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 3 mins ago
Radiology Technologist
Saint Francis Health System
Muskogee, OK
…Surgery Center), the Children’s Hospital, PACU, Endoscopy, support of the Xavier Clinic, Outpatient Imaging Center, SFH- South, SFH-Muskogee, SFH- Vinita, and outlying Warren Clinics. Moves…
Added 3 mins ago
Construction Contract Manager III-Sr
Williams Companies
Tulsa, OK
The Construction Contract Manager III-Sr. is responsible for coordinating with our engineering and construction project teams around the creation, bidding, and execution of construction…
Added 3 mins ago
Senior Manager, Client Excellence, Global Consulting Services
Deloitte
Tulsa, OK
Own the strategy and execution of GLCP support programming across four dimensions: Account Leadership, GLCP Development, Account Growth initiatives, and Performance Management.
Added 3 mins ago
Mgr Supply Chain - Category Management
Williams Companies
Tulsa, OK
As Manager, Supply Chain - Category Management, you lead a team of Category Managers supporting operational continuity and project execution. Your scope spans major equipment, construction,…
Added 3 mins ago
Technical Program Manager, Knowledge Systems
Coinbase
Oklahoma City, OK
…across customer self-service, internal tools, and AI-assisted support. As Technical Program Manager, you will translate knowledge strategy into technical execution. This is a…
Added 3 mins ago
Finance Analyst - South Central District (Entry Level)
Kiewit
Oklahoma City, OK
At Kiewit, the scale of our operations is huge. Our construction and engineering projects span across the United States, Canada and Mexico, improving and connecting communities with every…
Added 3 mins ago
Aircraft Maintenance E - Field Service Representative (FSR)
L3Harris
Oklahoma City, OK
The Field Service Representative (FSR) reports to the Site Manager and serves as the engineering communication link and overall responsible party for OA-1K Skyraider II / Air Tractor 802U…
Added 3 mins ago
AI Operations Administrator - Gravitee - Remote US
SitusAMC
Oklahoma City, OK
The AI Operations Administrator is a member of the IT Engineering & Operations function, responsible for the administration, configuration, and day-to-day operation of SitusAMC’s enterprise…
Added 3 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Oklahoma City, OK · Shawnee, OK
- $152,000 to $222,000 USD / year
…Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build…
Added 3 mins ago
EG
Product Manager, Team Digital Products
Eliassen Group
Oklahoma City, OK
- $50 to $55 USD / hour
Our client is seeking a Product Manager to own the day-to-day digital product relationship with its teams, primarily supporting team websites, CMS platforms, and related digital…
Added 3 mins ago
Clinical Trial Management Support, Late Phase Metabolic Studies
Eliassen Group
Oklahoma City, OK
Our client is seeking a Clinical Trial Manager to support two Phase III global studies in the MASH therapeutic area. The role will provide hands-on operational support for monitoring visit…
Added 14 mins ago
TF
Project Manager, Engineering
TreeHouse Foods, Inc.
De Pere, WI
- $106,700 to $160,100 USD / year
Competitive compensation and benefits program with no waiting period – you’re eligible from your first day!
Added 15 mins ago
Transfer Station Loader/Operator
AAA ENVIRONMENTAL INDUSTRIES INC
HARTLAND, WI
Added 15 mins ago
Retail Manager
Compass Group, North America
South Milwaukee, WI
As the leading foodservice and support services company, Compass Group USA is known for our great people, great service and our great results. If you’ve been hungry and away from home,…
Added 15 mins ago
Production Manager
Saputo
Franklin, WI
The Production Manager in Franklin WI is a key operations stakeholder for a new 340,000 square foot conversion facility and will play an integral part of Saputo’s strategy to optimize its…
Added 15 mins ago
Customer Service Senior Assistant
Smurfit Westrock
Pleasant Prairie, WI
Generate customer issues and support the Quality Manager to obtain information, research, and troubleshoot quality issues.
Added 15 mins ago
Mgr, Coporate Security
Dairyland Power Cooperative
La Crosse, WI
…employees, executives, facilities, critical infrastructure, and operations. The position combines people leadership, operational security expertise, executive protection planning, and…
Added 15 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Waukesha, WI
- $152,000 to $222,000 USD / year
…Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build…
Added 15 mins ago
Technical Program Manager, Knowledge Systems
Coinbase
Madison, WI
…across customer self-service, internal tools, and AI-assisted support. As Technical Program Manager, you will translate knowledge strategy into technical execution. This is a…
Added 15 mins ago
Adv Med Support Assistant
Veterans Affairs, Veterans Health Administration
Madison, WI
Added 15 mins ago
Adv Med Support Assistant
Veterans Affairs, Veterans Health Administration
Madison, WI
Added 16 mins ago
AI Operations Administrator - Gravitee - Remote US
SitusAMC
Madison, WI
The AI Operations Administrator is a member of the IT Engineering & Operations function, responsible for the administration, configuration, and day-to-day operation of SitusAMC’s enterprise…
Added 16 mins ago
Sr. Software Engineering Manager
BAXTER HEALTHCARE CORP
MILWAUKEE, WI
Added 16 mins ago
Supply Chain Program Manager
REXNORD INDUSTRIES, LLC
MILWAUKEE, WI
…based out of Rosemont, IL or Milwaukee, WI. The Supply Chain Program Manager is responsible for driving consistent and effective utilization of ERP systems across manufacturing plants and…
Added 16 mins ago
Financial Risk Manager
Clarios
Milwaukee, WI
Clarios is seeking a highly analytical and commercially minded Financial Risk Manager to support the company's global financial risk management and treasury activities. This role will help…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Madison, WI, 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

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