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Added 10 mins ago
BH
Solution Architect
Banner Health
Remote, United States
- $51.13 to $85.21 USD / hour
OE - Typical Office Environment: (Accountant, Administrative Assistant, Consultant, Program Manager)
Added 11 mins ago
AE
Campus Undergraduate Summer Internship Program - 2027 AI Engineer, Enterprise Technology Services- Phoenix, AZ
American Express
Phoenix, AZ
- $24.05 to $63 USD / hour
…Technology Services, you’ll join a 10-week Summer Internship Program and contribute to real-world technology projects that help teams explore, build, test, and responsibly scale AI-enabled…
Added 11 mins ago
EI
Biomedical Technician/BESS - Imaging
ERP International
Phoenix, AZ
- $90,000 to $120,000 USD / year
Completion of the Department of Defense (DOD) biomedical equipment technician training program; OR
Added 11 mins ago
EI
Biomedical Technician/BESS - Info Sys
ERP International
Phoenix, AZ
- $80,000 to $110,000 USD / year
Completion of the Department of Defense (DOD) biomedical equipment technician training program; OR
Added 11 mins ago
Boiler Service Development Manager
EMCOR Group
Phoenix, AZ
The Boiler Service Development Manager is responsible for the overall growth, profitability, operational performance, and strategic development of Mesa Energy Systems' Boiler Services…
Added 11 mins ago
Onshore Delivery Lead / Scrum Master
Capgemini
Phoenix, AZ
5+ years of experience as a Scrum Master, Delivery Lead, Technical Project Manager, or similar role supporting engineering teams.
Added 11 mins ago
Shop Machinist - 1st & 2nd Shift
Metso Outotec
Mesa, AZ
Collaborate with the Repair Production Manager and Repair Center Leads to track project completion, communicate work and assembly status, and escalate issues when needed.
Added 11 mins ago
EG
Program Manager
Eliassen Group
Phoenix, AZ
- $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 13 mins ago
Quality Control Manager - Steel Bridge Fabrication
GPAC
Columbia, MO
We're looking for an experienced Quality Control Manager to lead QC for a structural steel fabrication operation focused on bridge work near Columbia, Missouri. You'll own the quality…
Added 14 mins ago
Quality Control Manager - Steel Bridge Fabrication (Relocation to Columbia, MO)
GPAC
Missouri
Ready for a move? We're hiring an experienced Quality Control Manager to lead QC for a structural steel bridge fabrication operation in Columbia, Missouri, with relocation assistance for…
Added 15 mins ago
Quality Control Manager - Steel Bridge Fabrication (Relocation to Columbia, MO)
GPAC
Illinois
Ready for a move? We're hiring an experienced Quality Control Manager to lead QC for a structural steel bridge fabrication operation in Columbia, Missouri, with relocation assistance for…
Added 15 mins ago
Quality Control Manager - Steel Bridge Fabrication (Relocation to Columbia, MO)
GPAC
Kansas City, MO
Ready for a move? We're hiring an experienced Quality Control Manager to lead QC for a structural steel bridge fabrication operation in Columbia, Missouri, with relocation assistance for…
Added 15 mins ago
Quality Control Manager - Steel Bridge Fabrication (Relocation to Columbia, MO)
GPAC
Texas
Ready for a move? We're hiring an experienced Quality Control Manager to lead QC for a structural steel bridge fabrication operation in Columbia, Missouri, with relocation assistance for…
Added 15 mins ago
Quality Control Manager - Steel Bridge Fabrication (Relocation to Columbia, MO)
GPAC
Colorado
Ready for a move? We're hiring an experienced Quality Control Manager to lead QC for a structural steel bridge fabrication operation in Columbia, Missouri, with relocation assistance for…
Added 16 mins ago
G
Assistant Quality Control Manager
GPAC
Phoenix, AZ
- $110,000 to $125,000 USD / year
Support the Quality Control Manager on all aspects of the project's QA/QC program.
Added 16 mins ago
G
Assistant Quality Control Manager
GPAC
Tucson, AZ
- $110,000 to $125,000 USD / year
Support the Quality Control Manager on all aspects of the project's QA/QC program.
Added 16 mins ago
G
Assistant Quality Control Manager
GPAC
Las Vegas, NV
- $110,000 to $125,000 USD / year
Support the Quality Control Manager on all aspects of the project's QA/QC program.
Added 16 mins ago
G
Assistant Quality Control Manager
GPAC
Yuma, AZ
- $110,000 to $125,000 USD / year
Support the Quality Control Manager on all aspects of the project's QA/QC program.
Added 16 mins ago
G
Assistant Quality Control Manager
GPAC
Albuquerque, NM
- $110,000 to $125,000 USD / year
Support the Quality Control Manager on all aspects of the project's QA/QC program.
Added 16 mins ago
G
Assistant Quality Control Manager
GPAC
San Diego, CA
- $110,000 to $125,000 USD / year
Support the Quality Control Manager on all aspects of the project's QA/QC program.
Added 16 mins ago
G
Quality Control Manager - Structural Steel Fabrication
GPAC
Cincinnati, OH
- $100,000 to $140,000 USD / year
We're hiring a Quality Control Manager to lead the shop QC program at a structural steel fabricator in the Cincinnati metro.Responsibilities:<ul><li>Run…
Added 17 mins ago
Senior Manager of Customer Success
Healthix
NY · New York, NY
JOB TITLE: Senior Manager of Customer Success
Added 17 mins ago
Resource Operations Manager
Big Spaceship
NY · New York, NY
We are looking for a NY-based Resource Operations Manager to be the operational backbone of how our work gets staffed, contracted, tracked and paid for. Our flexible talent bench is how we…
Added 17 mins ago
Campaign Marketing Manager
GOVX
San Diego, CA
The Campaign Marketing Manager plays a critical role in bringing GOVX’s promotional strategy to life through integrated, high-performing campaigns that drive member traffic, engagement,…
Added 17 mins ago
Senior Manager, In-School Opportunities
Baltimore's Promise
Baltimore, MD
Baltimore’s Promise seeks a Senior Manager, In-School Opportunities. The Senior Manager, In-School Opportunities leads the day-to-day implementation, continuous improvement, and expansion…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Phoenix, AZ, 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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