Jobs in the United States

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Added 1 min ago
Principal Transmission Engineer
WESTWOOD PROFESSIONAL SERVICES INC
Overland Park, KS
…This role is primarily responsible for supervising a staff of technical designers and engineers responsible for the development of engineering designs, cost estimates, and communication of…
Added 1 min ago
Principal Transmission Engineer
Westwood Professional Services Inc
United States
…This role is primarily responsible for supervising a staff of technical designers and engineers responsible for the development of engineering designs, cost estimates, and communication of…
Added 1 min ago
Principal Transmission Engineer
Westwood Professional Services Inc
United States
…This role is primarily responsible for supervising a staff of technical designers and engineers responsible for the development of engineering designs, cost estimates, and communication of…
Added 1 min ago
Principal Transmission Engineer
Westwood Professional Services Inc
United States
…This role is primarily responsible for supervising a staff of technical designers and engineers responsible for the development of engineering designs, cost estimates, and communication of…
Added 1 min ago
WP
Principal Transmission Engineer
WESTWOOD PROFESSIONAL SERVICES INC
West Henrietta, NY
- $140,000 to $180,000 USD / year
…This role is primarily responsible for supervising a staff of technical designers and engineers responsible for the development of engineering designs, cost estimates, and communication of…
Added 2 mins ago
Case Manager FCYS
MarSell Wellness Center
San Diego, CA
The Case Manager will support clients in custody within a Foster Family Agency by coordinating services, maintaining case files, and facilitating communication between stakeholders. This…
Added 2 mins ago
Certified Medical Assistant (CMA) - Urgent Care - Staples Mill
Bon Secours Mercy Health
Richmond, VA
A Career and technical education health sciences program approved by the South Carolina Department of Education
Added 2 mins ago
Orthopedic Technician - Orthopedics
Providence
Eureka, CA
Coursework/Training: Completion of an accredited orthopedic technical training program.
Added 3 mins ago
Associate Manager, New Concepts (Product Development)
HelloFresh
Boulder, CO · NY
This means a minimum of 2 days in office per week, with most teams in office between 2-3 days a week
Added 3 mins ago
S/
Senior Director, Investor Relations & Treasury
Savers / Value Village
Bellevue, WA
- $192,497 to $288,746 USD / year
…advisor to executive leadership and leads an Investor Relations Manager and the Treasury team, including a Senior Treasury Manager and two Treasury…
Added 4 mins ago
Vice President, Talent Acquisition - Product Engineering
Thomson Reuters Holdings Inc.
NY · Frisco, TX · Ann Arbor, MI · Eagan, MN
…the AI, engineering, research, and other highly competitive technical talent critical to Thomson Reuters’…
Added 4 mins ago
EC
Senior Technical Project Manager
Evolver Commercial
SF, CA
- $175,000 to $190,000 USD / year
Evolver is seeking an experienced Senior Technical Project Manager to lead strategic, cross-functional programs across Technology Operations. This role will support programs spanning Cloud…
Added 7 mins ago
Staff Full Stack Product Engineer
LearnLux
CO
…Certified Financial Planner™️ professionals. Our award-winning program helps employees navigate critical financial decisions from budgeting and benefits elections to equity compensation,…
Added 7 mins ago
Digital Preservation Manager
Brigham Young University
Provo, UT
The Digital Preservation Manager is responsible for the long-term preservation and authenticity of the library’s digital objects. This includes developing policies and processes for the…
Added 9 mins ago
Manager Identity & Access Management Operations
UBLIC SERVICES, INC.
Phoenix, AZ
This candidate will be required to work onsite 4-days per week, with the option to work 1-day per week remote
Added 10 mins ago
Marketing Manager
Brunswick Corporation
Fond du Lac, WI
Lead Mercury Marine Canada's sponsorship and tournament strategy, including program governance, partner selection, budget management and ROI measurement.
Added 10 mins ago
FB
Freedom Boat Club - Dock Experience Manager at Savannah Thunderbolt & Hutchinson Island
Freedom Boat Club LLC
Thunderbolt, GA · Savannah, GA
- $20 USD / hour
As part of the talented Freedom Boat Club Operations team, the Dock Experience Manager serves as the primary leader at the location level to ensure consistent delivery of remarkable member…
Added 10 mins ago
Logistic Support Analyst I
CAE USA Inc
Arlington, TX
Interface with Logistics Manager, Program Managers, Project Engineers and other design/system engineers.
Added 11 mins ago
Wireless Sales Manager - W1524
OSL Retail Services Inc
CHESTER, VA
…the nation - and we're looking for an exceptional Wireless Manager like you! As a crucial part of our team, you will spearhead operations at your location, ensuring the seamless delivery of…
Added 11 mins ago
Wireless Sales Manager - W1424
OSL Retail Services Inc
COLONIAL HEIGHTS, VA
…the nation - and we're looking for an exceptional Wireless Manager like you! As a crucial part of our team, you will spearhead operations at your location, ensuring the seamless delivery of…
Added 11 mins ago
Wireless Sales Manager - W1486
OSL Retail Services Inc
FARMVILLE, VA
…the nation - and we're looking for an exceptional Wireless Manager like you! As a crucial part of our team, you will spearhead operations at your location, ensuring the seamless delivery of…
Added 12 mins ago
IT Manager, Data and Development
City of Arlington
United States
Under general supervision, the IT Supervisor – Data and Development provide leadership, strategic oversight, and technical expertise for the organization’s Enterprise GIS, data management,…
Added 13 mins ago
BH
Practice Group Manager
BEHAVIORAL HEALTH PRACTICE SERVICES LLC.
BREA, CA · CLAREMONT, CA
- $80,000 to $92,000 USD / year
…leave, paid time off, holiday pay and an Employee Assistance…
Added 13 mins ago
Field Fleet Services Manager - Pipeline
Primoris Services Corporation
Primoris Houston, TX · Belton, TX · Primoris Baton Rouge, LA
The Fleet Field Services Manager – Pipeline leads field fleet service for Primoris Pipeline projects. The role manages the field mechanics, service writers and parts personnel who keep…
Added 13 mins ago
Project Surveyor
Primoris Pipeline, Inc.
Houston, TX
…firm representative, contact the Primoris Talent Acquisition Manager directly for consideration. Primoris or its subsidiaries will not be responsible for any fees arising from the use of…

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.

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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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Jobs in the United States