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Added 1 min ago
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Senior HVAC Project Manager
GPAC
Bakersfield, CA
- $100,000 to $135,000 USD / year
We’re seeking a Senior Commercial HVAC Project Manager to lead complex mechanical projects from start to finish.
Added 1 min ago
G
Senior HVAC Project Manager
GPAC
San Francisco, CA
- $100,000 to $135,000 USD / year
We’re seeking a Senior HVAC Project Manager to lead complex mechanical projects from start to finish.
Added 1 min ago
G
Senior HVAC Project Manager
GPAC
Los Angeles, CA
- $100,000 to $135,000 USD / year
We’re seeking a Senior HVAC Project Manager to lead complex mechanical projects from start to finish.
Added 2 mins ago
MCU Offshore Project Manager
GE Vernova
Unspecified, MA
…exchanges on offshore wind turbines. As the Offshore MCU Project Manager, you'll take on a strategic leadership role overseeing the full lifecycle of heavy corrective maintenance projects -…
Added 2 mins ago
LPN - Outpatient, Merrimack Valley Internal Medicine, Chelmsford MA
Tufts Medicine
North Chelmsford, MA
…and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired…
Added 2 mins ago
MRI Technologist $20K Sign-On Incentive
Dana-Farber Cancer Institute
CHESTNUT HILL, MA
Working under the direction of the MRI Manager, MRI Supervisor, and MRI Clinical Director, the MRI technologist is responsible for performing all technical procedures within MRI as…
Added 2 mins ago
Executive Director, Case Management
Beth Israel Lahey Health
Charlestown, MA
…and operational leadership for the enterprise Case Management program across all Beth Israel Lahey Health (BILH) facilities. This role will lead the transformation of Case Management…
Added 2 mins ago
GH
Occupational Therapist (OT)
Genesis Healthcare
New Bedford, MA
- $40 to $48 USD / hour
You're equally adept at addressing the whole patient and seeing them as an individual. You know your goal is the design of a program that will restore, reinforce, and enhance their physical…
Added 2 mins ago
Senior Manager - Strategy Analysis (Hybrid)
RTX Corporation
woburn, MA
As the Senior Manager of Strategy , you will lead comprehensive market, competitive, and financial analyses that inform the development and execution of Raytheon’s strategic initiatives. In…
Added 2 mins ago
FM
RN Clinical Implementation Specialist
Fresenius Medical Care
Waltham, MA
- $79,000 to $133,000 USD / year
The Clinical Services Initiatives Manager plays a critical role in coordinating and facilitating the successful implementation of enterprise clinical initiatives across Fresenius Kidney…
Added 2 mins ago
Sr Sales Training Manager - East Coast Remote
ThermoFisher Scientific
Cambridge, MA · Waltham, MA
The Sr Manager, Sales Training will be a part of the Pharma Services Group Sales Training team in the Commercial Operations Group. This individual will share responsibilities for the…
Added 2 mins ago
DevOps Engineer III
Deloitte
Boston, MA
…Engineering Foundry, AI & E/EaaS - DevOps, you will support the design, implementation, and optimization of cloud, automation, and platform engineering solutions across complex…
Added 2 mins ago
Life Sciences CRM Global Delivery Lead
Deloitte
Boston, MA
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors,…
Added 2 mins ago
Advanced Specialist, Portfolio Management (Enterprise Learning)
Pearson
Boston, MA
…offerings at an important point in their evolution. As Portfolio Manager for Knowledge Suite and Pearson Live Training, you will help position these products at the center of enterprise…
Added 2 mins ago
T
M365 Support Engineer
TEKsystems
Boston, MA
- $40 to $55 USD / hour
…keep at 40 hours) They will be on call every other week. The manager said about 98% of their time will be during core business…
Added 2 mins ago
G
Senior HVAC Project Manager
GPAC
Los Angeles, CA
- $100,000 to $135,000 USD / year
We’re seeking a Senior HVAC Project Manager to lead complex mechanical projects from start to finish.
Added 2 mins ago
Senior ALC Developer
Maximus
Boston, MA
Design and implement complex software components and perform advanced programming tasks across multiple technologies.
Added 2 mins ago
C
Program Manager, RES (Risk Engineering Solutions)
CBRE
Boston, MA
- $105,000 to $125,000 USD / year
CBRE is seeking a detail-oriented Program Manager to supportproject planning, management, and execution activities for Amazon's GlobalBuilding Design Risk & Recovery (GBDR) organization,…
Added 2 mins ago
Medication Safety Coordinator
Beth Israel Lahey Health
Boston, MA
Leads medication safety projects related to the design, implementation, and improvement of processes and systems that promote pharmacy safety, quality and compliance in collaboration with…
Added 2 mins ago
C
Program Manager, RES (Risk Engineering Solutions)
CBRE
Boston, MA
- $105,000 to $125,000 USD / year
CBRE is seeking a detail-oriented Program Manager to supportproject planning, management, and execution activities for Amazon's GlobalBuilding Design Risk & Recovery (GBDR) organization,…
Added 2 mins ago
OneStream Lead Analytics and Insights Engineer II Manager
Deloitte
Boston, MA
As a Manager, Technical Transformation on the Business Finance team, you will be responsible for leading the design, integration, and architectural governance of OneStream solutions that…
Added 2 mins ago
G
Senior HVAC Project Manager
GPAC
San Diego, CA
- $100,000 to $135,000 USD / year
We’re seeking a Senior HVAC Project Manager to lead complex mechanical projects from start to finish.
Added 2 mins ago
C
Data Analytics Program Mgr - Business Intelligence
CBRE
Boston, MA
- $120,000 to $135,000 USD / year
DataAnalytics Program Manager - Business Intelligence
Added 2 mins ago
Investment Management & Trust Operations Senior Manager
Deloitte
Boston, MA
Enterprise Operations & Risk - Investment Management and Trust Operations Senior Manager
Added 2 mins ago
Manager, Enterprise Communications & Channels
Amentum
Boston, MA
The Manager, Enterprise Communications & Channels is responsible for developing and delivering employee communication programs that inform, engage, and connect employees to Amentum's…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Annapolis, MD, 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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