Jobs in the United States

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Added 2 mins ago
Leasing Consultant
Legacy Partners
Bellevue, WA
…apartment homes and have worked with some of the world’s largest financial institutions, life insurance companies, and real estate companies. In addition to development, Legacy Partners…
Added 3 mins ago
CC
Community Association Manager
Cadden Community Management
Green Valley, AZ
- $45,000 USD / year
Cadden Community Management (CCM) is seeking a structured, analytical Community Association Manager to oversee a portfolio of homeowner associations in Green Valley.
Added 5 mins ago
Implementation Project Manager
Jobgether
Remote, United States
…steps. Our partner is looking for an Implementation Project Manager based in the United…
Added 6 mins ago
Public Finance - Intern
Northland Securities, Inc.
Minneapolis, MN
Candidates must possess unrestricted work authorization and not require future sponsorship
Added 6 mins ago
General Manager in Training - Retail
Love's Travel Stops & Country Stores
Prescott, AR
Benefits: * Fuel Your Growth with Love's - company funded tuition assistance program * Paid Time Off * Flexible Scheduling * 401(k) – 100% match up to 5% * Medical/Dental/Vision Insurance…
Added 13 mins ago
Senior Business Development Manager for High Heat Polymers
Envalior
Remote, United States
…At Envalior, we are seeking a talented Business Development Manager to join our dynamic Business Development Team, and be a key role in the execution of the US HPPA growth…
Added 13 mins ago
Senior Business Development Manager for High Heat Polymers
Envalior
Remote, United States
…At Envalior, we are seeking a talented Business Development Manager to join our dynamic Business Development Team, and be a key role in the execution of the US HPPA growth…
Added 13 mins ago
Senior Business Development Manager for High Heat Polymers
Envalior
Remote, United States
…At Envalior, we are seeking a talented Business Development Manager to join our dynamic Business Development Team, and be a key role in the execution of the US HPPA growth…
Added 13 mins ago
Senior Business Development Manager for High Heat Polymers
Envalior
Remote, United States
…At Envalior, we are seeking a talented Business Development Manager to join our dynamic Business Development Team, and be a key role in the execution of the US HPPA growth…
Added 13 mins ago
Senior Business Development Manager for High Heat Polymers
Envalior
Remote, United States
…At Envalior, we are seeking a talented Business Development Manager to join our dynamic Business Development Team, and be a key role in the execution of the US HPPA growth…
Added 13 mins ago
Senior Business Development Manager for High Heat Polymers
Envalior
Remote, United States
…At Envalior, we are seeking a talented Business Development Manager to join our dynamic Business Development Team, and be a key role in the execution of the US HPPA growth…
Added 13 mins ago
F
Partnerships & Programs Manager (US)
Foundervine
Remote, United States
- $80,000 to $120,000 USD / year
Our work has been recognised externally, including being named one of Europe's Leading Startup Hubs by the Financial Times and Statista in both 2025 and 2026, and winning Top Workplace at…
Added 13 mins ago
Program Manager, North America
INSTANDA
Remote, United States
Based in the US (Eastern Time Zone preferred), we’re seeking an experienced Program Manager with a strong consultancy background and Property & Casualty insurance knowledge to join our…
Added 13 mins ago
Engineering Manager
Dispel
Remote, United States
…vendors to an exceptionally high bar. The Senior Engineering Manager is accountable for making that standard…
Added 13 mins ago
Organizing Director
Voting Rights Lab
Remote, United States
The Organizing Director serves as grassroots program manager and learning coordinator for a transformational multi-organization coalition focused on countering disinformation, building…
Added 13 mins ago
Program Coordinator
Harvard University
Cambridge, MA
This is a hybrid position with an expectation of working on campus three days per week
Added 13 mins ago
Graduate Program Coordinator
Harvard University
Cambridge, MA
This is a hybrid position with an expectation of working on campus three days per week
Added 19 mins ago
Senior Architect
Walt Disney Parks and Resorts U.S., Inc.
Lake Buena Vista, FL
This position is an individual contributor role with no direct reports and will report to the Senior Manager - Design Integration at Walt Disney’s Facilities Asset Management.
Added 31 mins ago
Sr. Services Engagement Director
United States - Genesys Cloud Services, Inc.
NC · NY · Virtual Office, FL · Virtual Office, TN · Virtual Office, KY · Virtual Office, MA · Virtual Office, IN
Added 31 mins ago
Senior Services Engagement Director
United States - Genesys Cloud Services, Inc.
TX · Virtual Office, TN · KY · Virtual Office, SC · FL · NC
Added 32 mins ago
PC
Administrative Assistant - DAC
Pierce County
Tacoma, WA
- $32.83 to $40.92 USD / hour
Reporting to the Legal Operations Manager and supporting the Director, you will also have opportunities to assist attorneys who serve three division chiefs in a limited capacity.
Added 36 mins ago
Publisher Relationship Manager
Jobgether
Remote, United States
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Publisher Relationship Manager based in the United States.
Added 40 mins ago
Relationship Banker I - Pinecreek Branch
Regions Bank
Pineville, LA
…cash line and on the phone, and contributing to improving the financial wellness of our customers. The purpose of this role is to create meaningful personal connections with customers while…
Added 42 mins ago
SCI - Research Administrator 3 /Network (Remote)
Stanford
Remote, United States
…preparation and post award activities on grants, contracts, program projects, and federal grants, both routine and complex. This position will also involve financial analysis and…
Added 43 mins ago
Executive Assistant
United Services Automobile Asn
United States
We offer a flexible work environment that requires an individual to be in the office 4 days per week · This position can be based in one of the following locations: Plano, TX

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Oklahoma City, OK, 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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Jobs in the United States