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Civil/Site Land Development PE/PM
GPAC
Orlando, FL
- $100,000 to $140,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added just now
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Civil/Site Land Development PE/PM
GPAC
Miami, FL
- $100,000 to $140,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 1 min ago
Retail Manager F.T. - Personal Designer/Custom Picture Framing
Michaels Stores, Inc.
United States
Assist Store Manager in leading and managing adherence to Standard Operating Procedures (SOP’s) and Company programs to ensure compliance to applicable laws and requirements; ensure…
Added 1 min ago
PN
Manager of Education and Experiential Learning
Pacific Northwest University of Health Sciences
Yakima, WA
- $58,400 to $93,000 USD / year
Reporting to the Director of Simulation Center, the Manager of Education and Experiential Learning leads the educational design, delivery, evaluation, and continuous improvement of the…
Added 1 min ago
A
Quality Engineer
Aptiv
Garden Grove, CA
- $80,000 to $100,000 USD / year
…corrective action (CAR) system, and lead our internal audit program to ensure we meet the rigorous quality expectations of the aerospace and defense…
Added 1 min ago
A
Quality Engineer
Aptiv
Garden Grove, CA
- $80,000 to $100,000 USD / year
…corrective action (CAR) system, and lead our internal audit program to ensure we meet the rigorous quality expectations of the aerospace and defense…
Added 1 min ago
Account Manager
Illinois Tool Works
Baltimore, MD · Charlotte, NC
The Account Manager is responsible for overseeing private label program development with US dealers and international product lines. It serves as the primary relationship and technical…
Added 1 min ago
ZI
Graphic Designer – Marketing & Brand Management for Owned Brands
Zumiez Inc
Lynnwood, WA
- $30 to $32 USD / hour
…knowledge and clear communication skills to support the continued development of our owned brands through helping drive the evolution of brand marketing and brand management tools. As well…
Added 1 min ago
Dining Shift Manager
University of California, Santa Cruz
CA
Under the general supervision of the Unit Manager, the Shift Manager is responsible for the operation of a Dining Hall, Retail, or Catering facility or function, and may act as the Person…
Added 2 mins ago
Supply Chain Manager
Black & Decker (U.S.) Inc.
Shelbyville, KY
As a Supply Chain Manager, you’ll be part of our T&O Global Supply Chain team working as an on-site employee. You’ll get to:
Added 2 mins ago
SL
Office Coordinator
SERENITY LANE
Albany, OR
- From $24 USD / hour
Support Program Manager and staff with scheduling of patient appointments and counseling services
Added 2 mins ago
G
Civil/Site Land Development PE/PM
GPAC
Cape Coral, FL
- $100,000 to $140,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 2 mins ago
Student Nurse Intern-Emergency-ED
Kaweah Delta Health Care District
Visalia, CA
Employee must submit updated transcript to HR each term and notify Manager and HR of any changes in nursing program enrollment.
Added 3 mins ago
Audit Manager, Model Risk
CIBC Bank USA
NY · Chicago, IL
Internal Audit helps CIBC strengthen trust, accountability, and sound risk management across the bank. As an Audit Manager I, Model Risk, you’ll execute model risk audit programs and assess…
Added 3 mins ago
G
Civil/Site Land Development PE/PM
GPAC
Jacksonville, FL
- $100,000 to $140,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 3 mins ago
G
Civil/Site Land Development PE/PM
GPAC
Saint Petersburg, FL
- $100,000 to $140,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 3 mins ago
G
Civil/Site Land Development PE/PM
GPAC
Tallahassee, FL
- $100,000 to $140,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 3 mins ago
G
Civil/Site Land Development PE/PM
GPAC
Tampa, FL
- $100,000 to $140,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 3 mins ago
G
Civil/Site Land Development PE/PM
GPAC
Fort Lauderdale, FL
- $100,000 to $140,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 3 mins ago
G
Civil/Site Land Development PE/PM
GPAC
Hialeah, FL
- $100,000 to $140,000 USD / year
We are seeking an experienced Professional Engineer (PE) to join our Land Development team in a Project Manager capacity. This individual will play a key role in leading projects, managing…
Added 3 mins ago
SV
Head Start Early Childhood Program Specialist 1, Teaching Assistant
Skagit Valley College
Mount Vernon, WA
- $3,160.65 to $4,085 USD / month
Head Start is a federal program that has served vulnerable children and families for more than half a century and is committed to providing inclusive, nurturing environments where children…
Added 3 mins ago
Senior Manager, Customer Engagement Social Strategy and Operations
Revolution Medicines
Remote, United States
The Senior Manager, Customer Engagement Social Strategy & Operations will serve as the US Portfolio Omnichannel team’s social subject matter expert, translating approved marketing and…
Added 3 mins ago
Associate Director, Omnichannel Content Strategy & Operations
Revolution Medicines
Remote, United States
Lead the development of scalable modular content frameworks, reusable content components, and content design standards to support personalization, next-best-action, and future orchestration…
Added 4 mins ago
VG
Commercial Manager
Vantage Group
UNAVAILABLE
- $105,000 to $115,000 USD / year
Vantage Group is a global leader in airport and transportation investment, development, management, and advisor services. Since 1994, Vantage's corporate and network-wide team has managed…
Added 4 mins ago
Manager, Data Science
Natera
San Carlos, CA
…organ health to support better patient care. As a Data Science Manager in R&D Operations, you will lead a team of data scientists to design and implement data solutions to accelerate R&D at…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Jefferson City, MO, 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

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