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Added 4 mins ago
VR
Epic Ascent Supervisor
Vail Resorts
IN
- $25 to $31.32 USD / hour
The Epic Ascent Supervisor provides frontline leadership for the Epic Ascent Concierge team, supporting the Epic Ascent Manager through daily operational oversight, coaching, and service…
Added 4 mins ago
Clinical Dietitian Assistant
American Senior Communities
Greensburg, IN
Health & Wellness: Medical coverage as low as $25, vision and dental insurance. Employee Assistance Program to help manage personal or work-related issues, as well as Workforce Chaplains to…
Added 4 mins ago
Chronic Care Manager
SOUTHERN INDIANA COMMUNITY HEALTH CARE
Paoli, IN
…state of Indiana. Supervisor: Enabling Services Director/Office Manager In-office during training period and then could transfer to remote work optional after training. Part- or Full-time…
Added 4 mins ago
Unit Manager LPN/RN
American Senior Communities
Ligonier, IN
Health & Wellness: Medical coverage as low as $25, vision and dental insurance. Employee Assistance Program to help manage personal or work-related issues, as well as Workforce Chaplains to…
Added 4 mins ago
Assitant Manager -Quality
nVent
Bangalore, IN
We encourage and support the philanthropic activities of our employees worldwide
Added 4 mins ago
W
Area Manager - Systems (Grocery)
Walmart
AUBURN, IN
- $65,500 to $98,000 USD / year
…subject to change and may be subject to a specific plan or program…
Added 4 mins ago
Assistant Culinary Manager
American Senior Communities
Franklin, IN
Employee assistance program & wellness support
Added 4 mins ago
Business Office Assistant
American Senior Communities
Jeffersonville, IN
Health & Wellness: Medical coverage as low as $25, vision and dental insurance. Employee Assistance Program to help manage personal or work-related issues, as well as Workforce Chaplains to…
Added 4 mins ago
Unit Manager RN
American Senior Communities
Jeffersonville, IN
Health & Wellness: Medical coverage as low as $25, vision and dental insurance. Employee Assistance Program to help manage personal or work-related issues, as well as Workforce Chaplains to…
Added 4 mins ago
Assistant Nurse Manager Inpatient Rehab
Ascension Health
Anderson, IN
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Added 4 mins ago
Area Manager, Amazon Pharmacy
Amazon
Plainfield, IN
find transparent and simple pricing, receive 24/7 customer service support, and have their medications
Added 4 mins ago
Manager Production- 2nd Shift
Caterpillar, Inc.
Lafayette, IN
…powertrains and key engine systems. LPSD products and solutions support customers across power generation, industrial, marine, oil & gas, rail, services and Cat® machine applications…
Added 4 mins ago
Asset Manager IV
ENFRA
South Bend, IN
The Asset Manager IV will be responsible to work with a set of company customers to review energy usage and strategies in order to implement the best practices. This will include directly…
Added 4 mins ago
Associate Manager, Integration and Test Engineering
L3Harris
Fort Wayne, IN
Work closely with test engineers, manufacturing, chamber operations, program teams, customers, and support organizations to resolve issues and maintain execution flow.
Added 4 mins ago
Nurse Manager of Surgical Services
Community Health Systems
Fort Wayne, IN
Lutheran Hosptial, located in Fort Wayne, IN is seeking a full time Nurse Manager of Surgical Services.
Added 4 mins ago
Assoc Director -Solution Delivery Management, Clinical Operations
Lilly
Indianapolis, IN
…medicines, strengthen how health is understood and managed, and support the communities we serve. This is hard, urgent, selfless work - but it’s work worth doing. If you’re driven by…
Added 4 mins ago
Technical Program Manager, Knowledge Systems
Coinbase
Indianapolis, IN
…across customer self-service, internal tools, and AI-assisted support. As Technical Program Manager, you will translate knowledge strategy into technical execution. This is a…
Added 4 mins ago
DevOps Engineer III
Deloitte
Indianapolis, IN
…Consultant in Engineering Foundry, AI & E/EaaS - DevOps, you will support the design, implementation, and optimization of cloud, automation, and platform engineering solutions across…
Added 4 mins ago
Workers Compensation Claim Representative, Experienced
Travelers Insurance Company
Indianapolis, IN
…employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive…
Added 4 mins ago
Unit Manager RN or LPN
American Senior Communities
Indianapolis, IN
Health & Wellness: Medical coverage as low as $25, vision and dental insurance. Employee Assistance Program to help manage personal or work-related issues, as well as Workforce Chaplains to…
Added 4 mins ago
Director of Nursing Services
American Senior Communities
Indianapolis, IN
Health & Wellness: Medical coverage as low as $25, vision and dental insurance. Employee Assistance Program to help manage personal or work-related issues, as well as Workforce Chaplains to…
Added 5 mins ago
Senior Manager, Client Excellence, Global Consulting Services
Deloitte
Indianapolis, IN
Own the strategy and execution of GLCP support programming across four dimensions: Account Leadership, GLCP Development, Account Growth initiatives, and Performance Management.
Added 5 mins ago
Area Accounting Center Manager
Republic Services
Indianapolis, IN
POSITION SUMMARY: The Area Accounting Center Manager is responsible for leading an effective and efficient Accounting Center team of supervisors and accountants to ensure timely and…
Added 5 mins ago
Manager, Enterprise Communications & Channels
Amentum
Indianapolis, IN
The Manager, Enterprise Communications & Channels is responsible for developing and delivering employee communication programs that inform, engage, and connect employees to Amentum's…
Added 5 mins ago
C
Program Manager, RES (Risk Engineering Solutions)
CBRE
Indianapolis, IN
- $105,000 to $125,000 USD / year
Program Manager- Risk EngineeringSolutions (RES)

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Little Rock, AR, 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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