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Added 5 mins ago
OEM Program Manager
DealerOn
Remote, United States
The OEM Program Manager is responsible for interactions with our OEM program Partners to keep OEM programs on task. Works as liaison between Marketing and Development teams to identify…
Added 10 mins ago
Store Manager - Mall of America
UNTUCKit
Bloomington, MN
We are looking for a Retail Store Manager to lead our store in our Mall of America store. This role is built for a sales-driven leader who thrives on building client relationships,…
Added 14 mins ago
MG
LPN Collaborative Care Model (CoCM) Behavioral Health Care Manager
MedElite Group, LLC.
Hollywood, FL
- $64,000 to $70,000 USD / year
Infinite Medical P.C. is seeking a dedicated Licensed Practical Nurse (LPN) to serve as a Behavioral Health Care Manager within our Collaborative Care Model (CoCM) program.
Added 18 mins ago
Shift Manager
Sonic
Oklahoma City, OK
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Added 24 mins ago
Entry-Level Lube Tech
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…potential, you’ll find it all at VIOC. With an award-winning training program and fair and honest values, we’re here to help you reach every…
Added 24 mins ago
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Retail Front End Supervisor - Full-Time
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Carson City, NV
- $14.75 to $16.75 USD / hour
- Full-time
Supervise all store functions and associates while in the role of Manager on Duty
Added 41 mins ago
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Restoration Operations Manager
GPAC
Kennewick, WA
- $75,000 to $100,000 USD / year
A well-established property restoration company in Kennewick, Washington is hiring a Restoration Operations Manager to run day-to-day production across water mitigation, fire and smoke,…
Added 41 mins ago
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Restoration Operations Manager
GPAC
Everett, WA
- $75,000 to $100,000 USD / year
A well-established property restoration company in Everett, Washington is hiring a Restoration Operations Manager to run day-to-day production across water mitigation, fire and smoke, mold,…
Added 45 mins ago
6533 - Store Manager
Hat World Inc.
Tampa, FL
Lead and monitor your store’s ongoing training strategy, including training non-Keyholders, process changes, promotions or job changes, and new programs or initiatives.
Added 45 mins ago
9285 - Assistant Store Manager PT
Hat World Inc.
Buford, GA
Manage store associates through thorough use of LIDS Training Programs, goal setting (for sales and tasks), and regular follow-up when Store Manager is not present.
Added 45 mins ago
5867 - Store Manager
Hat World Inc.
Novi, MI
Lead and monitor your store’s ongoing training strategy, including training non-Keyholders, process changes, promotions or job changes, and new programs or initiatives.
Added 50 mins ago
Security Operations Technical Program Manager
Waymo
Tempe, AZ
Lead Security Operations Programs: Lead, plan, and execute strategic program initiatives for the Global Security Operations team.
Added 52 mins ago
Operation Manager
WM
Fairview, NJ
Successful completion of the WM Operations Manager Trainee program
Added 52 mins ago
ER
Property Claims Team Manager
EVEREST REINSURANCE COMPANY
Warren, NJ
- $156,000 to $225,000 USD / year
…Re Group, is looking for an experienced Property Claims Team Manager to join our Property Claims team to provide supervision to Claim Professionals and directly handle the largest, most…
Added 52 mins ago
Sustainment Project Manager
Lockheed Martin
Moorestown, NJ
The Logistics Project Manager (LPM), will lead a cross-functional team consisting of supply chain, repair depot, training, technical documentation, DMSMS and logistics analyses and modeling…
Added 52 mins ago
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B2B Paid Media & Performance Associate
Auto Truck Group LLC
Mount Laurel, NJ
- $72,950 to $103,955 USD / year
Build, launch, manage, and optimize campaigns across Google Ads, LinkedIn Campaign Manager, Display, Video, Programmatic, CTV/OTT, and emerging digital advertising platforms.
Added 52 mins ago
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Retail Front End Supervisor - Full-Time
Burlington
Princeton, NJ
- $17.92 to $19.92 USD / hour
- Full-time
Supervise all store functions and associates while in the role of Manager on Duty
Added 56 mins ago
Manager, Supplier Development Engineering
SpaceX
Cape Canaveral, FL
This is a hands-on leadership role. The manager will build and direct complex, multi-disciplinary teams, develop engineers from entry level through seasoned staff, and move ambiguous…
Added 58 mins ago
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Counter Sales Tech Lead
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- $28 to $38 USD / hour
Collaborate with the General Manager on inventory needs and customer product feedback
Added 58 mins ago
Territory Sales Manager - Great Plains
CropX
Remote, United States
CropX, a globally recognized AgTech company is looking for a highly motivated person to serve as Territory Manager over its dealer network in the key growth area of Western Midwest and PNW…
Added 58 mins ago
Territory Sales Manager - Great Plains
CropX
Remote, United States
CropX, a globally recognized AgTech company is looking for a highly motivated person to serve as Territory Manager over its dealer network in the key growth area of Western Midwest and PNW…
Added 58 mins ago
Territory Sales Manager - Great Plains
CropX
Remote, United States
CropX, a globally recognized AgTech company is looking for a highly motivated person to serve as Territory Manager over its dealer network in the key growth area of Western Midwest and PNW…
Added 58 mins ago
Territory Sales Manager - Great Plains
CropX
Remote, United States
CropX, a globally recognized AgTech company is looking for a highly motivated person to serve as Territory Manager over its dealer network in the key growth area of Western Midwest and PNW…
Added 58 mins ago
Territory Sales Manager - Great Plains
CropX
Remote, United States
CropX, a globally recognized AgTech company is looking for a highly motivated person to serve as Territory Manager over its dealer network in the key growth area of Western Midwest and PNW…
Added 58 mins ago
Territory Sales Manager - Great Plains
CropX
Remote, United States
CropX, a globally recognized AgTech company is looking for a highly motivated person to serve as Territory Manager over its dealer network in the key growth area of Western Midwest and PNW…

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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