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
WI
(USA) Human Resource Office/Training Manager (Fashion, Grocery, Import, Regional, Returns, Sam's, Wm.Com)
Walmart Inc.
Glendale, AZ
- $65,500 to $98,000 USD / year
…maintaining procedures and supporting documentationIdentify associate customer andor supplier concerns by listening consulting with others when needed to determine corrective action to take…
Added just now
WU
(USA) Quality Assurance/Systems Manager (Import, Regional, Returns, Wm.Com)
Wal-Mart.com USA, LLC
Glendale, AZ
- $84,000 to $126,000 USD / year
…procedures and supporting documentationIdentify and ensure associate customer and supplier concerns are resolved using own judgment or consulting others when neededSupervise and manage…
Added just now
WU
(USA) Operations Manager - Floor
Wal-Mart.com USA, LLC
Glendale, AZ
- $84,000 to $126,000 USD / year
…expansion, contraction, or realignment of storage zones to support operational efficiency, prevent overflow, and minimize extended pick…
Added just now
WI
(USA) Area Manager Asset Protection - All DC/FC
Walmart Inc.
Glendale, AZ
- $65,500 to $98,000 USD / year
…to the enterprise strategy Describes the interdependence of support functions and line operating functions Identifies the primary operational functions of the organization Understands where…
Added just now
WF
ASSISTANT GENERAL MANAGER (Fashion, Import, Jewelry, Regional, Wm.com, Returns)
WMT Fulfillment Service
Glendale, AZ
- $116,000 to $174,000 USD / year
As an Assistant General Manager at Walmart's E-commerce Fulfillment Center, you will play a critical leadership role in launching and operating a state-of-the-art facility that delivers for…
Added just now
WT
Transportation Operations Manager II
Wal-Mart Transportation
Glendale, AZ
- $84,000 to $126,000 USD / year
Support plans and initiatives to meet customer and business needs.
Added 2 mins ago
TO
AP Specialist per diem
The Opportunity Alliance
Remote, United States
- $20 to $40 USD / hour
The Accounts Payable Specialist is an Accounting technical support position in the Finance Department This position contributes to the accomplishment of the Agency's mission through the…
Added 2 mins ago
ES
Branding and Communications Specialist
Encova Service Corp
Columbus, OH
- $49,225 to $78,759 USD / year
This role will work a hybrid schedule in our Columbus, Ohio office and will report to the Branding and Communications Manager.
Added 4 mins ago
A
Program Manager
Alluvionic
Port Hueneme, CA
- $173,892 to $226,414 USD / year
Alluvionic is seeking an experienced Program Manager to support the Naval Surface Warfare Center, Port Hueneme Division. The role focuses on planning, executing, and managing financial and…
Added 4 mins ago
A
Administrative Manager
Alluvionic
Port Hueneme, CA
- $55,489 to $74,256 USD / year
Alluvionic is seeking an experienced Administrative Manager to support the Naval Surface Warfare Center, Port Hueneme Division. This position will help keep essential administrative…
Added 4 mins ago
A
SR Administrative Manager
Alluvionic
Port Hueneme, CA
- $96,472 to $113,129 USD / year
Alluvionic is seeking an experienced Senior Administrative Manager to support the Naval Surface Warfare Center, Port Hueneme Division. This position helps maintain the administrative…
Added 4 mins ago
BS
Subcontracts Manager
Brookhaven Science Associates, LLC
Upton, NY
- $128,900 to $213,950 USD / year
The Procurement and Property Management (PPM) Division has an opening for a Subcontracts Manager with experience in high dollar and complex procurements. Pursuant to the provisions outlined…
Added 5 mins ago
Revenue Cycle Representative III
Piedmont Healthcare Inc.
Remote, United States
…PPO, POS, and Indemnity. Excellent knowledge of the Medicare Program particularly as it relates to CPT and ICD9 coding CPT. Thorough knowledge of Medicare Fraud and Abuse regulations.…
Added 6 mins ago
DSUS Site Manager
Daifuku
Pensacola, FL
This position is responsible for the business, financial and customer service activities of the site.
Added 7 mins ago
AS
Direct Support Professional - Archway - Medford
Aurora Staffing
Medford, NJ
- $19 USD / hour
Promotes the community inclusion and support of people with intellectual/developmental disabilities directly working with individuals in their homes and communities. Reports to Community…
Added 7 mins ago
Pipe Support Division Manager
PACE Supply
Rohnert Park, CA
PIPE SUPPORT DIVISION MANAGER - Lead a division. Own a product line. Build a market. If you know pipe hangers, strut, clamps and seismic restraint the way most people know their own…
Added 7 mins ago
Manager, Government Affairs
NYC Tourism + Conventions
New York, NY
New York City Tourism + Conventions (“NYC Tourism”) is seeking an experienced Manager, Government Affairs to join the Legal and External Affairs Group. Reporting to the Chief Operating…
Added 7 mins ago
Tool Crib Attendant - Inventory Control Specialist
NutraBrands, Inc
Ogden, UT
…Inventory Control Specialist will report to the Operations…
Added 7 mins ago
Sourcing Category Manager
ProDriven Global Brands
Austin, TX
The Sourcing Category Manager is responsible for managing commercial relationships with Suppliers in assigned core commodity and product category areas across the organization.…
Added 7 mins ago
Onsite Team Lead
Envita Solutions, LLC
Warren, OH
…their daily service requests; other projects as designated by Program Manager to ensure close client relationships (including…
Added 7 mins ago
Property Manager - Landings at Boot Ranch
WRH Realty Services, LLC.
Palm Harbor, FL
…cooperation and common purpose drives WRH team members. We support both individual and team contributions. At WRH, we are not only committed to making a difference, we look for ways to…
Added 7 mins ago
Manager Training Records
JetBlue Airways Corporation
Orlando, FL
The Manager Training Records is responsible for the integrity, accuracy, and regulatory compliance of JetBlue's crewmember training, checking, and qualification records. This position…
Added 7 mins ago
JA
Supervisor Airport Operations
JetBlue Airways Corporation
White Plains, NY
- $64,000 to $96,000 USD / year
…environment. The Supervisor will collaborate and partner closely with Manager(s) in the execution of the operational strategy to ensure success of our customer interactions, control costs,…
Added 7 mins ago
Technical Program Manager
Q-Edge Corporation, Foxconn
Houston, TX
Position Title: TPM Engineer (Technical Program Manager)
Added 8 mins ago
MRD Sales Consultant - Northeast US
the Myriad Genetics Candidate
Remote, United States
As a MRD Sales Consultant, you will introduce and support MRD testing through a strategic, phased launch and drive new MRD and full oncology portfolio adoption. This role demands a…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Dover, DE, 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