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Added 2 mins ago
PC
Senior Grant Writer
Pillars Community Health
La Grange, IL
- $35,625 to $40,625 USD / year
The Senior Grant Writer is an integral member of the Pillars Community Health Grants Management and External Affairs Teams. The Senior Grant Writer takes a lead role in the grant process…
Added 5 mins ago
S
OnSite Specialist - St. Louis, MO
Stryker
Saint Louis, MO
- $21.58 to $29.2 USD / hour
+ Strong analytical, problem-solving, and time-management skills with the ability to make independent decisions in high-pressure environments.
Added 7 mins ago
VO
Family Coordinator
Volunteers of America- Minnesota
Hopkins, MN
- $48,000 to $55,000 USD / year
The Family Coordinator at Vista 44, a family-centered permanent supportive housing project, plays a crucial role in supporting and empowering families transitioning from…
Added 7 mins ago
CH
Grant Project Manager
Catholic Health Initiatives
Little Falls, MN
- $30.76 to $45.76 USD / hour
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Added 7 mins ago
Production Planner
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…action and coordinate resolution of issues. Keep operations and management informed of critical situations. Lead and provide daily direction and critical prioritization with operations,…
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MANAGER, ENTERPRISE APPLICATIONS
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…administration, integration, governance, security, and lifecycle management of enterprise applications (Salesforce (Sales and Service Cloud), Atlassian Cloud (Confluence and Jira), and Sage…
Added 7 mins ago
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Principal Technical Product Manager, Data & Platform
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- $152,000 to $222,000 USD / year
…shared demonstration environment. This person will also be the program owner for 8+ platform functions (data products, platform support, predictive models, emerging technology, user-facing…
Added 7 mins ago
Supplier Quality Engineer II
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This position works out of our Minnetonka, MN location in the Cardiac Rhythm Management division.
Added 7 mins ago
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GE Aerospace
Minnetonka, MN
Demonstrated leadership in program/project management, including planning, execution, and documentation
Added 7 mins ago
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Sr Staff Applications Operations Engineer – Engineering Tools Automation & AI Ops
GE Aerospace
Minnetonka, MN
- $131,000 to $174,000 USD / year
…application pods (software, hardware and electronic design, and project and portfolio management tools) for US and UK…
Added 7 mins ago
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Early Childhood Special Projects Manager / State Prog Admin Manager Sr
State of Minnesota
St. Paul, MN
- $44.8 to $64.46 USD / hour
…Head Start, early learning scholarships, Child Care Assistant Program (CCAP), Parent Aware and Great Start Compensation Support Payment Program, among others, and represent the…
Added 7 mins ago
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Capitol Complex Trades Shop Supervisor
State of Minnesota
St. Paul, MN
- $36 to $52.18 USD / hour
Three (3) years of experience providing supervision, lead work direction, or management of electricians, machinists, skilled trades workers, facilities maintenance staff, or other technical…
Added 7 mins ago
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Health Policy Assistant Division Director - Health Assistant Division Director
State of Minnesota
St. Paul, MN
- $51.89 to $74.31 USD / hour
…division-wide planning, oversees administrative functions, supports program implementation, and ensures alignment with departmental policies, state mandates, and health equity goals. The…
Added 7 mins ago
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Medicaid Program Integrity Review Supervisor - Human Services Supervisor 2
State of Minnesota
St. Paul, MN
- $34.71 to $50.25 USD / hour
The incumbent supervises a team of five (5) Medicaid Payment Integrity Policy Analysts who serve as the program's clinical and policy subject matter experts. The incumbent sets the…
Added 7 mins ago
Director, Women and Children Nursing Inpatient
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…ability to clarify performance targets and objectives to drive project and process improvement strategies. Knowledge of human resources and personnel management processes; ability to lead,…
Added 8 mins ago
07 Manager - MP - Marketing
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Plymouth, MN
Strong project management skills with the ability to manage multiple priorities and cross-functional initiatives.
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Supply Chain Project Management Manager - Aerospace
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Plymouth, MN
As an ISC Project Management Manager here at Honeywell Aerospace, you will lead and oversee project management activities within the Integrated Supply Chain (ISC) organization, ensuring…
Added 8 mins ago
Internal Communications Manager (51379)
MAS HVAC
Maple Grove, MN
Strong project management and stakeholder management skills.
Added 8 mins ago
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Health Reinsurance Actuarial Leader, Managed Care Analytics and Advisory
Aon Service Corporation
Bloomington, MN
- $235,000 to $255,000 USD / year
…expertise, managed care knowledge, and strategic insight. You will lead a team of actuaries and analysts delivering advanced analytics that shape risk strategies in the healthcare industry,…
Added 8 mins ago
Solutions Architect Revenue Cycle-Automation-Remote
Mayo Clinic
Rochester, MN
Works cross functionally across Mayo Clinic Departments. Demonstrated project and deliverable consistency through repeatable and reliable performance. Demonstrates initiative and…
Added 8 mins ago
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Air Project Management Unit Supervisor - Pollution Cont Spec Prin
State of Minnesota
Various, MN · Albert Lea, MN · Brainerd, MN · Bloomington, MN · Mankato, MN · Anoka, MN · Brooklyn Park, MN · Hibbing, MN · Moorhead, MN · Bemidji, MN · Maplewood, MN · International Falls, MN · Buffalo, MN · Duluth, MN · Hastings, MN · Fergus Falls, MN · Alexandria, MN · Marshall, MN · Eden Prairie, MN · Saint Cloud, MN · Rochester, MN · Willmar, MN · Woodbury, MN · Pipestone, MN · Stillwater, MN · Plymouth, MN · Roseville, MN · Shakopee, MN
- $40.23 to $60.1 USD / hour
Accomplished leadership and management skills to effectively coach, train and lead staff in the use of problem solving and project management.
Added 8 mins ago
Manager - Digital Technology Org
Mayo Clinic
Rochester, MN
…experience in digital operations, IT service delivery, analytics, or program management. Demonstrated ability to lead cross-functional teams, manage concurrent initiatives, and partner…
Added 8 mins ago
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Senior Quality Engineer
Actalent
Saint Paul, MN
- $92,000 to $98,000 USD / year
…plays a key role in shaping and maintaining robust quality management systems and standards throughout the…
Added 8 mins ago
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Solutions Architect – Java
Cognizant
Saint Paul, MN
- $80,000 to $125,000 USD / year
…and engineering team and work collaboratively with product management, portfolio leadership, enterprise architecture, and engineering…
Added 8 mins ago
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Senior ALC Developer PART TIME
Maximus
Saint Paul, MN
- Part-time
Maximus is seeking a Sr. Assembler Language Computer (ALC) Programmer to support our Internal Revenue Service (IRS) IO&A project.

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Baton Rouge, LA, United States

This opening has closed.

The original listing is kept below for reference.

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About employer

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

About employer

More about this job

Skills

ACA
Process engineering
Patient care
Documentation
Reporting
Process improvement
Coaching
Performance management
Communication skills
Mental health
Program management
Leadership
Strategic planning
Microsoft Teams
PMP
Computer technology
Financial statements
Sell products
Sales
Regulatory compliance

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