Jobs in the United States

25+ jobs

Group jobs by employerEmail me new jobs Save this search

Added just now
Sales Manager - Facility Solutions
Veritiv Operating Company
Mechanicsburg, PA
● Must have strong leadership and management skills
Added just now
Aircraft Line Service Technician
Seaman Corporation
Smithville, OH
Professional development opportunities including tuition reimbursement, course training, and networking
Added just now
FE
Business Development Specialist - Small Parcel, Logistics & E-commerce
Federal Express Corporation
New York, NY
- $5,775 to $10,600 USD / month
Candidates must live within a 50‑mile radius of 130 Leroy Street, NY/ Lower Manhattan/Manhattan, NY or surrounding cities within the territory
Added just now
Technology Solutions Analyst
CRH
Austin, TX
…and paving and construction services in North America. Our operations span North America with over 28,000 employees at close to 1,600 locations in 43 US States and 2 Canadian…
Added just now
Ready Mix Driver - Livingston, TX
CRH
Livingston, TX
· Must have a valid driver’s license and must maintain a CDL A or CDL B license · · Must possess valid DOT medical card
Added just now
Estimator
CRH
Cedar Park, TX
Must possess a thorough knowledge of project specifications, contract documents and how the work is paid
Added 1 min ago
L
Proposal Manager
Landis+Gyr
Alpharetta, GA
- $95,490 to $121,393 USD / year
Must have the tenacity to resolve issues and meet the customer needs
Added 1 min ago
AU
Operations Manager
ABM US
Crown Point, IN
- $60,000 USD / year
The Operations Manager is responsible for overseeing operations at a designated site or group of sites within a specific market. This role focuses on delivering operational excellence by…
Added 1 min ago
Territory Sales Manager
Parts Authority
New London, CT
Our growth strategy combines internal development with strategic acquisitions - we've successfully integrated more than a dozen companies in recent years. With an extensive inventory…
Added 1 min ago
Health & Wellbeing Specialist
Personify Health
Arlington, TX
Monitor, evaluate, and respond to program measurements and participant feedback, including operations and quality, to drive continuous quality improvement initiatives and goals
Added 2 mins ago
Store Manager Check N Go Franklin, WI
Great Lakes Specialty Finance Inc
Franklin, WI
…communities we serve. Our Store Managers are responsible for daily operations and profitability of one or more of our retail Check ‘N Go, Allied Cash, or Cash Store locations, all part of…
Added 2 mins ago
Commercial Collector Supervisor
Altus Receivables Managment, Inc.
Remote, United States
In addition, the Manager will assist with the training and development of Collection Agents and participate in client performance reviews to ensure service expectations are achieved.
Added 2 mins ago
W
Maintenance Supervisor II (Park Landing)
WinnCompanies
Woodbridge, VA
- $32 to $40 USD / hour
…it all possible. As an award-winning owner, developer, and manager of high-impact, mixed-income apartment communities, we are proud to be one of the nation’s leading managers of multifamily…
Added 2 mins ago
Bakery Clerk
Albertsons Companies
DALLAS, TX · Dallas, TX
The Bakery Clerk plays a key role in the day to day bakery operations. This position involves preparing dough, glazing pastries, and assisting with baking tasks from start to finish.…
Added 3 mins ago
TI
Systems Engineering Manager
TSI, Inc.
Shoreview, MN
- $160,000 to $180,000 USD / year
…capability needed to scale the discipline. The Systems Engineering Manager demonstrates a thorough understanding of systems thinking applied to product development, with a broad working…
Added 3 mins ago
OV
Cashier | Part-Time | Santander Arena
Oak View Group
Reading, PA
- $15 USD / hour
- Part-time
…infrastructure and services, with a platform spanning venue development and end-to-end capabilities across venue management, hospitality, and sponsorship sales. Founded in 2015, the company…
Added 3 mins ago
OV
Food & Beverage Supervisor | Part-Time | Gaillard Center
Oak View Group
Charleston, SC
- $24 to $28 USD / hour
- Part-time
Must have familiarity with OSHA requirements
Added 3 mins ago
Assistant Site Manager Hourly
Spotless Brands
Nampa, ID
The Assistant Site Manager focuses on team supervision, service execution, daily coordination, and customer satisfaction. This role is a critical steppingstone in the operations career path…
Added 3 mins ago
H
Branch Manager I
Hertz
Pittsburgh, PA
- $60,000 USD / year
The Branch Manager I represent all Hertz Global brands to our customers, community leaders, business partners, vendors and government entities. This position is primarily responsible for…
Added 3 mins ago
H
Branch Manager I
Hertz
Fayetteville, GA
- $60,000 USD / year
The Branch Manager I represent all Hertz Global brands to our customers, community leaders, business partners, vendors and government entities. This position is primarily responsible for…
Added 3 mins ago
H
Manager Trainee
Hertz
Lithia Springs, GA
- $19 USD / hour
We’re hiring a Manager Trainee to support location performance, develop leadership skills, and prepare for promotion to Branch Manager in as little as 12–18 months. This role is ideal for…
Added 3 mins ago
J
SFMC Developer
Jellyfish
New York, NY
- $90,000 to $110,000 USD / year
As CRM Sr. Manager, Architect & Journeys Developer, you will be the technical engine behind our clients' lifecycle programs. You will turn CRM strategy into working CRM solutions:…
Added 3 mins ago
GOVERNMENT ANALYST I - 48004086
State of Florida
TALLAHASSEE, FL
This position performs full performance level work under the limited supervision of the Operations Manager C (WT: Assistant Bureau Chief) in the Special Contracts Section, Bureau of Vendor…
Added 3 mins ago
Store Manager in Training
GNC Holdings LLC
Chicago, IL
GNC's Store Manager in Training (SMIT) position is a development focused role that is crafted to prepare an individual to manage their own store. Under the leadership of a Store Manager or…
Added 3 mins ago
Store Manager in Training
GNC Holdings LLC
Pensacola, FL
GNC's Store Manager in Training (SMIT) position is a development focused role that is crafted to prepare an individual to manage their own store. Under the leadership of a Store Manager or…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Washington, DC, 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

Work requirements

Jobs in the United States