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Added 8 mins ago
J
Lead Technical Program Manager
Jobgether
Remote, United States
- $116,000 to $125,000 USD / year
As Lead Technical Program Manager, you will drive the successful delivery of complex customer software implementations across Product, Design, Data, and Engineering teams.
Added 19 mins ago
Internal Audit & Risk Manager (SOX Focus)
Baker Tilly Advisory Group, LP
United States
If yes, consider joining Baker Tilly (BT) as an Internal Audit & Risk Manager (SOX Focus)! Our Risk Advisory practice provides a full spectrum of services to help our clients assess their…
Added 34 mins ago
ConvergeHEALTH - Health Care Analytics and AI Senior Product Owner_Products & Platforms
Deloitte
Kansas City, MO
In this role, you will work closely with a Product Manager to translate business priorities into executable product requirements, coordinate delivery with engineering and data teams, and…
Added 34 mins ago
ConvergeHEALTH - Health Care Analytics and AI Senior Product Owner_Products & Platforms
Deloitte
Saint Louis, MO
In this role, you will work closely with a Product Manager to translate business priorities into executable product requirements, coordinate delivery with engineering and data teams, and…
Added 37 mins ago
J
Staff/Senior Staff Technical Program Manager, Federal
Jobgether
Remote, United States
- $220,000 to $260,000 USD / year
We are seeking an experienced Staff/Senior Staff Technical Program Manager to lead complex technical programs supporting federal, government, and national security initiatives. In this…
Added 37 mins ago
J
Senior Project Manager (Corporate Events & Experiences Planner)
Jobgether
Remote, United States
- $95,166 to $123,716 USD / year
As a Senior Project Manager, you will lead the planning and delivery of high-impact corporate events, conferences, and brand experiences.
Added 45 mins ago
Scheduler
CACI, INC.-FEDERAL
Remote, United States
…scheduling activities, coordinating the execution of production and program schedules, optimizing resources, and providing leadership to a team supporting mission-critical program…
Added 58 mins ago
CO
Adaptive Planning & Source Protection Manager (Environmental Regulatory Manager)
City of Portland
Portland, OR
- $136,884.8 to $193,086.4 USD / year
Lead the development and management of consultant contracts, ensuring effective delivery of technical services and project implementation related to water resource protection, water demand…
Added 1 hour ago
EE
Electrical Construction Senior Project Manager
EC Electric
Portland, OR
- $135,000 to $185,000 USD / year
The Low Voltage Senior Project Manager leads the planning, execution, and successful delivery of complex low voltage systems projects, including structured cabling, access control, video…
Added 1 hour ago
Lead Seamstress
David's Bridal
Buffalo, NY
…the high standards of David’s Bridal and reports to the Store Manager. S/he is responsible for exemplifying friendly, knowledgeable, and technical expertise and providing superior customer…
Added 1 hour ago
Project Manager
Metrea
Temecula, CA · Tampa, FL
We are seeking a Project Manager to serve as the primary execution partner supporting a strategic US customer. Embedded within the customer environment, this role is responsible for…
Added 1 hour ago
Senior Implementation Lead
Jobgether
Remote, United States
…relationship management with hands-on platform configuration, technical problem-solving, and delivery oversight. Working closely with project teams and account management, you will drive…
Added 1 hour ago
Construction Manager I
DVJ Consulting Engineers
Los Angeles, CA
…enforcement of compliance with the contract documents, scheduling, technical support, and on-site management of construction…
Added 1 hour ago
Construction Manager II
DVJ Consulting Engineers
Los Angeles, CA
…enforcement of compliance with the contract documents, scheduling, technical support, and on-site management of construction…
Added 2 hours ago
Channel Marketing Specialist
Drucker Diagnostics
Port Matilda, PA
Work with the Marketing Manager to translate strategic partner priorities into defined channel enablement plans and MarCom deliverables.
Added 2 hours ago
Channel Marketing Specialist
Drucker Diagnostics
State College, PA
Work with the Marketing Manager to translate strategic partner priorities into defined channel enablement plans and MarCom deliverables.
Added 2 hours ago
BD Support Senior Manager
Jobgether
Remote, United States
This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a BD Support Senior Manager based in the United States.
Added 2 hours ago
HC
Elections Program Manager - Ballot Programming (Internal Elections department applicants only)
Hennepin County
Minneapolis, MN
- $70,158.95 to $111,224.12 USD / year
Hennepin County’s Elections department is seeking an Election Program Manager specializing in ballot programming. This candidate will perform essential administrative tasks to administer…
Added 2 hours ago
Sr Project Manager - AI Data Centers
Jacobs
North Miami Beach, FL · Orlando, FL
…network operations, cloud transformation, or technology product delivery. Applicants with predominantly IT Program Manager, Technical Program Manager, Software Project Manager, or…
Added 2 hours ago
Senior Manager - Materials, Planning & SIOP (Onsite)
Collins Aerospace
Hollywood, FL
U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.
Added 2 hours ago
BT
Transit Maintenance Manager
Blacksburg, Town of (VA)
Blacksburg, VA
- $31.91 to $34.54 USD / hour
The Transit Maintenance Manager performs complex technical and administrative work, including planning, directing, coordinating, and supervising maintenance services for vehicles,…
Added 2 hours ago
Principal Technical Program Manager, Payload SW
Amazon Kuiper Manufacturing Enterprises LLC
Sunnyvale, CA · Redmond, WA
The Leo team is looking for a Principal Technical Program Manager with stronge experience in wir3eless communications/networking and embedded software, project management, and program…
Added 3 hours ago
EP
Financial Services Program Manager
El Paso County (CO)
Colorado Springs, CO
- $72,850 to $109,330 USD / year
El Paso County’s Financial Services Program Manager role offers the opportunity to put those strengths to work for our community. You’ll help build out the Community Services Block Grant…
Added 3 hours ago
Scheduler
CACI
Remote, United States
…scheduling activities, coordinating the execution of production and program schedules, optimizing resources, and providing leadership to a team supporting mission-critical program…
Added 3 hours 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…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Trenton, NJ, 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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