
Denton, TX
- $60 to $76 USD / hour
…pharmacist scheduling gaps, under the direction of the Pharmacy Manager (PM) and Rx District Leader (DL) to support our pharmacy teams. While working in stores throughout the district, you…
Added 1 min ago
AH
Travel Case Manager Registered Nurse
Aya Healthcare
Richmond, VA
- $2,265 to $2,501.4 USD / week
Aya Healthcare has an immediate opening for a Travel Case Manager Registered Nurse job in Richmond, Virginia paying $2,265.00 to $2,501.40 weekly. This is a 13-week contract position that…
Added 1 min ago
Business Channel Strategy & Product - Product Manager
NBH Bank
Kansas City, MO
As a Product Manager, you will support the execution of new products and enhancements in payments & digital banking for consumer, small business, and commercial business lines. You will be…
Added 1 min ago
Business Channel Strategy & Product - Product Development Analyst
NBH Bank
Kansas City, MO
…recommendations and business cases. You will work with the Product Manager to help plan, oversee, and lead assigned projects from ideation through to completion, and partner with existing…
Added 1 min ago
V
Senior Manager, Acquisition & Growth Strategy
Versant
Englewood Cliffs, NJ
- $98,500 to $150,000 USD / year
CNBC is investing in its digital subscription business and building new products for investors. We're hiring Senior Manager, Acquisition & Growth Strategy to own how we find and convert new…
Added 1 min ago
US
Northern California Local Market District Manager
United States 2 Avis Budget Car Rental LLC
United States
- $89,500 to $100,000 USD / year
The District Manager serves as a business partner, leading, managing and developing an assigned district to operational success and financial profitability across functional areas such as…
Added 2 mins ago
BP
Part-Time Doorstep Waste Removal
BUTLER PLUS
San Antonio, TX
- $50 USD / day
- Part-time
Maintain daily communication with your supervisor/manager to ensure a streamlined and effective workflow.
Added 2 mins ago
Warehouse/Driver
Sid Harvey Industries I
Winston Salem, NC
Report any positive/negative customer feedback to the Branch Manager along with any noticeable potential opportunities we are missing out on.
Added 2 mins ago
Manager, Organic Social Strategy
American Express
New York, NY · NY
The Manager, Organic Social Strategy, will lead the strategy,creative direction, and audience engagement approach for American Express enterprise social channels. This role is responsible…
Added 2 mins ago
Sales Specialist (Salem/Roanoke/NRV Market)
BLUE RIDGE BEVERAGE COMPANY INC
SALEM, VA
Comprehensive Medical Insurance, including health, dental, prescription, and vision care.

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Salt Lake City, UT, 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

Report this job