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Added 2 mins ago
Manager Supply Chain Programs 2
Northrop Grumman
Palmdale, CA · Palmdale
Northrop Grumman Aeronautics Systems has an opening for a Manager Supply Chain Programs 2 to join our team of qualified and diverse individuals within our Global Supply Chain organization.…
Added 2 mins ago
Environmental Design Manager
XL FERROVIAL CONSTRUCTION US CORP.
Nashville, TN
in the delivery of the Project’s environmental program, with a primary focus on design. The position ensures that design packages comply with all environmental requirements – Environmental…
Added 12 mins ago
Quality Control Manager | Federal Construction
GPAC
Norfolk, VA
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 13 mins ago
Quality Control Manager | Federal Construction
GPAC
Jacksonville, NC
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 13 mins ago
Quality Control Manager | Federal Construction
GPAC
San Antonio, TX
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 13 mins ago
Quality Control Manager | Federal Construction
GPAC
Washington DC
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 13 mins ago
Quality Control Manager | Federal Construction
GPAC
Huntsville, AL
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 13 mins ago
Quality Control Manager | Federal Construction
GPAC
Colorado Springs, CO
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 13 mins ago
D
Sr. Project Manager - Digital / IT (SDLC Methodologies, Life Science)
Danaher
Austin, TX
- $95,000 to $130,000 USD / year
The Senior Project Manager is responsible for the success of large strategic projects. As needed, they may also provide management for a small program and will be responsible for planning,…
Added 13 mins ago
Quality Control Manager | Federal Construction
GPAC
Panama City, FL
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 13 mins ago
Quality Control Manager | Federal Construction
GPAC
Savannah, GA
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 13 mins ago
Quality Control Manager | Federal Construction
GPAC
Omaha, NE
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 13 mins ago
Quality Control Manager | Federal Construction
GPAC
Rapid City, SD
You’ll take ownership of the project’s Quality Control Program, working closely with field leadership, subcontractors, and government representatives to ensure construction meets contract…
Added 16 mins ago
JI
Child Welfare Continuous Quality Improvement Expert
JBS International
North Bethesda, MD · San Mateo, CA · CA · DC · MD · VA
- $80,000 to $108,500 USD / year
Ability to work with jurisdictions, including agency leadership and program manager staff
Added 23 mins ago
CO
Information Technology Services Manager
City of Covina
Covina, CA
- $63.12 to $84.59 USD / hour
The City of Covina is accepting applications for the position of Information Technology Services Manager in the Administration Department.
Added 24 mins ago
Business Development Analyst Senior
Amerihealth Caritas
United States
…Caritas products. Under the direction of the Business Development Program Manager, the Senior Business Development Analyst supports business development initiatives through market and…
Added 25 mins ago
E
Environmental Health and Safety Manager
Emerson
Boulder, CO
- $125,000 to $177,000 USD / year
…requirements, and operational considerations are incorporated into project planning, and oversee Workers' Compensation…
Added 25 mins ago
LB
Senior Program Manager, Facilities Development and Planning
Long Beach Unified School District
Long Beach, CA
- $72.03 to $84.58 USD / hour
Develop and recommend new or revised policies, procedures, rules, regulations, and project schedules for facilities, construction and engineering projects. E
Added 29 mins ago
G
Project Manager
GPAC
Indianapolis, IN
- $90,000 to $120,000 USD / year
A highly regarded AISC Certified Steel Fabricator in the area is looking for a Project Manager to not only join but lead their growing team of Project Managers. The Project Manager will be…
Added 29 mins ago
G
Project Manager
GPAC
Chicago, IL
- $90,000 to $120,000 USD / year
A highly regarded AISC Certified Steel Fabricator in the area is looking for a Project Manager to not only join but lead their growing team of Project Managers. The Project Manager will be…
Added 29 mins ago
G
Structural Steel Project Manager
GPAC
West Palm Beach, FL
- $90,000 to $130,000 USD / year
I am a recruiter with a 3rd Party firm call GPAC searching for a PROJECT MANAGER:
Added 29 mins ago
G
Structural Steel Project Manager
GPAC
Lakeland, FL
- $90,000 to $130,000 USD / year
I am a recruiter with a 3rd Party firm call GPAC searching for a PROJECT MANAGER:
Added 29 mins ago
G
Structural Steel Project Manager
GPAC
Jacksonville, FL
- $90,000 to $130,000 USD / year
I am a recruiter with a 3rd Party firm call GPAC searching for a PROJECT MANAGER:
Added 29 mins ago
G
Structural Steel Project Manager
GPAC
Orlando, FL
- $90,000 to $130,000 USD / year
I am a recruiter with a 3rd Party firm call GPAC searching for a PROJECT MANAGER:
Added 29 mins ago
G
Structural Steel Project Manager
GPAC
Fort Myers, FL
- $90,000 to $130,000 USD / year
I am a recruiter with a 3rd Party firm call GPAC searching for a PROJECT MANAGER:

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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