Find work in the United States.

6,408,482 jobs across our US network. How we count

Jobs in the United States

25+ jobs

Save this search

Added 6 mins ago
Senior Advisor-536430-A
Delaware Nation Industries
Arlington, VA
The Bureau of Overseas Buildings Operations (OBO) directs the worldwide overseas building program for the U.S. Department of State. Working with other offices and bureaus, foreign affairs…
Added 9 mins ago
Senior Creative Operations and Production Manager
Jobgether
Remote, United States
The Senior Creative Operations and Production Manager will lead the systems, workflows, and production processes that enable a high-performing in-house creative team to deliver impactful…
Added 29 mins ago
T
Site Operations Manager
TEKsystems
St Francisville, LA
- $85 USD / hour
This on-site role leads the critical facilities program at a data center and is accountable for the safe, reliable operation of the sites critical environment. The Site Manager serves as…
Added 34 mins ago
JC
Environmental Health Specialist III – Senior Onsite Wastewater Specialist
Jefferson County
United States
- $41 to $42 USD / hour
Collaborate with the program manager to implement OW Program initiatives that support departmental priorities, state and federal regulations, evidence-based practices, and continuous…
Added 40 mins ago
GC
Public Health Nurse Care Manager
Gaston County Government
Gastonia, NC
- $33.8 to $55.77 USD / hour
Maintain accurate, timely, and confidential documentation and data entry in required systems and utilize reports to support program compliance, quality improvement, and outcome achievement.
Added 42 mins ago
Registered Nurse New Grad Residency – March 2027 Start
SSH South Shore Hospital, Inc.
Weymouth, MA
South Shore Health System offers a highly structured and intensive residency program for New Graduate RN’s twice per year. This highly sought after program is designed to support successful…
Added 57 mins ago
Operations Manager
Ulta Beauty, Inc.
Baraboo, WI
The Operations Manager (OM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 57 mins ago
UB
Operations Manager
Ulta Beauty, Inc.
Sacramento, CA
- $28 to $35 USD / hour
The Operations Manager (OM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 1 hour ago
SA
Associate Technical Data Manager - DMX
Southwest Airlines Co.
Dallas, TX
- $77,200 to $85,800 USD / year
The Associate Technical Data Manager supports Technical Operations by creating, maintaining, and revising aircraft maintenance technical data that enables safe and compliant operations.…
Added 1 hour ago
Lead Business Execution Consultant - Unsecured Lending Operations
B10 Wells Fargo Bank, N. A.
CHARLOTTE, NC · CHANDLER, AZ · WEST DES MOINES, IA
…establish and govern leader and coaching standards, strengthen core manager routines, translate business priorities and performance needs into scalable enablement strategies, and assess the…
Added 1 hour ago
J
Marketing Operations Manager (fixed term)
Jobgether
Remote, United States
- $30 to $34 USD / hour
Process and Systems Management: Maintain efficient, practical and repeatable operational processes, identifying opportunities for improvement without introducing unnecessary administrative…
Added 1 hour ago
Manager, Commercial Fuel Quality & Advocacy
ONEOK Services Company LLC
Tulsa, OK
…people leader who is passionate about developing talent. The Manager will coach and manage performance, establish priorities, allocate work based on business and operational needs, and…
Added 1 hour ago
Mobile Program Manager (48196)
Dilkon Medical Center | Winslow Indian Health Care
Dilkon, AZ
Under the general supervision of the Director of Hozhoogo Iina Wellness, the Mobile Program Manager will oversee operations of the mobile program. The incumbent works in collaboration with…
Added 1 hour ago
Store Manager
David's Bridal
Harrisburg, PA
As the Store Manager you will build and retain a high performing team, create a consistent environment of world class customer service, and exceed sales plan. You are adynamic, attentive,…
Added 1 hour ago
Manager, Project Management - Community Engagement
Quality Technology Services, LLC
United States
7–10 years of progressive experience in program/project management, operations, or process improvement, including:
Added 1 hour ago
Lab Manager
Biohub
Redwood City, CA
Through our multi-dimensional imaging program, we build imaging tools that capture life across scales - from single proteins to whole organisms - revealing how proteins and cells function,…
Added 2 hours ago
Service Quality Manager - Columbia, MD
Rohde & Schwarz
Columbia, MD
…operational excellence, regulatory compliance, and continuous improvement. The successful candidate will oversee quality assurance programs and corrective action processes while ensuring…
Added 2 hours ago
Continuous Improvement Manager 1
GXO Logistics
PA
As the Manager, Continuous Improvement, you will be responsible for supporting, developing and leading the implementation of the GXO Operating System (GOS).
Added 2 hours ago
Occupational Health & Safety (OHS) Program Manager
SGS North America
Olympia, WA
We are seeking an experienced OHS Program Manager to lead the development, implementation, and continuous improvement of occupational health and safety programs supporting innovative…
Added 2 hours ago
JH
Talent Acquisition Intern
James Hardie
Chicago, IL
- $20 to $25 USD / hour
…interview coordination, data analysis, employer branding, and process improvement while partnering with recruiters, hiring managers, HR colleagues, and business…
Added 2 hours ago
O
Technical Program Manager, Mechanical Infrastructure - Data Centers (on-site Nashville, TN)
Oracle
Nashville, TN
- $126,200 to $264,100 USD / year
As Technical Program Manager, you will support construction-focused data center projects by coordinating schedules, action tracking, documentation, meetings, and cross-functional…
Added 2 hours ago
O
Technical Program Manager, Electrical Infrastructure - Data Centers (on-site Nashville, TN)
Oracle
Nashville, TN
- $126,200 to $264,100 USD / year
As Technical Program Manager, you will support construction-focused data center projects by coordinating schedules, action tracking, documentation, meetings, and cross-functional…
Added 2 hours ago
Graduate Development Program, Associate Product Manager, US Electric IT
natgridProd
Syracuse, NY · Waltham, MA
Are you ready to help shape the future of electric asset management? As an Associate Product Manager in US Electric IT team, you’ll support the STREAMS program, a strategic transformation…
Added 2 hours ago
Graduate Development Program, Associate Technology Engineer, Technology Engineering
natgridProd
Marlboro, MA · Waltham, MA
Ability to begin the National Grid Graduate Program on June 7, 2027, or July 12, 2027
Added 2 hours ago
Graduate Development Program, Associate Project Manager, New York Electric Major Projects
natgridProd
Syracuse, NY
Are you ready to help deliver major projects that strengthen New York’s electric grid? As an Associate Project Manager on the New York Electric Major Projects team, you’ll support complex…

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.

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

Report this job