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 1 hour ago
Value Stream Manager / Starkville, MS
Southwire Company, LLC
Starkville, MS
Added 1 hour ago
SAP Program Management Senior Manager
Accenture LLP Company
3900 Great Plains Dr. S., MS · NY
…GenAI-enabled capabilities to improve decision-making, increase productivity, accelerate delivery, reduce administrative burden, and enhance program…
Added 2 hours ago
Project Management Manager 2 - 31058
Huntington Ingalls Industries
Pocasset, MA
This Project Manager role will report into the commercial medium UUV portfolio ensuring the successful fabrication, test, delivery, and follow-on support for HII-Unmanned System's medium…
Added 4 hours ago
Engineering Manager - PPA Field Technician Development Program
Siemens
Wendell, NC
We are looking for an Engineering Manager, PPA Field Technician Development Program. This hybrid position will be based at our corporate headquarters in Wendell, North Carolina.
Added 4 hours ago
Operations Manager
Victor Sierra Aviation
Houston, TX
We are seeking an experienced Operations Manager to lead day-to-day operations at our Houston facility and support the continued growth of our organization. The Operations Manager is…
Added 4 hours 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 5 hours ago
Chemist Intern
GE BETZ, Inc
New Philadelphia, OH
…most complex challenges related to waterscarcity, quality, productivity, and energy. Together, we pursue a shared mission to create a moresustainable future. Job Description As a Chemist…
Added 5 hours ago
Project Manager - Marine Construction
Orion
Metairie, LA
The Project Manager works closely with Operations, Superintendents, Foremen, Estimators, clients, suppliers, and subcontractors to safely deliver high-quality marine construction projects…
Added 5 hours ago
O
Project Executive - Marine Construction
Orion
Federal Way, WA
- $190,000 to $260,000 USD / year
Monitor project performance to ensure achievement of safety, financial, quality, schedule, productivity, and client objectives.
Added 6 hours ago
W
(USA) Area Manager - Maintenance (Grocery)
Walmart
TEMPLE, TX
- $80,000 to $120,000 USD / year
…subject to change and may be subject to a specific plan or program…
Added 6 hours ago
Manager, Commercialization - Energy
Keurig Dr Pepper
Frisco, TX
The Manager Commercialization, Allied Partnerships turns partner plans into in-market results for select Allied Partner brands sold through Keurig Dr Pepper’s (KDP) selling system. Allied…
Added 6 hours ago
Manager, Business Transformation
American Airlines
Fort Worth, TX
The Manager, Business Transformation will serve as an internal consulting partner to Supply Chain leaders, helping turn complex business challenges into clear recommendations, business…
Added 6 hours ago
Sr Manager, Business Transformation
American Airlines
Fort Worth, TX
The Sr Manager, Business Transformation will serve as an internal strategic partner to Supply Chain leaders, helping turn complex business challenges into clear recommendations, business…
Added 7 hours ago
Manager, Retail & Delivery - Appleton Service Center
Rivian
Appleton, WI · Menomonee Falls, WI
…seeking a dynamic and results-oriented Retail and Delivery Manager to help us scale with purpose and precision. As a leader in our field organization, you will drive performance, lead a…
Added 7 hours ago
Manager, Sales & Delivery - Gold Coast Showroom
Rivian
Chicago, IL
…is seeking a dynamic and results-oriented Sales and Delivery Manager to help us scale with purpose and precision. As a leader in our field organization, you will drive performance, lead a…
Added 7 hours ago
Plant Manager
Genpak LLC
Longview, TX
DIRECT REPORTS: Material Scheduling Manager, Production Manager, Process Engineer, Maintenance Manager
Added 8 hours ago
Continuous Improvement / SAP Manager
FXI
Archbald, PA
Job Summary: The Continuous Improvement/SAP Manager will have overall responsibility to drive operational excellence throughout the organization by identifying opportunities, strategizing…
Added 11 hours ago
Business Operations Manager (Onsite)
Cisco Systems, Inc.
San Jose, CA
Evaluates project results against success metrics; develops or reengineers processes and resources to improve productivity and end product
Added 11 hours ago
Boiler Service Development Manager
Mesa Energy Systems, Inc.
Phoenix, AZ
The Boiler Service Development Manager is responsible for the overall growth, profitability, operational performance, and strategic development of Mesa Energy Systems' Boiler Services…
Added 11 hours ago
Preventive Health Data Management Specialist
Finger Lakes Community Health
Remote, United States
Support program functions and administrative tasks as designated by the Preventive Health Program Manager.
Added 11 hours ago
Construction Superintendent
Optimum Energy Co LLC
Rockdale, TX
The Construction Superintendent is the senior field leader for Optimum Energy on the T1 project in Rockdale, Texas. This role reports to the Construction Project Manager and runs major…
Added 12 hours ago
BL
Manager, National Sales Desk
Banner Life family of companies
Frederick, MD
- $109,100 to $145,100 USD / year
The Manager, National Sales Desk is working in close partnership with the VP, Brokerage Distribution and the Regional Vice Presidents, the Manager, National Sales Desk is accountable for…
Added 12 hours ago
Sr. Manufacturing Engineer
Ascend Performance Materials Operations LLC
Pensacola, FL
Achieve annual operating productivity targets by maintaining a unit performance tracking program.
Added 12 hours ago
Associate Product Owner
CCS
Remote, United States
…leadership, relevant stakeholders, and team. Working knowledge of program/project management software…
Added 12 hours ago
A
Administrative Manager
Alluvionic
Port Hueneme, CA
- $55,489 to $74,256 USD / year
Alluvionic is seeking an experienced Administrative Manager to support the Naval Surface Warfare Center, Port Hueneme Division. This position will help keep essential administrative…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Austin, TX, 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