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Added 1 min ago
VH
Psychologist (PCMHI)
Veterans Health Administration
Ventura, CA
- $105,262 to $195,037 USD / year
Assessing and treating a variety of behavioral health problems, including tobacco use, sleep problems, weight management, chronic illness, treatment/medication adherence, and adjustment…
Added 1 min ago
DF
IT Systems Auditor
Defense Finance and Accounting Service
Indianapolis, IN · Whitehall, OH · Cleveland, OH
- $90,341 to $121,502 USD / year
…Accepted Government Auditing Standards (GAGAS). | Briefs agency management on preliminary interpretations of data, potential system vulnerabilities, and recommendations during the fieldwork…
Added 1 min ago
AF
SUPERVISORY COMMUNITY PLANNER
Air Force Special Operations Command
Cannon AFB, NM
- $106,437 to $138,370 USD / year
The primary purpose of this position is: To serve as Chief and program manager, organizing, directing, and exercising control over nonsupervisory employees within the Civil Engineer…
Added 1 min ago
VH
Audiologist
Veterans Health Administration
Anderson, SC · Greenville, SC
- $74,678 to $116,362 USD / year
(1) Doctor of Audiology (AUD) from an audiology program recognized by the Accreditation Commission for Audiology Education (ACAE) or Council on Academic Accreditation (CAA) of the American…
Added 1 min ago
VH
Blind Rehabilitation Outpatient Specialist
Veterans Health Administration
Des Moines, IA
- $75,284 to $117,307 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and…
Added 1 min ago
VH
Audiologist
Veterans Health Administration
Anderson, SC · Greenville, SC
- $74,678 to $116,362 USD / year
(1) Doctor of Audiology (AUD) from an audiology program recognized by the Accreditation Commission for Audiology Education (ACAE) or Council on Academic Accreditation (CAA) of the American…
Added 1 min ago
VH
Blind Rehabilitation Outpatient Specialist
Veterans Health Administration
Des Moines, IA
- $75,284 to $117,307 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and…
Added 1 min ago
UM
Supervisory Strength and Conditioning Coach NF4
U.S. Marine Corps
Norfolk County, VA
- $90,900 to $100,900 USD / year
Tracks outcomes, identifies barriers, recommends supporting services, and manages program data using Microsoft Office, Excel, strength and conditioning software, and athletic performance…
Added 1 min ago
BO
Correctional Program Officer (Unit Manager)
Bureau of Prisons/Federal Prison System
Chicago, IL
- $100,059 to $130,080 USD / year
The Unit Manager performs a major role in the planning, development, administration and evaluation of a unit program for incarcerated federal offenders.
Added 1 min ago
AN
IT SPEC (INFOSEC)
Air National Guard Units
Lincoln, NE
- $57,331 to $97,867 USD / year
1. Serves as the Wing Information Assurance Manager. Applies Information Technology (IT) security principles, methods, and security products to protect and maintain the availability,…
Added 1 min ago
VH
Training Instructor
Veterans Health Administration
Reno, NV
- $61,965 to $80,559 USD / year
Carries out technology program implementation for waste management related training.
Added 1 min ago
NP
Maintenance Worker Leader (Trails)
National Park Service
Los Alamos, NM
- $29 to $34 USD / hour
Added 1 min ago
VH
Registered Nurse
Veterans Health Administration
Saginaw, MI
- $76,202 to $140,287 USD / year
Provides health promotion, health education and coaching on wellness, disease prevention, and chronic care management.
Added 1 min ago
VH
Medical Records Administrator- Chief of HIM (CHIM)- Recruitment & Relocation Incentive
Veterans Health Administration
Indianapolis, IN
- $107,428 to $139,658 USD / year
This assignment is the Chief of Health Information Management (HIM) section within Health Administration service line (HAS). The Section Chief of HIM is the highest-level professional…
Added 1 min ago
AN
AIRCRAFT MAINTENANCE MANAGER
Air National Guard Units
Bangor, ME
- $106,437 to $138,370 USD / year
This position is located at an Air National Guard aviation wing. Its purpose is to serve as the Aircraft Maintenance Manager for the Maintenance Squadron, with responsibility for directing…
Added 1 min ago
VH
Registered Nurse(Short Stay Unit)
Veterans Health Administration
Loma Linda, CA
- $103,350 to $186,937 USD / year
…the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established…
Added 1 min ago
Without Compensation Vascular Surgeon
Veterans Health Administration
San Francisco, CA
Surgical ICU- Routine Post-Op, Care within board specialty area includes all routine post-op care including: pain management, fluid and electrolyte administration, wound care, drains,…
Added 1 min ago
VH
Motor Vehicle Operator
Veterans Health Administration
Richmond, VA
- $23 to $27 USD / hour
Other Facilities Management functions will be performed when employee is not assigned to transportation. This may require heavy physical work including, but not limited to, snow removal and…
Added 1 min ago
VH
Health System Specialist - Associate Group Practice Manager
Veterans Health Administration
Omaha, NE
- $75,425 to $117,525 USD / year
…the Ambulatory Care Operations Director and Group Practice Manager. Helps oversee access to care in facility clinics and CBOCs, including Primary Care, Mental Health, Surgery, Medicine, and…
Added 1 min ago
VH
Medical Records Technician (Coder-Outpatient)
Veterans Health Administration
Versailles, KY
- $37,992 to $75,803 USD / year
This position is in the Health Information Management (HIM) section of Patient Business Services (PBS) at the Columbus VA Ambulatory Care Center. MRTs (Coder) are skilled in classifying…
Added 1 min ago
VH
Licensed Professional Mental Health Counselor
Veterans Health Administration
Port Richey, FL · Zephyrhills, FL · Temple Terrace, FL · Lakeland, FL · Brooksville, FL · Lecanto, FL · Tampa, FL · Riverview, FL
- $61,722 to $97,087 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and…
Added 1 min ago
OA
Human Resources Specialist
Other Agencies and Independent Organizations
Washington, DC
- $102,415 to $133,142 USD / year
…recruitment options, and position classification (e.g., ascertaining management’s specific needs and requirements, researching other avenues of positions, and/or tracking progress of such…
Added 1 min ago
Warehouse Unloader/Loader - UniFirst
UniFirst Corporation
Mobile, AL
Identify, document, and communicate route shortages to the Branch Manager, Service Teams, and Production Management.
Added 1 min ago
Warehouse Unloader/Loader - UniFirst
UniFirst Corporation
TALLAHASSEE, FL
Identify, document, and communicate route shortages to the Branch Manager, Service Teams, and Production Management.
Added 4 mins ago
G
Mechanical Project Manager
GPAC
Brentwood, TN
- $90,000 to $130,000 USD / year
The Project Manager is responsible for leading mechanical construction projects from preconstruction through closeout. This role requires strong leadership, financial oversight, scheduling…

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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