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Added 9 mins ago
Senior Electrical Engineer 1 - Nuclear
Sargent & Lundy
UNAVAILABLE, OH
Responsible for overall technical, financial, and administrative performance of the engineering scope by:
Added 9 mins ago
Senior Instrumentation & Controls Engineer 1 - Nuclear
Sargent & Lundy
Perry, OH
BS or MS in Electrical or Mechanical Engineering from an ABET accredited program
Added 9 mins ago
Senior Electrical Engineer 1 - Nuclear
Sargent & Lundy
Perry, OH
Responsible for overall technical, financial, and administrative performance of the engineering scope by:
Added 10 mins ago
Senior Electrical Engineer 1 - Nuclear
Sargent & Lundy
Chicago, IL
Responsible for overall technical, financial, and administrative performance of the engineering scope by:
Added 10 mins ago
Solar PV Construction Site Manager -- Field Assignment
Sargent & Lundy
United States
The Solar PV Construction Site Manager will oversee their assigned projects' field operations/installation side to help ensure that equipment is installed safely, accurately, completely,…
Added 11 mins ago
Project Manager -- Electrical Engineering Consultant
Sargent & Lundy
Chicago, IL
Sargent & Lundy is one of the largest and most experienced power industry engineering and consulting firms. We have a unique and exciting opportunity to join our Consulting group in the…
Added 11 mins ago
Project Manager -- Electrical Engineering Consultant
Sargent & Lundy
United States
Sargent & Lundy is one of the largest and most experienced power industry engineering and consulting firms. We have a unique and exciting opportunity to join our Consulting group in the…
Added 11 mins ago
Project Manager -- Clean Energy Consultant
Sargent & Lundy
Chicago, IL
Sargent & Lundy is one of the largest and most experienced power industry engineering and consulting firms. We have a unique and exciting opportunity to join our Consulting group in the…
Added 16 mins ago
ConvergeHEALTH - Health Care Analytics and AI Senior Product Owner_Products & Platforms
Deloitte US
Arlington Heights, IL · Atlanta, GA · Austin, TX · Boston, MA · Charlotte, NC · Chicago, IL · Cincinnati, OH · Cleveland, OH · Costa Mesa, CA · Dallas, TX · Denver, CO · Detroit, MI · Houston, TX · Indianapolis, IN · Kansas City, MO · Los Angeles, CA · Miami, FL · Nashville, TN · NY · Philadelphia, PA · Pittsburgh, PA · Sacramento, CA · San Diego, CA · San Francisco, CA · San Jose, CA · Seattle, WA · St. Louis, MO · Stamford, CT · Tampa, FL · Tempe, AZ
In this role, you will work closely with a Product Manager to translate business priorities into executable product requirements, coordinate delivery with engineering and data teams, and…
Added 16 mins ago
AI Manager/Lead - Lead Data Engineer II
Deloitte US
Sacramento, CA
Collaborating with engineers, data scientists, policy analysts, and program stakeholders to translate requirements into scalable technical solutions, guide technical decisions, and mentor…
Added 24 mins ago
GenAI Forward Deployed Engineer (client facing) - Financial Services
Continuum Resource Network
Atlanta, GA · New York, NY
…into a management-level engagement role. As AI Transformation Manager, you will lead workstreams within larger AI transformation programs, work directly with client stakeholders, and…
Added 41 mins ago
Director, Technical Program Management
Oracle
United States
Coordinates with executive management and stakeholders to align priorities and goals using technical know-how in a fundamental engineering area or technical domain. Oversees scope and…
Added 42 mins ago
Manager Manufacturing, Purification - Nights
Amgen
West Greenwich, RI
The Front-Line Manager will collaborate routinely with Quality Assurance, Quality Control, Engineering, Facilities and Engineering, Maintenance, Process Development, Process Engineering,…
Added 49 mins ago
TK
Project Manager
The K Company, Inc.
Akron, OH
- $60,000 to $100,000 USD / year
The Project Manager has a unique and diverse blend of implementing engineered solutions from start to finish realizing total satisfaction of understanding, organizing, installing and…
Added 54 mins ago
EG
Program Manager
Eliassen Group
Bismarck, ND
- $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 54 mins ago
EG
Product Manager, Team Digital Products
Eliassen Group
Bismarck, ND
- $50 to $55 USD / hour
Our client is seeking a Product Manager to own the day-to-day digital product relationship with its teams, primarily supporting team websites, CMS platforms, and related digital…
Added 1 hour ago
DO
Transportation Engineer III - Senior Structural Engineer
Department of Transportation
Augusta, ME
- $81,577.6 to $115,356.8 USD / year
This is licensed professional engineering work of a supervisory nature administering a variety of engineering functions related to transportation engineering and public works structures and…
Added 1 hour ago
DO
Public Service Manager III - Senior Project Manager
Department of Transportation
Augusta, ME
- $88,504 to $125,673.6 USD / year
This is professional services work of a managerial nature performing team and project management for transportation engineering within the Department of Transportation, Bridge Program.…
Added 1 hour ago
G
Controls Engineer Manager
GPAC
Appleton, WI
- $105,000 to $135,000 USD / year
This is more than a controls engineering position. It is an opportunity to build, program, and commission custom equipment while gradually developing into the leader of the Controls…
Added 1 hour ago
G
Project manager Professional Engineer
GPAC
Fort Worth, TX
- $93,000 to $140,000 USD / year
Civil Engineer / Project Manager Opportunity with an Established Civil Engineering Firm
Added 1 hour ago
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Project manager Professional Engineer
GPAC
Phoenix, AZ
- $93,000 to $140,000 USD / year
Civil Engineer / Project Manager Opportunity with an Established Civil Engineering Firm
Added 1 hour ago
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Project manager Professional Engineer
GPAC
Houston, TX
- $93,000 to $140,000 USD / year
Civil Engineer / Project Manager Opportunity with an Established Civil Engineering Firm
Added 1 hour ago
Electronic Security Program Manager
Allied Universal
Dallas, TX · Chicago, IL · Indianapolis, IN · Washington, DC
Allied Universal® Technology Services is hiring a Program Manager with the Strategic Accounts Team. The Program Manager functions to ensure that the program to which they are assigned is…
Added 1 hour ago
Mixed Signal & Timing Sourcing Commodity Manager
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San Jose, CA
…Timing technology, effectively becoming the go-to expert for our engineering teams. By aligning and influencing our internal roadmaps, you’ll ensure that our product strategy is always in…
Added 1 hour ago
Leader, Technical Program Manager – NPI & Technical Sales Enablement – Splunk
Cisco Systems, Inc.
Remote, United States
…(GFERS) team, where we lead the New Product Introduction (NPI) Program and Technical Enablement for Sales framework. Our team acts as the strategic engine ensuring that the high volume and…

Closed listing

Highmark Health

Manager Strategic Risk Adjustment Programs

Augusta, ME, 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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