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Added 3 mins ago
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Operations Analyst Manager - Manufacturing Plants
GPAC
Owensboro, KY
- $150,000 USD / year
A growing manufacturer is seeking an Operations Analyst Manager to lead operational analysis, performance reporting, and continuous improvement across three manufacturing plants: two in…
Added 3 mins ago
G
Operations Analyst Manager - Manufacturing Plants
GPAC
Evansville, IN
- $150,000 USD / year
A growing manufacturer is seeking an Operations Analyst Manager to lead operational analysis, performance reporting, and continuous improvement across three manufacturing plants: two in…
Added 4 mins ago
G
Operations Analyst Manager - Manufacturing Plants
GPAC
Jasper, IN
- $150,000 USD / year
A growing manufacturer is seeking an Operations Analyst Manager to lead operational analysis, performance reporting, and continuous improvement across three manufacturing plants: two in…
Added 4 mins ago
G
Operations Analyst Manager - Manufacturing Plants
GPAC
Princeton, IN
- $150,000 USD / year
A growing manufacturer is seeking an Operations Analyst Manager to lead operational analysis, performance reporting, and continuous improvement across three manufacturing plants: two in…
Added 6 mins ago
Quality Service Product Manager Sr. | Generation (EcoSys, Sequence)
AEP Service Corporation
Columbus, OH
…field experience, project estimating, project controls, project engineering, and/or comparable internal or external experience in an engineering or construction environment. Knowledge in…
Added 6 mins ago
S
Principal Product Manager
Skylight
Remote, United States
- $200,000 to $250,000 USD / year
We're looking for a Product Manager to own Buddy's software and to lead the search for what Buddy becomes next. You'll start by driving the roadmap for the Buddy device and the Buddy Plus…
Added 6 mins ago
Engineering Manger
DAT
Seattle, WA
As an Engineering Manager, you will be a technical leader building the digital backbone that powers our economy. You will combine your technical leadership with mission-driven impact.
Added 32 mins ago
Cloud Adoption Engineer - Oracle Government, Defense & Intelligence
Oracle
Reston, VA · Washington, DC
You will own the quality and completion of assigned Cloud Adoption Engineering deliverables, working with the Senior Manager of Cloud Adoption Engineering and relevant technical specialists.
Added 40 mins ago
Sr. Manager, Accounting - CAM - CCM
Carlisle
Scottsdale, Arizona, AZ
With manufacturing, engineering, R&D, and corporate functions across North America and globally, Carlisle offers stability, agility, and opportunity in a performance-driven culture. Do…
Added 42 mins ago
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Senior Product Marketing Manager, Legal AI
Ironclad
San Francisco, CA · New York, NY
- $155,000 to $195,000 USD / year
We're looking for a Senior Product Marketing Manager to own the Legal persona end to end- taking on a general manager mindset for this segment of Ironclad's business.
Added 46 mins ago
Senior Scrum Master
Blue Cross Blue Shield of Kansas
Topeka, KS
Added 1 hour ago
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Maintenance Manager
GPAC
Knoxville, IL
- $110,000 to $115,000 USD / year
gpac is partnered with a growing, family-owned pet food manufacturer seeking an experienced Maintenance Manager to lead the maintenance department at their Central, IL facility.
Added 1 hour ago
Associate Director, Technical Project Management
Braven
Remote, United States
…Project Management. This role will serve as a technical project manager for a specific domain area within the Systems Team, ensuring a standard project management methodology is embedded…
Added 1 hour ago
Associate Director, Technical Project Management
Braven
Remote, United States
…Project Management. This role will serve as a technical project manager for a specific domain area within the Systems Team, ensuring a standard project management methodology is embedded…
Added 1 hour ago
Associate Director, Technical Project Management
Braven
Remote, United States
…Project Management. This role will serve as a technical project manager for a specific domain area within the Systems Team, ensuring a standard project management methodology is embedded…
Added 1 hour ago
Associate Director, Technical Project Management
Braven
Remote, United States
…Project Management. This role will serve as a technical project manager for a specific domain area within the Systems Team, ensuring a standard project management methodology is embedded…
Added 1 hour ago
Associate Director, Digital Product Management
Braven
Remote, United States
Partner with engineering to monitor system performance and data integrity, identify failure points and technical debt, and drive continuous improvement
Added 1 hour ago
Associate Director, Digital Product Management
Braven
Remote, United States
Partner with engineering to monitor system performance and data integrity, identify failure points and technical debt, and drive continuous improvement
Added 1 hour ago
Associate Director, Digital Product Management
Braven
Remote, United States
Partner with engineering to monitor system performance and data integrity, identify failure points and technical debt, and drive continuous improvement
Added 1 hour ago
Associate Director, Digital Product Management
Braven
Remote, United States
Partner with engineering to monitor system performance and data integrity, identify failure points and technical debt, and drive continuous improvement
Added 1 hour ago
Quality Assurance Engineer
Braven
Remote, United States
You will be a core partner to Engineering: shaping test plans, expanding automated test coverage, and collaborating with engineers to write effective unit and integration tests. You’ll help…
Added 1 hour ago
Senior Software Engineer
Braven
Remote, United States
…balancing the agility to move quickly with the discipline of strong engineering practices and keeping real impact on students’ lives ahead of elegant code. As a Senior Software Engineer,…
Added 1 hour ago
Senior Software Engineer
Braven
Remote, United States
…balancing the agility to move quickly with the discipline of strong engineering practices and keeping real impact on students’ lives ahead of elegant code. As a Senior Software Engineer,…
Added 1 hour ago
TC
MEP Estimator - MSG - Sports
Turner Construction
Denver, CO
- $40,123 USD / year
Reports to: Preconstruction Manager / MEP Manager
Added 1 hour ago
TC
Traveling Sr. Electrical Project Manager - Data Centers
Turner Construction
Denver, CO
- $180,000 to $250,000 USD / year
Position Description: Oversee and direct preconstruction, engineering and field installation of all Mechanical, Electrical, Plumbing (MEP) systems.

Highmark Inc

Manager Strategic Risk Adjustment Programs

Remote, United States

$102,700.00

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Job details

Pay: $102,700.00
Posting language: English
Posted: Nov 5, 2026

Original job description

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 transparent to 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

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