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Added just now
Project Administration Intern (Summer 2027)
Arup
Los Angeles, CA
High school diploma or equivalent; must be enrolled in an accredited university/college program. Pursuing Business Administration, Project Management courses/degree or related field is…
Added just now
Project Administration Intern (Summer 2027)
Arup
Seattle, WA
High school diploma or equivalent; must be enrolled in an accredited university/college program. Pursuing Business Administration, Project Management courses/degree or related field is…
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Project & Commercial Management Intern (Available Summer 2027)
Arup
Los Angeles, CA
Project, Program, and Commercial Management (PPCM) supports the successful delivery of major infrastructure projects by providing expertise across Design Management, PMO & Controls,…
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Commercial and Project Manager
Arup
Boston, MA
We are seeking a highly motivated and detail-oriented Commercial and Project Manager to join our Program, Project and Commercial Management team. In this role, you will support the delivery…
Added just now
Project and Commercial Manager
Arup
Sacramento, CA
We are looking for a Project and Commercial Manager to join our growing PPM team. This role offers a unique opportunity to take ownership of defined projects and workstreams across project…
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BIM & Digital Delivery Manager
Arup
New York, NY · Houston, TX · Chicago, IL · Seattle, WA · Los Angeles, CA · Newark, NJ · San Francisco, CA · Dallas, TX · San Diego, CA · Boston, MA · Washington, DC
As a BIM & Digital Delivery Manager, you will provide technical and digital-delivery leadership across multidisciplinary building and infrastructure projects. You will work with engineers,…
Added 1 min ago
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Electrical Field Engineer
Actalent
Brownsville, TX
- $40 to $45 USD / hour
Seeking a Field Engineer to support technical field operations on-site and oversee various administrative and technical tasks in both the field and field office, ensuring project success…
Added 6 mins ago
Expert Engagement Manager
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New York, NY · Little Rock, AR · Seattle, WA · San Francisco, CA
The Expert Engagement Manager should have comprehensive project management knowledge, be highly organized, be effective in ambiguous environments, be able to easily communicate technical…
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Sr. Engagement Manager
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San Francisco, CA · Little Rock, AR · New York, NY · Seattle, WA
The Senior Engagement Manager should have comprehensive project management knowledge, be highly organized, be effective in ambiguous environments, be able to easily communicate technical…
Added 6 mins ago
Program Manager
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Huntsville, AL, AL
S3, Inc. has an immediate need a Program Manager to help manage our SETA programs at Redstone Arsenal, AL.
Added 8 mins ago
Owners Rep Project Manager
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New Albany, OH
Owner’s Rep (OR) Project Manager will act on behalf of Owner to become a virtual extension of the Owner’s Project Team and will establish an immediate and close relationship with the Owner…
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This is both a technical and people leadership role. The manager interprets regulatory requirements, assesses the materiality and potential risk of issues, distinguishes critical…
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Growth Marketer, SEO/AEO and Experimentation
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…Cresta's organic engine work: the AI content workflows, the technical foundation, the measurement, and the testing roadmap. The Content Marketing Manager leads writing; you own how that…
Added 9 mins ago
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Project Lead-Structured Cabling- 100% Traveler Required
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Reno, NV
- $30 to $40 USD / hour
Job description: Project Lead | $5,000 Sign-On Bonus Location: Reno, NV Sign-On Bonus This position includes a $5,000 sign-on bonus, paid in three installments over your first year of…
Added 9 mins ago
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Superintendent 100% Full time traveler
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- $35 to $45 USD / hour
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…company and customer requirements across safety, quality, and project management. Responsibilities Manage multiple project crews; own crew performance, training, and adherence to company…
Added 11 mins ago
North America Quality Leader, Power Conversion and Storage
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…expectations. You will report directly to the North American General Manager and lead quality strategy across the…
Added 12 mins ago
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- $135,000 to $225,000 USD / year
…mechanical, electrical, plumbing, and fire protection work against program standards, project criteria, and applicable…
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Senior Project Manager
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San Francisco, CA
- $135,000 to $225,000 USD / year
Professional Engineer (PE) license, Certified Construction Manager (CCM) through CMAA, or Project Management Professional (PMP) through PMI.
Added 12 mins ago
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Senior Project Manager
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- $135,000 to $225,000 USD / year
Review design submittals, shop drawings, and technical deliverables for tunnel, shaft, cut-and-cover, and ground improvement work against program criteria and agency requirements.
Added 12 mins ago
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Strategic Materials Program Manager
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The Strategic Materials Program Manager will be the operational linchpin for our most critical, high-value components. These components feature complex supply chains, custom manufacturing…
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Director, VAS Finance Ops & Transformation
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This role is a Hybrid position to be located in our San Francisco, CA office. Visa requires at least 3 days in office, expectations of these days will be confirmed by your Hiring Manager.
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Test Engineer
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FLEX Senior Program Manager, Corporate Systems
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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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