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 3 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Asheville, NC · Wilmington, NC
- $152,000 to $222,000 USD / year
…Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build…
Added 3 mins ago
M
Senior ALC Developer PART TIME
Maximus
Raleigh, NC
- Part-time
Maximus is seeking a Sr. Assembler Language Computer (ALC) Programmer to support our Internal Revenue Service (IRS) IO&A project.
Added 3 mins ago
Senior ALC Developer
Maximus
Raleigh, NC
Maximus is seeking a Sr. Assembler Language Computer (ALC) Programmer to support our Internal Revenue Service (IRS) IO&A project.
Added 3 mins ago
Senior ALC Developer
Maximus
Raleigh, NC
Maximus is seeking a Sr. Assembler Language Computer (ALC) Programmer to support our Internal Revenue Service (IRS) IO&A project.
Added 3 mins ago
A
Public Service - Higher Education Management Consulting Senior Manager – Transformation Lead
Accenture
Raleigh, NC · Charlotte, NC
- $132,500 to $338,300 USD / year
…seeking individuals that have demonstrated this through overall program delivery or deep experience in specific functional domains such as Finance, HR, payroll, procurement, or research…
Added 3 mins ago
Operations Change Manager
U.S. Bank
Charlotte, NC
The Operations Change Manager represents Operations in complex, high-visibility projects supporting Merchant Payment Services and other enterprise initiatives across U.S. Bank. This…
Added 20 mins ago
M
Senior Critical Environment Program Manager
Microsoft
GA · Atlanta, GA · Atlanta
- $127,600 to $253,300 USD / year
…engine that powers our cloud services. As a Critical Environment Program Manager, you will perform a key role in delivering the core infrastructure and foundational technologies for…
Added 20 mins ago
M
Senior Security Project Manager
Microsoft
GA · Atlanta, GA · Atlanta
- $97,600 to $206,400 USD / year
The Senior Security Project Manager position reports to the CO+I Physical Security Delivery Director. You should be an experienced team player, possess demonstrated communication,…
Added 21 mins ago
M
eCommerce Experience Manager
Microsoft
WA · GA · CA · NY · Redmond, WA · Atlanta, GA · Mountain View, CA · Redmond · Atlanta · Mountain View · New York
- $106,400 to $222,600 USD / year
…mindset, excellence, and inclusion. The eCommerce Experience Manager, which sits within the Global Site Experience team, leads complex, cross-functional work where ownership or the path…
Added 35 mins ago
Regulatory Compliance and Financial Crime Consulting Senior Manager
Crowe LLP
Cleveland, OH
…capabilities, can improve efficiency, insights, and client outcomes. In management at Crowe, you play a pivotal role in leading teams, guiding project execution, and deepening client…
Added 35 mins ago
Associate Project Archaeologist
SWCA Incorporated
Cincinnati, OH
About the opportunity SWCA Environmental Consultants is seeking an Associate Project Archaeologist to support our Midwest operations in Chicago, IL. This role is a core member of our…
Added 35 mins ago
Project Manager I or Project Manager II
Duke Energy Ohio, Inc
Cincinnati, OH
…desired qualifications of the successful applicant, the hiring manager may elect to fill this position at a higher level within the job hierarchy Project Manager I position has single point…
Added 1 hour ago
A&
Senior Project Manager
Astor & Sanders
McLean, VA
- $120,000 to $145,000 USD / year
Systems Integration & Development (SID) is an award-winning IT solutions provider headquartered in McLean, VA seeking a Project Manager. This is a full-time and hybrid position.
Added 1 hour ago
O
Project Executive - Marine Construction
Orion
Federal Way, WA
- $190,000 to $260,000 USD / year
We are seeking an experienced Project Executive to provide senior operational and project leadership across Orion's Pacific Region.
Added 1 hour ago
O
Sr. Project Manager - Marine Construction
Orion
Honolulu, HI
- $180,000 to $250,000 USD / year
SENIOR PROJECT MANAGER – MARINE & HEAVY CIVIL CONSTRUCTION
Added 1 hour ago
Senior Manager, Statistical Programming - Job ID: 2068
Ascendis Pharma
Remote, United States
The Senior Manager, Statistical Programming, will be expected to provide timely and strategic programming support to clinical study teams in alignment with project goals. This role combines…
Added 1 hour ago
A
Senior Political Compliance Manager
Aristotle
Remote, United States
- $85,000 to $100,000 USD / year
The Senior Political Compliance Manager will provide Political Action Committee (PAC) and lobbying compliance and management services to our clients. The incumbent will be responsible for…
Added 1 hour ago
Lead Program Engineer
L3Harris
Greenville, TX
…Publications, etc.) report to and take direction from the Lead Project Engineer for the assigned program…
Added 1 hour ago
Manager, Commercialization - Energy
Keurig Dr Pepper
Frisco, TX
This person will report to the Senior Manager, Allied Partnerships – Energy in a high-visibility role to Commercial and Sales leadership.
Added 1 hour ago
Principal Program Manager, IT
American Airlines
Fort Worth, TX
5 years of work experience in program/project management
Added 1 hour ago
Manager, IT Cybersecurity Identity Management
American Airlines
Fort Worth, TX
Communication: Clearly convey project risks and strategies to senior management and stakeholders, ensuring transparency and informed decision-making.
Added 1 hour ago
Sr Manager, Business Transformation
American Airlines
Fort Worth, TX
5+ years of experience in strategy, transformation, consulting, supply chain, finance, corporate planning, program/portfolio management, or related roles, including experience leading…
Added 2 hours ago
Senior Manager, Customer Success (Remote, US)
Everyday Electric
Remote, United States
As a Senior Manager, Customer Success, you will own the strategic direction, health, and partner engagement for a portfolio of our highest-complexity, highest-value Utility VPP partners.…
Added 2 hours ago
Risk Manager
Nautilus Solar Energy
Remote, United States
The Risk Manager is responsible for developing, implementing, and overseeing the company's insurance, risk management, and loss mitigation programs across a national portfolio of operating…
Added 2 hours ago
Senior Acquisitions Editor
Berrett-Koehler Publishers
Remote, United States
We are seeking a Senior Acquisitions Editor responsible for acquiring, signing, and developing twenty or more book projects per year in the nonfiction fields of general business and…

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.

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