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Added 3 mins ago
M
Adoption, Change, and Service Management (ACSM) Consultant - CTJ - Top Secret
Microsoft
United States
- $77,900 to $169,200 USD / year
The Adoption, Change, and Service Management (ACSM) Consultant is a non-technical consulting role focused on helping Microsoft’s Defense customers successfully navigate organizational,…
Added 3 mins ago
M
Senior Construction Project Management
Microsoft
TX · San Antonio, TX · San Antonio
- $116,900 to $222,600 USD / year
…[OSHA], or equivalent) to ensure compliance and aggressive management of risk. Conducts routine safety program, project, and contractor audits, and performs and participates in incident…
Added 3 mins ago
M
Senior Construction Project Management
Microsoft
IL · Chicago, IL · Chicago
- $116,900 to $222,600 USD / year
…[OSHA], or equivalent) to ensure compliance and aggressive management of risk. Conducts routine safety program, project, and contractor audits, and performs and participates in incident…
Added 13 mins ago
G
Program Manager
GPAC
Charlotte, NC
- $90,000 to $125,000 USD / year
3+ years program/project/customer program management in a regulated manufacturing environment
Added 13 mins ago
G
R&D Project Manager
GPAC
Charlotte, NC
- $100,000 to $160,000 USD / year
A medical device manufacturer specializing in injection molded components needs an R&D Project Manager to own customer programs for Class II and Class III medical devices from concept and…
Added 18 mins ago
Cloud Solutions Architect
Rapid Cycle Solutions, LLC
Springfield · Springfield, VA
Technology strategy, portfolio management, lifecycle planning, technical-debt analysis, road mapping, and modernization.
Added 18 mins ago
O
Lead Software Engineer - City
OKC
OKLAHOMA CITY, OK · Oklahoma City, OK
- $39.52 to $60.39 USD / hour
Collaborates with program and project managers to estimate effort, plan resources, and identify technical risks.
Added 24 mins ago
Maintenance Program Manager for Stationary Equipment (Program Manager 1/2)
Los Alamos National Laboratory
Los Alamos, NM
The Maintenance and Site Services Central Execution group (MSS-CE) is a customer-based group As a Facility Maintenance Program Manager, you will play a vital role in safeguarding the…
Added 24 mins ago
Inert Process Engineering First Line Manager (Manufacturing Manager 3)
Los Alamos National Laboratory
Los Alamos, NM
The successful First Line Manager will provide effective personnel management while leading Process Engineering activities. Process Engineering is tasked with the development,…
Added 24 mins ago
Weapons Product Definition Deputy Group Leader (R&D Manager 3)
Los Alamos National Laboratory
Los Alamos, NM
…to partner with the Group Leader in overseeing the group's technical, business, and operational activities. As the DGL, you will work as an integral part of the E-11 Group Office to develop…
Added 24 mins ago
Work Execution Manager (Maintenance Manager 3)
Los Alamos National Laboratory
Los Alamos, NM
As the Work Execution Manager (WEM), you will provide technical leadership and day-to-day management for the Workplace Experience work execution team. This highly visible position requires…
Added 24 mins ago
R&D Engineer 3/4
Los Alamos National Laboratory
Los Alamos, NM
…high-consequence DAQ supported initiatives, requiring solid leadership and project management…
Added 24 mins ago
Postdoctoral Research Associate in Computational Acoustics and Materials Characterization
Los Alamos National Laboratory
Los Alamos, NM
You will communicate progress regularly with your mentor, contribute to technical discussions, and develop an independent research direction within the project. Research products will…
Added 24 mins ago
Project/Program Specialist 1/2
Los Alamos National Laboratory
Los Alamos, NM
The Space Systems Assurance and Implementation (ISR-7) Group is seeking a motivated and collaborative Project/Program Specialist to join our team. Los Alamos National Laboratory's…
Added 24 mins ago
LAB-0P6131.Project/Program Specialist 1
Los Alamos National Laboratory
Los Alamos, NM
LDRD is committed to technical excellence and transparency in all that the program does to advance the Laboratory's technical vitality, mission agility, and workforce development. As a…
Added 24 mins ago
R&D Engineer 3
Los Alamos National Laboratory
Los Alamos, NM
Experience in aspects of project management of technical work, including defining work scope, schedules, budgets, priorities, and performance milestones.
Added 24 mins ago
Manager of Projects 3
Los Alamos National Laboratory
Los Alamos, NM
…programs while mentoring and coaching. Working closely with Project Managers, you will help define the scope of work for each shift and communicate progress, potential obstacles, and…
Added 24 mins ago
Archivist (Library Professional 1/2)
Los Alamos National Laboratory
Los Alamos, NM
…seeks a full-time, onsite archivist to support our Collections Management Team. We are searching for an Archivist (Library Professional 1/2) experienced in and excited about digital…
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Structural Dynamics Engineer (R&D Engineer 2/3)
Los Alamos National Laboratory
Los Alamos, NM
The Test Engineering Group (V-14) is responsible for system level testing that includes project initiation, experimental design and analysis, hardware design and analysis, and fabrication…
Added 24 mins ago
Radiation Protection Team Leader (Radiation Protection Manager 3)
Los Alamos National Laboratory
Los Alamos, NM
Demonstrated experience acting as an advisor to subordinate staff members and/or leading cooperative efforts of project teams addressing facility processes and hazards, including experience…
Added 24 mins ago
Control Account Manager (Science-Engineer Program Manager 2/3)
Los Alamos National Laboratory
Los Alamos, NM
The selected individual will provide vision, strategic and tactical planning, and support the execution and reporting management of a portfolio which consists of complex, technically driven…
Added 24 mins ago
Professional (non-STEM) - Undergraduate Student Intern
Los Alamos National Laboratory
Los Alamos, NM
…is not required. Students pursuing business, professional or technical writing and editing, communications, quality assurance, project management, public administration, or related…
Added 24 mins ago
Senior Microbiologist
Curia
Albuquerque, NM
Working as a core member of the NPI Tech Transfer Team, the SME collaborates closely with Program Management, Operations, Quality, Regulatory, as a member of the customer-facing team,…
Added 24 mins ago
CADD Operator II
Curia
Albuquerque, NM
The CADD Operator II is responsible for leading aspects of the development, management, and coordination of complex technical drawings and design documentation that support engineering,…
Added 24 mins ago
EG
Program Manager
Eliassen Group
Santa Fe, NM
- $75 to $80 USD / hour
Our client seeks a Program Management leader to drive delivery of software that provides business value. The role will supervise and mentor Technical Program Managers and Scrum Masters,…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Providence, RI, United States

This opening has closed.

The original listing is kept below for reference.

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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

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