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Added 1 min ago
D&
Client Success Manager, Chicago/Midwest (R-20152)
Dun & Bradstreet
Remote, United States
- $78,400 to $131,700 USD / year
Collaborate with Technical Client Success Managers, Technical Advisory resources or other specialist functions where specialized support is required for technical adoption, integrations,…
Added 2 mins ago
Pharmacy Technician
CVS Pharmacy, Inc.
Lubbock, TX
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
Pharmacy Lead Technician
CVS Pharmacy, Inc.
Crowley, TX
…and guide to the pharmacy team while supporting the Pharmacy Manager and all Pharmacist(s). As an individual contributor and participant-leader, Lead Technicians assist in ensuring that…
Added 2 mins ago
Pharmacy Technician
CVS Pharmacy, Inc.
Haslet, TX
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
Pharmacy Technician
South Carolina CVS Pharmacy, L.L.C.
Columbia, SC
As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing and certification…
Added 2 mins ago
Pharmacy Technician
Oklahoma CVS Pharmacy, L.L.C.
Claremore, OK
As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing and certification…
Added 2 mins ago
Pharmacy Technician
CVS Albany, L.L.C.
Penn Yan, NY
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
Pharmacy Technician
CVS Albany, L.L.C.
Hicksville, NY
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
Pharmacy Technician
North Carolina CVS Pharmacy, L.L.C.
Morganton, NC
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
Pharmacy Technician
North Carolina CVS Pharmacy, L.L.C.
Huntersville, NC
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
Pharmacy Lead Technician
Mississippi CVS Pharmacy, L.L.C.
Walls, MS
…and guide to the pharmacy team while supporting the Pharmacy Manager and all Pharmacist(s). As an individual contributor and participant-leader, Lead Technicians assist in ensuring that…
Added 2 mins ago
Pharmacy Technician
North Carolina CVS Pharmacy, L.L.C.
Charlotte, NC
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
Pharmacy Technician
Mississippi CVS Pharmacy, L.L.C.
Walls, MS
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
Pharmacy Technician
Mississippi CVS Pharmacy, L.L.C.
Pascagoula, MS
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
Pharmacy Technician
CVS Pharmacy, Inc.
Mansfield, MA
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
Pharmacy Technician
Arkansas CVS Pharmacy, L.L.C.
Little Rock, AR
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 2 mins ago
SH
Wellness Coordinator at Cinnamon Park $1000 Sign on Bonus
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- $21 to $23 USD / hour
Must have patience, and enthusiasm as well as the willingness and ability to handle difficult residents
Added 4 mins ago
JH
Manager, Training & Compliance
Johns Hopkins University
Baltimore
- $66,215 to $116,130 USD / year
We are seeking a Manager, Training & Compliance who will lead staff in supporting the mission of the Animal Research & Care of JHU and works to ensure university compliance with federal…
Added 4 mins ago
JH
Research Training & Education Manager (School of Medicine - Central Finance)
Johns Hopkins University
Baltimore
- $75,135 to $131,510 USD / year
The Research Finance at the Johns Hopkins University School of Medicine is seeking a Research Training & Education Manager.
Added 5 mins ago
ANVIL Operations Lead
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…and developing 2-3 direct reports as a Mission IT Ops Section Manager. This dual role offers broad exposure to modern technical disciplines, direct engagement with internal and external…
Added 5 mins ago
RH
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San Francisco, CA
- $40 to $45 USD / hour
We are looking for a Program Manager to support Ads Product Marketing initiatives in San Francisco, California. This Long-term Contract opportunity is ideal for a project and operations…
Added 6 mins ago
RH
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- $24 to $28 USD / hour
Incident Manager II (Network Operations Center) - Day Shift · Schedule: Day Shift, 7:00 AM - 3:30 PM EST
Added 6 mins ago
AD, Product Management
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…adoption. Exceptional communication and influencing skills across technical and business…
Added 9 mins ago
BSC Team Lead
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…operational support to those seeking access to the TRICARE Overseas Program (TOP), responding to inbound calls or contacts from our beneficiaries & providers based around the world, either…
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…project-specific Risk and Hazard mitigation plans, S&H training program, and technical…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Honolulu, HI, 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