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Added 1 min ago
G
Lead Fire Alarm Technician
GPAC
St Augustine, FL
- $60,000 to $90,000 USD / year
Oversee and lead a team of 4 fire alarm technicians on daily service and project activities
Added 2 mins ago
G
Lead Fire Alarm Technician
GPAC
Jacksonville, FL
- $60,000 to $90,000 USD / year
Oversee and lead a team of 4 fire alarm technicians on daily service and project activities
Added 2 mins ago
G
Transportation Engineer
GPAC
Wauwatosa, WI
- $75,000 to $125,000 USD / year
Provide support and project lead for planning, design, and reporting on various transportation projects
Added 3 mins ago
G
Transportation Engineer
GPAC
Eden Prairie, MN
- $75,000 to $125,000 USD / year
Provide support and project lead for planning, design, and reporting on various transportation projects
Added 4 mins ago
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Transportation Engineer
GPAC
Saint Paul, MN
- $75,000 to $125,000 USD / year
Provide support and project lead for planning, design, and reporting on various transportation projects
Added 10 mins ago
MG
Program Coordinator
Massachusetts General Hospital
Charlestown, MA
- $22.22 to $31.71 USD / hour
The Program Coordinator will be responsible for coordinating multiple large-scale program activities and providing administrative support, ensuring operational efficiency and alignment with…
Added 10 mins ago
EC
Associate Manufacturing Engineer
Eaton Corporation
Jonesville, SC
- $59,000 to $86,000 USD / year
Develops and executes communication plans among project/program working groups, associated leadership teams, and other stakeholders.
Added 10 mins ago
EC
Associate Production Supervisor
Eaton Corporation
Sumter, SC
- $71,000 to $105,000 USD / year
The expected annual salary range for this role is $71000 - $105000 a year. This position is also eligible for a variable incentive program.
Added 10 mins ago
Manufacturing Systems and Simulation MP&P Engineer
The Boeing Company
North Charleston, SC
…support multiple programs across Boeing’s platforms. We also lead non-program specific research and development efforts for our government customers in alignment with External Technical…
Added 11 mins ago
Lead Inspection Engineer - AMRT
GE Vernova
Greenville, SC
As a Lead Inspection Engineer within the Advance Manufacturing and Repair Technologies (AMRT) Inspection Team, you will develop and deploy inspection and measurement solutions that support…
Added 11 mins ago
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Program Manager
Eliassen Group
Columbia, SC
- $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,…
Added 12 mins ago
CONTRACT MANAGER
City of New York
New York, NY
…administrative experience in one or more of the following fields: program evaluation, contract negotiation/management, fiscal/financial management, or project management;…
Added 12 mins ago
Executive Director, Clean Energy and Innovation
City of New York
New York City, NY
- Operations Oversight: Lead the team to accomplish projects, plans and goals. Provide supervisory technical, budgetary, and procedural standards, including assessing project feasibility…
Added 12 mins ago
Engineer-In-Charge
City of New York
New York City, NY
Reporting to the Deputy Director, you will direct field engineering and construction management operations from contract award through closeout. You will lead a dedicated project team…
Added 13 mins ago
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Transportation Construction Project Manager
GPAC
Belleville, WI
- $79,081 to $125,530 USD / year
Lead construction-phase services for roadway and infrastructure projects as the on-site project lead
Added 14 mins ago
Sr. Computational Scientist/Engr.
Triton Systems, Inc.
Chelmsford, MA
…academic and industry collaborators, and work closely with a program manager to plan and execute project objectives that directly contribute to national security supporting the Department…
Added 17 mins ago
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Transportation Construction Project Manager
GPAC
Cedarburg, WI
- $79,081 to $125,530 USD / year
Lead construction-phase services for roadway and infrastructure projects as the on-site project lead
Added 17 mins ago
Healthcare IT Infrastructure & Clinical Applications Consultant
Deloitte
Kansas City, MO
…travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term,…
Added 17 mins ago
Healthcare IT Infrastructure & Clinical Applications Consultant
Deloitte
Saint Louis, MO
…travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term,…
Added 20 mins ago
Housing Services Lead- Boise 23rd
Terry Reilly Health Services
Boise, ID
Added 20 mins ago
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Sustainability Lead- Emission
Micron Technology, Inc.
Boise, ID
- $111,000 to $190,000 USD / year
Excellent communication and project management skills with the ability to manage multiple priorities in a fast-paced environment.
Added 20 mins ago
EG
Program Manager
Eliassen Group
Boise, ID
- $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,…
Added 26 mins ago
HVAC Engineer
CBRE
Foley, AL
…serving, valuations); Building Operations & Experience (facilities management, property management, flex space & experience); Project Management (program management, project management,…
Added 26 mins ago
Sustainment Financial Analyst (P2) *HYBRID*
RTX Corporation
huntsville, AL
…to the Sustainment Business Manager. You will serve as the lead for active contracts. You will be a strategic business partner to the program functional teams; responsible for financial…
Added 26 mins ago
Senior Business Analyst
Intuitive Research and Technology Corporation
Huntsville, AL
Project Management Resource Tools (PMRT), Program Data Alignment Application (PDAA), and Major Acquisition Review (MAR) experience.

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Santa Fe, NM, 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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