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Added 1 min ago
MT
Program Manager II, Source to Pay - Value Optimization
Micron Technology, Inc.
Boise, ID · San Jose, CA
- $113,000 to $254,000 USD / year
The Program Manager II, Source to Pay - Value Optimization owns the business value layer of the S2P Reimagined program and serves as the business owner and single point of contact for…
Added 10 mins ago
KT
Project Manager Retail Channel Programs
KYT TECHNOLOGY INC
Walnut, CA
- $65,000 to $90,000 USD / year
We are building a major program to bring private-label consumer electronics products - developed with our China supply chain partners - into large US big-box retail chains, both in-store…
Added 14 mins ago
Technical Project Manager III
WESTERN GOVERNORS UNIVERSITY
SALT LAKE CITY, UT
Added 14 mins ago
Manager, Design and Development
WESTERN GOVERNORS UNIVERSITY
SALT LAKE CITY, UT
Added 14 mins ago
Planning Project Manager
Utah Transit Authority
SALT LAKE CITY, UT
Added 14 mins ago
Engineering Manager
MOOG INC
SALT LAKE CITY, UT
Moog is a performance culture that empowers people to achieve great things. Our people enjoy solving interesting technical challenges in a culture where everyone trusts each other to do the…
Added 27 mins ago
Delivery Management Engineer III
Deloitte
Kansas City, MO
As a Delivery Management Engineer III, you will have hands-on technical skills as well as program and project management experience to drive technical projects and programs working directly…
Added 27 mins ago
Delivery Management Engineer III
Deloitte
Saint Louis, MO
As a Delivery Management Engineer III, you will have hands-on technical skills as well as program and project management experience to drive technical projects and programs working directly…
Added 36 mins ago
Assistant Nurse Manager - Patient Flow & Resource Pool
Veterans Affairs, Veterans Health Administration
Hines, IL
Added 37 mins ago
Senior Manager Ops Product Delivery
United Airlines
Arlington Heights, IL
The Sr Manager - Ops Product Delivery leads a team of change and delivery professionals, either full time or contractors, responsible for the design, delivery and adoption of new products…
Added 53 mins ago
Plant Manager- Automobile
Cesna Recruitment
Cusseta, AL
· Production & Program Management: Ensure assembly lines meet customer delivery schedules, support new product launches (APQP), and maintain inventory control.
Added 54 mins ago
Program/Project Manager, bilingual in Korean
Cesna Recruitment
Troy, MI
o Own and manage assigned programs across the full product lifecycle, including program award, development, supplier selection, launch, series production, post-production performances and…
Added 54 mins ago
Automotive Program Manager (Bilingual in Korean)
Cesna Recruitment
Troy, MI
o Own and manage assigned programs across the full product lifecycle, including program award, development, supplier selection, launch, series production, post-production performances and…
Added 1 hour ago
Senior Program Manager, Amazon Flex BOSS
Amazon
Bellevue, WA
…to driving an improved experience for Amazon customers and Delivery Partners. As a Program Manager for NA Flex Business Optimization, Strategy, and Scaling (B.O.S.S.)Team, you will own…
Added 1 hour ago
Sr Progrm Mgr Spl Returns, Worldwide Returns and Recommerce - Reverse Logistics Services
Amazon
Bellevue, WA
…be equally comfortable partnering with a business team and a technical team, be able to quickly adapt to ambiguous opportunities where you may need to flex and operate as a program manager…
Added 1 hour ago
Senior Product Manager - Tech, Fulfilment by Amazon, Selling Partner Services
Amazon
Bellevue, WA
7+ years of technical product or program management experience
Added 1 hour ago
Manager Program Analyst
SAIC
El Segundo, CA
SAIC's Horizon program is seeking you, our latest Manager, Program Analyst to support the U.S. Space Forces mission of delivering warfighter capability via the Space Systems Command's Space…
Added 1 hour ago
T
Technical Product Manager
TEKsystems
Torrance, CA
- $68.02 USD / hour
The ideal candidate can operate comfortably between business strategy and technical execution while driving roadmap planning, scope management, stakeholder communication, and product…
Added 1 hour ago
O
Consulting Program Manager - Healthcare
Oracle
Sacramento, CA
- $97,800 to $209,500 USD / year
…advance Oracle Health’s strategic priorities. As a Consulting Program Manager, you will lead the planning, coordination, and delivery of projects across Oracle Health’s internal development…
Added 1 hour ago
SH
Medical Assistant - Sharp Cardiovascular and Thoracic Center - Full Time - Day Shift
Sharp HealthCare
San Diego, CA
- Full-time
Other : Certification of completion of a Medical Assistant Program.
Added 1 hour ago
Program Manager, Travel Tech, Travel Technology
Amazon.com Services LLC
Seattle, WA
…partners, make build-vs-buy trade-offs, and own the end-to-end delivery of travel platform capabilities - from feature intake through launch, adoption tracking, and continuous improvement.…
Added 1 hour ago
Program Manager, Travel Tech, Travel Technology
Amazon.com Services LLC
Seattle, WA · Arlington, VA
…partners, make build-vs-buy trade-offs, and own the end-to-end delivery of travel platform capabilities - from feature intake through launch, adoption tracking, and continuous improvement.…
Added 1 hour ago
OS
Lead Software Engineer/Technical Program Manager
Odyssey Systems Cons
Colorado Springs, CO
- $31,533 USD / year
We are seeking a Lead Software Engineer / Technical Program Manager to own both the technical architecture and program execution of the Multimode Threat Engagement Simulation Platform - a…
Added 1 hour ago
UO
Part-Time Temporary Project Coordinator
University of Colorado Denver
Boulder, CO
- $34,986 USD / year
- Part-time
Coordinate with Program Manager for CE Extraordinary to build non-credit course in Campus Solutions and to establish application and enrollment process.
Added 2 hours ago
Product Manager
HCA Healthcare
Nashville, TN
HCA Healthcare’s Registration Services organization is seeking an Product Manager for a high-paced delivery team composed of technical leads, product engineers, and domain experts. The…

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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