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 just now
Specialist Project Management
Abbott Point of Care, Inc.
NJ
Career development with an international company where you can grow the career you dream of.
Added 2 mins ago
VR
Epic Ascent Supervisor
Vail Resorts
NV
- $25 to $31.32 USD / hour
The Epic Ascent Supervisor provides frontline leadership for the Epic Ascent Concierge team, supporting the Epic Ascent Manager through daily operational oversight, coaching, and service…
Added 2 mins ago
Principal Aftermarket Technical Product Manager
GE Aerospace
Minden, NV
Portfolio leadership ** Coordinate a portfolio of 10+ products that make up the aftermarket application suite, including ERP Oracle modules such as Service/Depot Repair, Order Management,…
Added 2 mins ago
Executive FLIGHT DECK Leader – RPCA Part Family
GE Aerospace
Minden, NV
…transformation experience as your next step toward a larger plant leadership role, we invite you to explore this opportunity with GE…
Added 2 mins ago
Environmental Program Leader – Hazardous Waste and Dangerous Goods Compliance
GE Aerospace
Minden, NV
The Environmental Program Leader – Hazardous Waste and Dangerous Goods Compliance will provide enterprise leadership, technical expertise, and continuous improvement across hazardous waste…
Added 2 mins ago
INFORMATION TECHNOLOGY SPECIALIST (NETWORK/SYSADMIN)
Air Combat Command
Nellis AFB, NV
…one or more of the fields identified above and required the development or adaptation of applications, systems or networks. (Note: You must submit copies of your transcripts.) OR…
Added 2 mins ago
Manager, Human Resources
CoreCivic
PAHRUMP, NV
The Manager, Human Resources provides facility leadership in areas that include employee relations, employee benefits, safety and health, wage and salary administration, performance…
Added 2 mins ago
Lead Director Product Membership
CVS Health
Remote, United States
In this high-impact leadership role, you will manage a dedicated cross-functional engineering and technical team (comprising Software Development Engineers, Data Engineers, Salesforce…
Added 2 mins ago
Exploration Manager
Turner Mining Group
Winnemucca, NV
…exploration programs, overseeing target generation and project development, and leading a high-performing technical team focused on resource growth and…
Added 2 mins ago
VP, Digital Technology (Consumer)
ACE American Insurance Company
Jersey City, NJ · Philadelphia, PA
Champion the use of AI to optimize the software development lifecycle (SDLC) and to power customer-facing interfaces that enhance the digital experience and make it easier to do business…
Added 2 mins ago
Investment Consultant- Reno, NV
Charles Schwab
Reno, NV
Schwab also supports a “choose your own adventure” approach - empowering you to explore leadership, expanded branch roles, or opportunities across service and support teams. You’ll be…
Added 2 mins ago
MR
Retail Cosmetics Sales Beauty Advisor - Origins, Reno Meadowood - Full Time (TEMP)
MACYS RETAIL HOLDINGS LLC
Reno, NV
- $15 to $22.08 USD / hour
- Full-time
Added 2 mins ago
WC
FINANCIAL ANALYST
Washoe County School District
Reno, NV
- $71,825 USD / year
Added 2 mins ago
MR
Asset Protection Detective, Reno Meadowood - Full Time
MACYS RETAIL HOLDINGS LLC
Reno, NV
- $16.5 to $25.22 USD / hour
- Full-time
Added 2 mins ago
MR
Seasonal Retail At Your Service Associate, Reno Meadowood
MACYS RETAIL HOLDINGS LLC
Reno, NV
- $15 to $19.51 USD / hour
Added 2 mins ago
MR
Retail Sales Associate - Womens Shoes, Reno Meadowood - Full Time
MACYS RETAIL HOLDINGS LLC
Reno, NV
- $15 to $19.51 USD / hour
- Full-time
Added 2 mins ago
Data Analyst-Technical-Staff
Intermountain Health
Carson City, NV
This role supports the development and deployment of data analytics at Intermountain Health. As a Data Analyst-Technical-Staff, you will be part of a team that contributes to strategic…
Added 2 mins ago
PS
Sr. Events Specialist
PSI Services
Carson City, NV
- Up to $80,000 USD / year
…delegated portfolio of events within the PSI global B2B events program – a portfolio spanning seven business programs, approximately 160+ annual events, and seven strategic Tier 1 events…
Added 2 mins ago
Dir. Business Applications
UKG
Carson City, NV
…team connects ESE strategy to execution through portfolio and program leadership, value management, change enablement, and operational…
Added 2 mins ago
Risk Adjustment Strategic Partner
Intermountain Health
Carson City, NV
…actionable clinic and provider opportunities, and spearheads the development of tailored programs that cultivate value-based relationships in healthcare. Collaborating closely with…
Added 2 mins ago
Manager Strategic Risk Adjustment Programs
Highmark Health
Carson City, NV
…metrics design. The incumbent works closely with senior/executive leadership, Physicians and technical staff within the Enterprise and within strategic hospital partners, to identify,…
Added 2 mins ago
C
Solutions Architect – Java
Cognizant
Carson City, NV
- $80,000 to $125,000 USD / year
…and work collaboratively with product management, portfolio leadership, enterprise architecture, and engineering…
Added 2 mins ago
Area Director
Sevita
Carson City, NV
Provide direction, leadership, and supervision of professional and other staff at the program site to carry out operations and ensure quality services to individuals served.
Added 2 mins ago
Network Operations Engineer
Meta
Carson City, NV
Team Leadership: Work with cross-functional teams within and outside the organization to deliver business outcomes predictability across global sites. Analyze operational datasets to detect…
Added 2 mins ago
C
Java Full Stack Engineer with Spring boot/AWS Experience
Cognizant
Carson City, NV
- $86,000 to $99,000 USD / year
Provide technical leadership on cloud-native architectures, microservices, and event-driven solutions to support scalable and secure platforms.

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Concord, NH, 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