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Added 17 mins ago
Store Manager - Kay Jewelers Outlet - Tanger Outlet Center - Locust Grove
Signet Jewelers
Locust Grove, GA
Reporting to this Position: Assistant Store Manager, Jewelry Consultant, Sales Support and Inventory Control
Added 18 mins ago
VP, Relationship Manager - Floor & Decor
Synchrony
Alpharetta, GA
The VP, Relationship Manager is responsible for the performance of Floor & Decor and Installation Made Easy portfolios. This program will feature both a Consumer PLCC and Business Revolving…
Added 18 mins ago
Pharmacy Technician Home Delivery Call Center
Intermountain Health
Atlanta, GA
Any lapse or failure to meet these requirements may result in disciplinary action, up to termination, at the hiring manager's discretion.
Added 18 mins ago
AE
Senior Manager - Application Security Research
American Express
Atlanta, GA
- $123,000 to $215,250 USD / year
Contributes to the development and continuous improvement of the organization's application security program, ensuring alignment with regulatory requirements and business objectives set by…
Added 40 mins ago
Value Stream Manager / Starkville, MS
Southwire Company, LLC
Starkville, MS
Added 40 mins ago
Plant Quality Manager
Fairbanks Scales Inc.
Meridian, MS
Leads the sites internal auditing initiatives and provides leadership and direction for continuous improvement.
Added 40 mins ago
Registered Nurse-Assistant Nurse Manager, Emergency Department
Veterans Affairs, Veterans Health Administration
Jackson, MS
Added 40 mins ago
UO
Coordinator for Undergraduate Programs
University of Colorado Denver
Boulder, CO
- $50,000 to $55,000 USD / year
Work with Career Operations Program Manager and Engagement, Marketing, and Communications team to plan and implement all details of the event, which will occur two times per year.
Added 40 mins ago
IP
HSE Manager
Integrated Power Ser
Denver, CO
- $40,123 USD / year
The Denver-Kingston Service Center is seeking an HSE Manager who will develop, implement, and maintain processes for health, safety, and the environment. This role supports all Service…
Added 40 mins ago
UO
HR IT Program Manager
University of Colorado Denver
Boulder, CO
- $109,000 to $119,000 USD / year
Human Resources at CU Boulder invites applications for an HR IT Program Manager! This position will serve as a program manager for Human Resources Information Technology (HRIT) and reports…
Added 40 mins ago
IP
Customer Service Manager
Integrated Power Ser
Denver, CO
- $40,123 USD / year
Integrated Power Service (IPS) is looking for a talented Customer Service Manager to join our Team at the Denver Kingston Street Facility. The Customer Service Manager role is a…
Added 40 mins ago
UO
Crisis Counseling Manager
University of Colorado Denver
Denver, CO
- $84,206 to $93,070 USD / year
Job Description* Applications are accepted electronically ONLY at www.cu.edu/cu-careers *The Crisis Counseling Manager is a licensed mental health professional within the CU Denver Student…
Added 40 mins ago
JM
Water/Wastewater Project Manager
Johnson, Mirmiran &
Englewood, CO
- $65 to $80 USD / hour
Assist Section Heads, Office Leaders, and Practice Leaders with the marketing process including, SMART Go/No Go decisions, proposal development, and interviews.
Added 40 mins ago
UO
Cytogenetics Technologist (Healthcare Professional - Senior to Principal)
University of Colorado Denver
Aurora, CO
- $74,563 to $94,845 USD / year
Contributes to quality control, quality assurance, process improvement, and troubleshooting activities. Recognizes, resolves when appropriate, and communicates processing deviations,…
Added 40 mins ago
RC
Field Project Controls Manager
Ryan Companies US, Inc.
Denver, CO
- $40,123 USD / year
2. LEAD FIELD MANAGER RELATED PROCESS IMPROVEMENT AND BUSINESS TRANSFORMATION INITIATIVES, FOCUSING ON THE FOLLOWING CHANGE MANAGEMENT PRINCIPLES:
Added 41 mins ago
Project Manager - Housing Elements
BKF
Remote, United States
Serve as Project Manager on Housing Element update and implementation projects, including background reports, site inventories, program development, rezoning, and public engagement through…
Added 41 mins ago
Project Manager - Housing Elements
BKF
Remote, United States
Serve as Project Manager on Housing Element update and implementation projects, including background reports, site inventories, program development, rezoning, and public engagement through…
Added 41 mins ago
Project Manager - Housing Elements
BKF
Remote, United States
Serve as Project Manager on Housing Element update and implementation projects, including background reports, site inventories, program development, rezoning, and public engagement through…
Added 41 mins ago
Project Manager - Housing Elements
BKF
Remote, United States
Serve as Project Manager on Housing Element update and implementation projects, including background reports, site inventories, program development, rezoning, and public engagement through…
Added 41 mins ago
Project Manager - Housing Elements
BKF
Remote, United States
Serve as Project Manager on Housing Element update and implementation projects, including background reports, site inventories, program development, rezoning, and public engagement through…
Added 41 mins ago
Project Manager - Housing Elements
BKF
Remote, United States
Serve as Project Manager on Housing Element update and implementation projects, including background reports, site inventories, program development, rezoning, and public engagement through…
Added 1 hour ago
SUPERVISORY CLINICAL LABORATORY SCIENTIST
Veterans Affairs, Veterans Health Administration
Grand Junction, CO
Added 1 hour ago
Cyberspace Warfare Operations and Sustainment Manager
The Aerospace Corpor
Colorado Springs, CO
…software engineering, data science, Artificial Intelligence, process improvement, and software development to deliver responsive, resilient, high-performance software intensive systems to…
Added 1 hour ago
Z
Clinical Implementation Specialist I
Zoll
Denver, CO
- $92,000 to $128,000 USD / year
…Education Team, the CIS works collaboratively with the Territory Manager throughout the sales process, and builds deep, long lasting customer relationships to encourage ongoing utilization…
Added 1 hour ago
SourceBlue Business Center Procore Manager
Turner Construction
Denver, CO

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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