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
Injection Maintenance Tech
Ring Container Technologies LLC
Louisville, KY
Coordinate with Production Manager and/or Maintenance Manager as it relates to production equipment training and employee development.
Added just now
Project Manager - Medical Communications (Commercial)
The Lockwood Group, LLC
Remote, United States
…expectations, establishing strong faculty relationships, and ensuring programs remain on target and within agreed-upon parameters. The Project Manager is responsible for budget development,…
Added 2 mins ago
Hospital Operations Coordinator
Agiliti
Los Angeles, CA
Investigate nursing staff concerns and opportunities for improvement in lieu of the Operations Manager - Hospital. Implement appropriate courses of action in a clear, concise, and…
Added 3 mins ago
Loan Sales Specialist
OneMain General Services Corporation
Pekin, IL
…dedication directly influence success. This role provides rewarding professional development and advancement opportunities in a dynamic and supportive environment. Loan Sales Specialists…
Added 3 mins ago
T
Manager, Publishing Operations
thatgamecompany
Remote, United States
- $126,000 to $148,500 USD / year
- Provide coaching, feedback, and professional development to help project managers strengthen their skills and grow in their roles.
Added 3 mins ago
Director, IT Security - IT Governance, Risk, and Compliance
L3Harris Technologies
Melbourne, FL
Lead the strategy, development, implementation, and continuous improvement of the IT Security GRC program.
Added 4 mins ago
VR
Assistant Manager: Events
Vail Resorts
Hunter, NY
- $25 to $32.14 USD / hour
Excellent training and professional development
Added 6 mins ago
Automotive Center Manager
Grease Monkey #41
Greenville, SC
…proprietary Grease Monkey® Technician Training & Certification Program. Grease Monkey® certified pit crews offer drivers an exceptional experience, delivered with speed and…
Added 6 mins ago
Automotive Assistant Manager
Grease Monkey #41
Greenville, SC
…proprietary Grease Monkey® Technician Training & Certification Program. Grease Monkey® certified pit crews offer drivers an exceptional experience, delivered with speed and…
Added 6 mins ago
Automotive Assistant Manager
Grease Monkey #41
Chesnee, SC
…proprietary Grease Monkey® Technician Training & Certification Program. Grease Monkey® certified pit crews offer drivers an exceptional experience, delivered with speed and…
Added 6 mins ago
Automotive Center Manager
Grease Monkey #41
Greenville, SC
…proprietary Grease Monkey® Technician Training & Certification Program. Grease Monkey® certified pit crews offer drivers an exceptional experience, delivered with speed and…
Added 6 mins ago
Automotive Center Manager
Grease Monkey #41
Chesnee, SC
…proprietary Grease Monkey® Technician Training & Certification Program. Grease Monkey® certified pit crews offer drivers an exceptional experience, delivered with speed and…
Added 6 mins ago
Automotive Assistant Manager
Grease Monkey #41
Greenville, SC
…proprietary Grease Monkey® Technician Training & Certification Program. Grease Monkey® certified pit crews offer drivers an exceptional experience, delivered with speed and…
Added 7 mins ago
Senior Accounting Analyst
The New York Times
NY
…paid sick days, paid parental leave, tuition reimbursement and professional development…
Added 8 mins ago
Store Manager 07311
O'Reilly Auto Enterprises, LLC
United States
Sales Specialist Training, Assistant Manager Certification, Manager Development Program module
Added 8 mins ago
Registered Nurse – RN
Genesis Administrative Services LLC
Montgomeryville, PA
…empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles.…
Added 8 mins ago
Store Manager
O'Reilly Auto Enterprises, LLC
United States
Sales Specialist Training, Assistant Manager Certification, Manager Development Program module
Added 8 mins ago
Director of Transportation Systems Management and Operations (TSMO) (Administrator VII)
MassCareers
10 Park Plaza, MA
Lead the planning, development, and execution of the MassDOT Highway Division’s TSMO program.
Added 11 mins ago
Associate Design Engineer Lead
The High Companies
Denver, PA
Employee Assistance Program provides professional, confidential assistance for any type of personal issue you or your eligible dependents are experiencing.
Added 11 mins ago
KA
Sr Manager, People Operations & Total Rewards
King Arthur Baking Company
White River Junction, VT
- $95,000 to $125,000 USD / year
The Position: The Senior Manager, People Operations & Total Rewards designs, administers, and continuously improves the systems, programs, and practices that support King Arthur Baking…
Added 12 mins ago
A
Senior Mechanical Engineer, Data Centers - Remote (U.S.)
AECOM
Remote, United States
- $170,000 to $200,000 USD / year
…planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact…
Added 14 mins ago
Registered Nurse (RN)- Univ of New Haven Health Center
Hartford HealthCare
West Haven, CT
Added 14 mins ago
SO
Qualified Craft Worker (Plumbing and Steamfitting) (37.5 Hour)
State of Connecticut, Department of Administrative Services
Newington, CT
- $65,516 to $84,235 USD / year
Professional growth and paid professional development opportunities.
Added 14 mins ago
Guest Services Recruiter - Talent Acquisition
Hartford HealthCare
Farmington, CT
…benefits, performance management system, service recognition programs and other common practices across the system. Hartford HealthCare is seeking an entry-level Talent Acquisition…
Added 14 mins ago
SO
Qualified Craft Worker (Plumbing and Steamfitting) (37.5 Hour)
State of Connecticut, Department of Administrative Services
Norwalk, CT
- $84,235 USD / year
Professional growth and development opportunities.

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.

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