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Added 30 mins ago
Sr. Technician, Manufacturing
Gener8, LLC
San Jose, CA
…prototyping new products or processes in the Manufacturing group and support the transfer into manufacturing by performing the following duties. This is a heavily hands-on position which…
Added 57 mins ago
SC
Customer Shopper Marketing Manager - Walmart Team
Schwan's Company
Bentonville, AR
- $93,000 to $154,000 USD / year
As our new Customer Shopper Marketing Manager, you’ll build and lead customer-focused marketing strategies for Walmart and Sam’s Club, driving brand growth and shopper conversion for…
Added 1 hour ago
W
Manager, Finance - Marketplace
Walmart
Bentonville, AR
- $80,000 to $155,000 USD / year
The Manager, Finance plays a critical role in driving financial planning and analysis to support strategic business decisions. This position involves preparing detailed financial models,…
Added 1 hour ago
EG
Product Manager, Team Digital Products
Eliassen Group
Little Rock, AR
- $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 1 hour ago
EG
Program Manager
Eliassen Group
Little Rock, AR
- $75 to $80 USD / hour
Facilitate portfolio-level ceremonies, remove roadblocks, and align decisions with priorities across the portfolio or capability.
Added 1 hour ago
EG
Program Manager
Eliassen Group
Jefferson City, MO
- $75 to $80 USD / hour
Facilitate portfolio-level ceremonies, remove roadblocks, and align decisions with priorities across the portfolio or capability.
Added 1 hour ago
EG
Product Manager, Team Digital Products
Eliassen Group
Jefferson City, MO
- $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 1 hour ago
Regional Integration Manager L3
Cherokee Federal
Washington, DC
Professional development, training, and certification support
Added 1 hour ago
EG
Program Manager
Eliassen Group
Washington, DC
- $75 to $80 USD / hour
Facilitate portfolio-level ceremonies, remove roadblocks, and align decisions with priorities across the portfolio or capability.
Added 1 hour ago
EG
Product Manager, Team Digital Products
Eliassen Group
Washington, DC
- $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 1 hour ago
Platform Product Manager
Navitus Health Services
Frankfort, KY
The Platform Product Manager owns the vision, strategy, and lifecycle of Navitus' claims adjudication platform and the connected enterprise platform capabilities that support PBM products…
Added 1 hour ago
EG
Product Manager, Team Digital Products
Eliassen Group
Frankfort, KY
- $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 1 hour ago
EG
Program Manager
Eliassen Group
Frankfort, KY
- $75 to $80 USD / hour
Facilitate portfolio-level ceremonies, remove roadblocks, and align decisions with priorities across the portfolio or capability.
Added 2 hours ago
Human Resources Manager
AURA
Makawao, HI
We are seeking an HR Manager to oversee the planning, development, implementation, and administration of human resources services, policies, and programs across the Center. In this role,…
Added 2 hours ago
EG
Program Manager
Eliassen Group
Richmond, VA
- $75 to $80 USD / hour
Facilitate portfolio-level ceremonies, remove roadblocks, and align decisions with priorities across the portfolio or capability.
Added 2 hours ago
EG
Product Manager, Team Digital Products
Eliassen Group
Richmond, VA
- $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 hours ago
Senior Account Manager Corporate Events
Salt Productions, LLC
Remote, United States
Coach and support more junior team members, helping build confidence, capability, and clarity within the broader account team
Added 5 hours ago
P
Electrical Engineer Manager
Pfizer
Groton, CT
- $99,200 to $165,400 USD / year
…highly technical laboratory and manufacturing environments in support of the R&D operations at the Groton, CT site. The multi-building campus is comprised of 2.3M SQFT supporting an…
Added 5 hours ago
P
Mechanical Engineer Manager
Pfizer
Groton, CT
- $99,200 to $165,400 USD / year
…highly technical laboratories and manufacturing environments in support of the R&D operations at the Groton, CT site. The multi-building campus is comprised of 2.3M SQFT supporting an…
Added 5 hours ago
EG
Product Manager, Team Digital Products
Eliassen Group
Hartford, CT
- $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 5 hours ago
EG
Program Manager
Eliassen Group
Hartford, CT
- $75 to $80 USD / hour
Facilitate portfolio-level ceremonies, remove roadblocks, and align decisions with priorities across the portfolio or capability.
Added 5 hours 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 5 hours 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 5 hours ago
EG
Program Manager
Eliassen Group
Oklahoma City, OK
- $75 to $80 USD / hour
Facilitate portfolio-level ceremonies, remove roadblocks, and align decisions with priorities across the portfolio or capability.
Added 5 hours ago
Senior IT Manager
J W SPEAKER CORP
GERMANTOWN, WI

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Hartford, CT, 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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