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
Growth Marketing Manager, Paid Demand & ABM
AssemblyAI
United States
We're hiring a Growth Marketing Manager to run paid programs aimed at our target accounts. That means account-based marketing through paid channels, for new logos and for existing customers…
Added just now
Career Day in Jackson, TN!
Community Choice Financial Family of Brands
Jackson, TN
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
Added just now
Career Day in Hays, KS!
Community Choice Financial Family of Brands
Hays, KS
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
Added just now
Career Day in Memphis, TN!
Community Choice Financial Family of Brands
Cordova, TN
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
Added just now
FA
Market Match Assistant [Northeast LA Region]
Food Access LA
Los Angeles, CA
- From $18.53 USD / hour
Assist Market Manager(s) as needed with communication about program operations and updates to farmers/vendors on market day.
Added just now
WI
Senior Manager, Quality Assurance Ops Excellence and Resiliency
Walmart Inc.
Bentonville, AR
- $90,000 to $180,000 USD / year
We’re looking for a Senior Manager of Ops Excellence and Resiliency to build and lead the process improvement, operational resilience, and AI transformation capabilities for Last Mile…
Added just now
WI
(USA) Senior Manager, Technology Operations
Walmart Inc.
United States
- $90,000 to $180,000 USD / year
The Senior Manager, Technology Operations, leads the planning and execution of multiple complex technology programs aligned with strategic objectives. This role requires expertise in…
Added just now
WI
(USA) Manager, Technology Operations
Walmart Inc.
United States
- $80,000 to $155,000 USD / year
The Manager, Technology Operations leads the planning, execution, and oversight of multiple complex technology projects aligned with strategic objectives. This role ensures effective…
Added just now
WU
Manager, Project Management - Cross-Border Seller Programs
Wal-Mart.com USA, LLC
United States
- $70,000 to $169,000 USD / year
The Project Manager - Cross-Border Seller Programs will help build scalable operating mechanisms that support Walmart Marketplace’s global growth. As part of Walmart’s Marketplace Global…
Added just now
Senior Manager, Operations - Knowledge Management
Walmart Inc.
United States
The Senior Manager, Knowledge Management leads the strategy, architecture, governance, and transformation of knowledge across Marketplace Seller Support and Risk Operations. This leader…
Added just now
Warehouse Manager
Spartan Logistics
Brooklyn, OH
Join Spartan Logistics as a Warehouse Manager and Lead Operations at Our New Brookly, OH Location!
Added just now
Catering Sales Manager
Crescent Hotels & Resorts
Phoenix, AZ
The Hilton Phoenix Resort at the Peak is looking for a FT - Catering Sales Manager to join our amazing Team!
Added just now
Sales Manager
Crescent Hotels & Resorts
Phoenix, AZ
Attend weekly sales departmental meeting and other scheduled meetings to support business operations, e.g., tentative review, lost business review, group-pick up, etc.
Added 1 min ago
HW
5097 - Store Manager (H)
Hat World Inc.
Lake Grove, NY
- $23 to $25 USD / hour
Manage and direct in-store team members to ensure optimal customer service that values customers’ time and supports overall store operations.
Added 1 min ago
A
Food Service Supervisor Full Time Garnet Station Russell House - University of South Carolina
Aramark
COLUMBIA, SC
- Full-time
…Supervisors to join our passionate Food Services Team. Alongside a manager who will help coordinate and lead operations, you’ll help oversee staff, collaborate with teammates, and help…
Added 1 min ago
General Manager
Aramark
San Francisco, CA
Join LifeWorks and help redefine corporate dining. We’re seeking a General Manager to lead a premier executive dining program where culinary excellence, precision, and exceptional…
Added 1 min ago
Bookkeeper
BPA Health Inc
BOISE, ID
At BPA Health, our Bookkeeper plays an important role in keeping financial operations accurate, organized, and dependable. This position supports day-to-day accounting, billing, and payroll…
Added 1 min ago
Accounts Payable Manager
Employee Owned Holdings, Inc.
Houston, TX
This role combines ownership of the procure-to-pay process with day-to-day team leadership. The Accounts Payable Manager will report to the Corporate Controller and serve as a key partner…
Added 2 mins ago
Career Day in Jackson, TN!
Community Choice Financial Family of Brands
Jackson, TN
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
Added 2 mins ago
Career Day in Arnold, MO!
Community Choice Financial Family of Brands
Arnold, MO
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
Added 2 mins ago
Career Day in Hays, KS!
Community Choice Financial Family of Brands
Hays, KS
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
Added 2 mins ago
Career Day in Memphis, TN!
Community Choice Financial Family of Brands
Cordova, TN
We invite you to meet 1-on-1 with a hiring manager and learn more about career opportunities as a member of our Store Operations team, the front line of our business that strives to provide…
Added 2 mins ago
VH
Burn Specialist RN
Valleywise Health System
Phoenix, AZ
- $86,444.8 to $127,504 USD / year
Natural Leadership: The confidence to supervise staff, manage daily departmental operations, and act as the designated leader in the absence of the Nurse Manager.
Added 2 mins ago
G
Nursery General Manager Trainee
GPAC
Phoenix, AZ
- $78,000 to $84,000 USD / year
…career with growth opportunities? We are seeking a General Manager Trainee to join our Nursery and Greenhouse Operations. This is an excellent opportunity for a motivated, career-minded…
Added 2 mins ago
Utility Worker I
University System of Georgia
GA
…than 6 months can be considered for the Tuition Assistance Program. Consider applying with us…

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