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Added 2 mins ago
Director, Partner Technical Integrations - Rentals
Bilt Rewards
NY
…or forward-deployed engineer than a back-office integrations manager. You’ll sit between partner asks and our product and engineering teams and translate in both directions, so partners get…
Added 3 mins ago
MQ-25 Platform Structures Senior Manager
The Boeing Company
St. Louis City, MO
The Boeing Defense, Space & Security (BDS) team has an exciting opportunity for a Platform Structures Senior Manager to join Air Dominance, specifically the MQ-25 program in St. Louis, MO.
Added 3 mins ago
Mid-Level Factory Automation Support Integration Specialist
The Boeing Company
Berkeley, MO
This position will report to the AUSS Senior Manager in Boeing Global Services Support Equipment.
Added 3 mins ago
Senior Industrial Engineering Team Lead
The Boeing Company
Berkeley, MO
Boeing Defense, Space & Security (BDS) has an exciting opportunity for a Senior Industrial Engineering Team Lead to join our F-15 Production Engineering team in Berkeley, MO.
Added 3 mins ago
Manufacturing Engineers (Mid or Senior Level)
Boeing Aerospace Operations
Jacksonville, FL
Boeing Global Services (BGS) Engineering & Operations Production Engineering Organization is currently hiring for a broad range of experience levels including Manufacturing Engineers (Mid…
Added 5 mins ago
Manager, EHR Platform Operations
The University of Texas at Austin
AUSTIN, TX
The Manager, EHR Platform Operations, provides operational leadership, governance, and technical program management for the Epic platform across production and non-production environments.…
Added 5 mins ago
MW
Rooms Operation Supervisor
Marriott Winston - Salem
Winston-Salem, NC
- $18 USD / hour
You will report to the Laundry Manager or Director of Rooms.
Added 6 mins ago
TL
Senior Bridge Structural Engineer
The LiRo Group
New York, NY
- $155,000 to $180,000 USD / year
Come join our team. LiRo-Hill is a 1,100-person multidisciplinary firm providing engineering, construction management, environmental, architectural, and program management services. Ranked…
Added 6 mins ago
Senior Staff AI Engineer
Zscaler
Santa Clara, CA
We are looking for a Senior Staff AI Engineer to join our Information Technology Artificial Intelligence and Machine Learning Engineering team, reporting directly to the Senior Manager, AI…
Added 6 mins ago
AB
Consultant II, Senior
American Bureau of Shipping
Remote, United States
- $110,000 to $120,000 USD / year
The Senior Marine Consultant provides advanced technical expertise and project leadership for marine and offshore consulting engagements to ensure quality services are delivered on schedule…
Added 7 mins ago
MQ-25 Platform Structures Senior Manager
The Boeing Company
St. Louis City, MO
The Boeing Defense, Space & Security (BDS) team has an exciting opportunity for a Platform Structures Senior Manager to join Air Dominance, specifically the MQ-25 program in St. Louis, MO.
Added 7 mins ago
Mid-Level Factory Automation Support Integration Specialist
The Boeing Company
Berkeley, MO
This position will report to the AUSS Senior Manager in Boeing Global Services Support Equipment.
Added 7 mins ago
Fiduciary Value Stream Leader
MMC Corporate
New York, NY
All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week
Added 8 mins ago
TIG Liaison
LEIDOS, INC.
Odenton, MD
DoD 8570 CSSP-A level Certification such as CEH, CySA+, GCIA or other certification is required within 180 days of hire · Must have an active DoD Secret security clearance and be able to possess a Top-Secret w/ SCI clearance
Added 8 mins ago
Software Engineer Intern
Unisys Corporation
Eagan, MN
Performs work assignments under the direction of a supervisor, manager or senior-level associate.
Added 8 mins ago
Assistant Project Manager - Governmental
Caddell Construction
Montgomery, AL
Must have the ability to withstand confined spaces and or/extreme heights while negotiating tasks at hand in a safe manner to themselves and/or others
Added 9 mins ago
Associate Director, Merchandise Planning
Brilliant Earth
Remote, United States
…Planning function and the team behind it. Reporting to the Senior Director of Merchandising, you'll own forecasting, open-to-buy, and inventory strategy across every category and function,…
Added 10 mins ago
Senior Associate, Integration/Test Engineering
L3Harris Technologies
Alpharetta, GA
We are seeking a Senior Associate, Integration & Test Engineering to develop, sustain, and improve PCB assembly test solutions using SPEA flying-probe systems and JTAG Technologies…
Added 13 mins ago
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Project Manager
Actalent
Carson, CA
- $40 to $44 USD / hour
Job Title: Project Manager Product Development (Furniture)Job DescriptionThis Project Manager role sits within the Product Development team in the Furniture category and focuses on driving…
Added 13 mins ago
Program Manager II - Devices Beta, Amazon Devices Beta
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Sunnyvale, CA · Seattle, WA
The ADB Team needs an experienced Program Manager to help us build and execute programs to validate the customer experience during the product development cycle. You will work with end…
Added 15 mins ago
Sr Director, BSMO Disease Area Lead - Immunology Disease Strategy Team
Vertex Pharmaceuticals Inc (US)
Boston, MA
The Senior Director, BSMO Immunology Disease Area Lead represents BSMO on the Immunology Disease Strategy Team (DST). The incumbent provides strategic and operational leadership for all…
Added 17 mins ago
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Cyber Security Engineer
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- $113,000 to $188,000 USD / year
Our Cybersecurity Consultants combine business integration, engineering, and industry experience to help federal clients address complex security challenges from strategy through execution.…
Added 19 mins ago
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AMER Algo Product Manager
Nomura Holdings, inc.
New York, NY
- $225,000 to $250,000 USD / year
…investments. The successful candidate will work closely with senior stakeholders, trading functions, quants, strats and development teams to drive product innovation and enhancement to the…
Added 23 mins ago
Lead Site Reliablity Engineer
Conga
Remote, United States
Reports to: Senior Manager, Site Reliability Engineering
Added 24 mins ago
Aviation Weapons Portfolio Requirements Manager
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Hudson, NH
…Precision Strike (PS) Business Area, has an immediate opening for a Senior Principal Systems Engineer that is well versed in the overall Systems Engineering process and associated phases of…

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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Jobs in the United States