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
Commercial Landscape Account Manager
The Davey Tree Expert Company
Gaithersburg, MD
Manage and monitor daily operations and assigned book of business to ensure client expectations and contract specifications are met.
Added just now
Senior Geothermal Consultant Job Details | Black & Veatch Family of Companies
Black & Veatch
Gaithersburg, MD
…focused on the asset lifecycle, including Asset Management & Operations & Maintenance, Infrastructure Technology, Cybersecuritysolutions, Planning and Transactions.In this role you will be…
Added just now
Commercial Landscape Branch Manager
The Davey Tree Expert Company
Gaithersburg, MD
Responsible for the growth and profitability of the district operations while providing and promoting the leadership, vision, support, direction and enforcement of company policies for all…
Added just now
LEAD AUDIOVISUAL PRODUCTION SPECIALIST
Defense Media Activity
Fort Meade, MD
Added just now
AD
Quality Assurance Specialist - Manufacturing (Rockville, MD)
Antech Diagnostics
Rockville, MD
- $63,000 to $79,000 USD / year
The Quality Assurance Specialist supports daily Quality Assurance and compliance operations across manufacturing, distribution, and biobank facilities. Working under general supervision…
Added just now
A
Onboarding and Credentialing Field Support Specialist I
Amergis
Columbia, MD
- $22 USD / hour
Under the guidance of the Field Support Manager and in accordance with the Accountability
Added just now
Cyber Systems Security Engineering Manager
Lockheed Martin
Annapolis Junction, MD
Our team performs the analysis, design, development, integration, test and deployment, securing, modernization, and operations and maintenance (O&M) and decommissioning activities of…
Added just now
MI
Part-time Nabisco Merchandiser
Mondelez International
Frederick, MD · Germantown, MD
- $19.65 to $21.65 USD / hour
- Part-time
…in-store execution. You’ll work closely with your Retail Territory Manager (RTM) to ensure our iconic brands - Oreo, Ritz, belVita, Chips Ahoy!, Triscuit, and more - are stocked, displayed,…
Added just now
MI
Part-time Nabisco Merchandiser
Mondelez International
Olney, MD · Bethesda, MD · Gaithersburg, MD
- $21.77 to $23.77 USD / hour
- Part-time
…in-store execution. You’ll work closely with your Retail Territory Manager (RTM) to ensure our iconic brands - Oreo, Ritz, belVita, Chips Ahoy!, Triscuit, and more - are stocked, displayed,…
Added just now
M
Business Travel Account Manager
Marriott
Bethesda, MD
- $23.99 to $38.41 USD / hour
…Maintain mostly telephonic relationship with each accounts’ Hotel Program Manager, Travel Management Company, pricing intermediary, and other buyers globally who impact the accounts’ BT…
Added just now
Project Accountant - Remote, US
Bowman
Annapolis, MD
Act as a liaison between operations and many corporate accounting functions including but not limited to accounts payable, payroll, etc.
Added just now
O
Principal Program Manager - OCI Product Marketing
Oracle
Annapolis, MD
- $90,100 to $209,500 USD / year
We are looking for a strategic Program Manager (IC4) to establish and run the operating model for business-critical OCI Web and Oracle AI World programs. This role brings sustained…
Added just now
CH
Behavioral Scientist, Senior
Cayuse Holdings
Annapolis, MD
- $160,000 to $175,000 USD / year
…foundation in behavioral science methodologies coupled with the program management expertise to operate effectively within federal governance structures. Success in this role requires the…
Added just now
O
Commercial Technical Program Manager
Oracle
Annapolis, MD
- $126,200 to $264,100 USD / year
Oracle is seeking an experienced Commercial Technical Program Manager (IC5) to support one of our most strategic global customers.
Added just now
CORPORATE EXECUTIVE CHEF - Eastern PA or New Jersey
Compass Group, North America
Annapolis, MD
Provide ongoing guidance to Regional Directors of Operations and account teams on culinary standards and purchasing compliance.
Added just now
Technical Program Manager - Child Safety (Legal)
Meta
Annapolis, MD
…Investigations organization is looking for an experienced Technical Program Manager who has experience applying technical expertise and organizational skills to drive execution of child…
Added just now
Manager, Partnership Management
Pearson
Annapolis, MD
Working closely with Program Delivery, Product, Technology, Measurement, Operations, and Customer Support teams, the Manager translates organizational priorities into actionable plans,…
Added just now
Manager - IT Service Management
Maximus
Annapolis, MD
Maximus seeking an experienced and highly motivated Manager, Enterprise Service Management & Knowledge Experience to lead the transformation and manage operations of Enterprise Service…
Added just now
Platform Engineer - Remote
SitusAMC
Annapolis, MD
Other activities as may be assigned by your manager
Added just now
PATIENT SERVICES MANAGER
Compass Group, North America
Annapolis, MD
Lead daily patient dining operations, ensuring meals are accurate, timely, and delivered with excellent service.
Added just now
C
Product Manager – Retirement Services
Cognizant
Annapolis, MD
- $150,000 to $180,000 USD / year
As a Product Manager – Retirement Services, you will make an impact by serving as the strategic bridge between business stakeholders, client leadership, and delivery teams to drive…
Added just now
Manager Database Administrator - Remote US
SitusAMC
Annapolis, MD
…infrastructure. This role will be responsible for day-to-day operations in addition to setting strategic direction directly aligned to business…
Added just now
Cyber Security Manager - Diego Garcia
Amentum
Annapolis, MD
…critical infrastructure sectors, is seeking an FRCS Cybersecurity Manager to support a government contract based on the island of Diego…
Added just now
Systems Administrator – Kiteworks
SitusAMC
Annapolis, MD
…and transition of new products and services into post-launch operations throughout the life of the product or…
Added just now
UW
Mammography Technologist Full Time
Unified Women's Healthcare
Wellington, FL
- Full-time
All other job requests as assigned by the Mammography Operations Manager, Director of Imaging Operations, or Care Center Administrator.

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