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Added 3 mins ago
VH
Healthcare Engineer
Veterans Health Administration
Tomah, WI
- $50,460 to $116,362 USD / year
Performs scheduling and layout of operations, and inspection and surveillance of materials, methods, and equipment used in construction.
Added 6 mins ago
IU
Account Manager for Avionic Industry
INNOLUX USA INC
Farmington Hills, MI
- $70,800 to $86,500 USD / year
(2) Customer personnel that can provide forecasts, such as buyers, program managers, production planners, business planners, engineers.
Added 9 mins ago
VH
Supply Technician
Veterans Health Administration
North Little Rock, AR
- $40,736 to $52,957 USD / year
…prerequisite. This education was obtained in an accredited business, secretarial or technical school, junior college, college or…
Added 9 mins ago
VH
Biological Science Laboratory Technician (Animal)
Veterans Health Administration
Portland, OR
- $39,230 to $51,002 USD / year
…Specialized experience is experience assisting with the day-to-day operations of a research laboratory or animal care facility, performing animal husbandry; handling and caring for research…
Added 11 mins ago
VH
Nurse - VISN Clinical Contact Center (CCC) Director
Veterans Health Administration
Location Negotiable After Selection
- $155,558 to $206,925 USD / year
The CCC Director is responsible for the administrative, supervisory, and clinical operations of the CCC. CCCs provide Veterans with 24/7 virtual access to dedicated staff, providers, and…
Added 11 mins ago
VH
Chief Nurse-Operations
Veterans Health Administration
Louisville, KY
- $166,917 to $221,994 USD / year
The Chief Nurse of Operations collaborates with interdisciplinary team members, including other program and service leaders at the facility and network.
Added 16 mins ago
CA
Supervisory Management and Program Analyst
Citizenship and Immigration Services
Camp Springs, MD
- $169,279 to $197,200 USD / year
Assessing highly program requirements and operations in order to recommend program involvements.
Added 18 mins ago
OO
TELECOMMUNICATIONS SPECIALIST
Organization of the Joint Chiefs of Staff
Pentagon, Arlington, VA
- $143,913 to $187,093 USD / year
Manage coordination with international and cross service organizations supporting daily operations of the "Five Eye" (FVEY)/CCEB nations and mission partners.
Added 18 mins ago
VH
Rehabilitation Counselor
Veterans Health Administration
Butler, PA
- $63,815 to $100,380 USD / year
…potential benefits protections, supported employment, and assistive…
Added 21 mins ago
CN
Military Ticket Program Customer Service Agent
Commander, Navy Installations Command
Millington, TN
- $54,925 to $64,618 USD / year
Knowledge of MTP rules, procedures, operations, and business practices.
Added 23 mins ago
VH
Orthotist-Prosthetist
Veterans Health Administration
San Antonio, TX
- $41,334 to $98,514 USD / year
This position functions primarily in the Rehabilitation & Technology Section of Physical Medicine & Rehabilitation (PM&R) Service. The Orthotist/Prosthetist provides the appropriate…
Added 23 mins ago
DL
General Engineer
Defense Logistics Agency
Fort Belvoir, VA
- $121,785 to $158,322 USD / year
…execution principles and procedures. | Uses funding sources such as Operations and Maintenance (O and M), Defense Working Capital Fund (DWCF), Military Construction (MILCON), Family Housing…
Added 25 mins ago
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EpicCare Link Analyst
TEKsystems
Winston Salem, NC
- $85 to $90 USD / hour
Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks…
Added 26 mins ago
AN
IT SPECIALIST (CUSTSPT)
Air National Guard Units
Flowood, MS
- $88,120 to $114,563 USD / year
…incumbent specializes in one or more of the major information technology (IT) and/or communications systems/functions managed and maintained by the Unit - network infrastructure, wireless…
Added 29 mins ago
Office Management Staff Officer - TS/SCI
ENS Solutions, LLC
Arnold, MO
The Office Manager/Staff Officer are versatile and proficient professionals responsible for performing a wide range of administrative and staff support functions with a high degree of…
Added 29 mins ago
Office Management Staff Officer - TS/SCI
ENS Solutions, LLC
Springfield, VA
The Office Manager/Staff Officer are versatile and proficient professionals responsible for performing a wide range of administrative and staff support functions with a high degree of…
Added 29 mins ago
Office Management Staff Officer - TS/SCI
ENS Solutions, LLC
Tampa, FL
The Office Manager/Staff Officer are versatile and proficient professionals responsible for performing a wide range of administrative and staff support functions with a high degree of…
Added 29 mins ago
Office Management Staff Officer - TS/SCI
ENS Solutions, LLC
Charlottesville, VA
The Office Manager/Staff Officer are versatile and proficient professionals responsible for performing a wide range of administrative and staff support functions with a high degree of…
Added 29 mins ago
Office Management Staff Officer - TS/SCI
ENS Solutions, LLC
Aiea, HI
The Office Manager/Staff Officer are versatile and proficient professionals responsible for performing a wide range of administrative and staff support functions with a high degree of…
Added 29 mins ago
Office Management Staff Officer - TS/SCI
ENS Solutions, LLC
Arlington, VA
The Office Manager/Staff Officer are versatile and proficient professionals responsible for performing a wide range of administrative and staff support functions with a high degree of…
Added 30 mins ago
VH
Supervisory Acquisition Utilization Specialist
Veterans Health Administration
Prescott, AZ
- $89,508 to $116,362 USD / year
Directs, maintains, and carries out management duties involving many separate and distinct phases of operations within the Business and Procurement Planning and Purchasing sector in the…
Added 34 mins ago
Solar Winds Engineer with a Top Secret Clearance
Peraton
Golden, CO
…(NPM), Server & Application Monitor (SAM), Network Configuration Manager (NCM), and related…
Added 34 mins ago
Senior Product Manager, Patient Engagement & AI
Jobgether
Remote, United States
We are seeking an experienced Senior Product Manager to lead the development of innovative AI-powered patient engagement experiences within a virtual healthcare environment. In this role,…
Added 36 mins ago
VH
Registered Nurse - Chief Nurse Operations
Veterans Health Administration
Chicago, IL
- $165,897 to $228,000 USD / year
The Registered Nurse, Chief Nurse of Operations, functions as an advisor, administrator, educator, consultant, and mentor who possesses a wide range of experience and leadership ability.
Added 36 mins ago
TS
TRANSPORATION SECURITY SPECIALIST
Transportation Security Administration
Colorado Springs, CO
- $109,246 to $167,830 USD / year
This position is a Transportation Security Specialist located in Technology and Systems - Vetting Operations, Vetting Analysis Division (VAD), Operation Management Section (OMS). The…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Richmond, VA, 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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