Find work in the United States.

A simpler way to find your next job.

Jobs in the United States

25+ jobs

Save this search

Added just now
SDC - WAREHOUSE COORDINATOR
UTAH FOOD BANK
St. George, UT
Works directly with the Operations Manager on physical inventory and cycle counts
Added just now
Stocker
CK Circle K Stores Inc.
United States
Deliveries are validated by verifying invoices; reviewing discrepancies with Store Manager; delivers outdated merchandise to Store Manager to ensure what the store is being charged verifies…
Added just now
Customer Service Representative
CK Circle K Stores Inc.
United States
Notifies Store Manager of any equipment failure or maintenance/supply needs.
Added just now
Occasional Store Clerk
CK Circle K Stores Inc.
United States
Notifies Store Manager of any equipment failure or maintenance/supply needs.
Added just now
Team Member
CK Circle K Stores Inc.
United States
Notifies Store Manager of any equipment failure or maintenance/supply needs.
Added just now
Team Member
CK Circle K Stores Inc.
United States
Notifies Store Manager of any equipment failure or maintenance/supply needs.
Added just now
Customer Service Representative
CK Circle K Stores Inc.
United States
Notifies Store Manager of any equipment failure or maintenance/supply needs.
Added just now
Team Member
CK Circle K Stores Inc.
United States
Notifies Store Manager of any equipment failure or maintenance/supply needs.
Added just now
Sales Engineer / Account Mannager
Compressor & Turbine Services LLC
Houston, TX
Compressor & Turbine Services (CTS) is seeking a motivated, technically inclined Sales Engineer / Account Manager to join our growing sales team in Houston, Texas.
Added just now
Store Assistant Manager
CK Circle K Stores Inc.
United States
You will assist the Store Manager with oversight of the Stationstore operations. You’ll help with hiring, supervising and working with the staff to accomplish daily tasks, bookkeeping and…
Added just now
Store Assistant Manager
CK Circle K Stores Inc.
United States
You will assist the Store Manager with oversight of the Stationstore operations. You’ll help with hiring, supervising and working with the staff to accomplish daily tasks, bookkeeping and…
Added just now
Store Assistant Manager
CK Circle K Stores Inc.
United States
You will assist the Store Manager with oversight of the Stationstore operations. You’ll help with hiring, supervising and working with the staff to accomplish daily tasks, bookkeeping and…
Added just now
Assistant Manager
CK Circle K Stores Inc.
United States
You will assist the Store Manager with oversight of the Stationstore operations. You’ll help with hiring, supervising and working with the staff to accomplish daily tasks, bookkeeping and…
Added just now
Store Assistant Manager
CK Circle K Stores Inc.
United States
You will assist the Store Manager with oversight of the Stationstore operations. You’ll help with hiring, supervising and working with the staff to accomplish daily tasks, bookkeeping and…
Added just now
Sr. R&D IT Manager
4D Molecular Therapeutics
Emeryville, CA
…the Sr. Director, IT Business Partner, R&D, the Sr. R&D IT Manager, provides hands-on technology leadership and serves as the IT System Owner for assigned GxP and business-critical…
Added just now
G
Commercial Lines Account Manager
GPAC
Cleveland, OH
- $70,000 to $85,000 USD / year
Commercial Lines Account Manager – Elevate Your Career with Us!
Added 1 min ago
Maintenance Planner Scheduler
Janssen Biotech, Inc. Legal Entity
Wilson, NC
Experience in green or brown field GMP MFG facility start-up including process systems, Automation, utilities, facilities, and operations.
Added 1 min ago
Medical Science Liaison, Rheumatology - Mid-Atlantic & Foothills
Janssen Scientific Affairs, LLC Legal Entity
Charlotte, NC · KY · NC · TN · SC · Louisville, KY · IN · Indianapolis, IN
…partners, R&D, U.S. and Global Medical Affairs teams, Clinical Operations, and appropriate, role defined interactions with Sales and…
Added 1 min ago
Supervisor Storeroom - Integrated Supply
Vallen Distribution, Inc
EDISON, NJ · Trenton, NJ
…supply chain, vending, and/or VMI (Vendor Managed Inventory) operations, typically situated onsite at a customer location. Reporting directly to the Supply Chain Services Sr Manager, this…
Added 1 min ago
Software Engineer I
Chewy
Boston, MA · Plantation, FL
…reviews, source control management, build processes, testing, and…
Added 1 min ago
Manager MOW Operations
CSX
Jacksonville, FL
This position acts as a liaison between Engineering, Network operations and field operations on the 24/7 Engineering Desk at the Network Operations Center.
Added 1 min ago
Account Manager - Final Control, Houston/Freeport
Puffer-Sweiven
Houston, TX
For over 80 years, Puffer-Sweiven has set the standard in equipment and services for process control, automation, safety, and reliability. We help process-intensive facilities run more…
Added 1 min ago
Practice Manager
Kolmac Integrated Behavioral Health
Columbia, MD
We are currently seeking a dynamic and experienced Practice Manager to lead our Columbia, MD location. This is an exciting opportunity for a mission-driven operations leader who thrives in…
Added 2 mins ago
Branch Manager
Suncoast Credit Union
Holiday, FL
The Service Center Manager embodies the culture of Suncoast Credit Union, leading with passion and dedication. This individual fosters a collaborative environment by empowering team members…
Added 2 mins ago
Nurse Operations Manager (70931)
Sanitas
N. Largo, FL
The Nurse Operations Manager performs a variety of administrative and nursing duties in supervising and caring for patients from minor treatment to acutely ill in a one-of-a-kind,…

Highmark Inc

Manager Strategic Risk Adjustment Programs

Remote, United States

$102,700.00

Apply About employer

Applications open in a new tab.

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

Apply About employer

Report this job