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 5 mins ago
Project Manager
City of New York
New York City, NY
The NYC Department of Design and Construction, Division of Safety & Site Support, is seeking a Project Manager within the Office of Construction Safety (OCS). The selected candidate will…
Added 5 mins ago
Cycling Infrastructure Hardening Program Manager, C&M Unit
City of New York
New York City, NY
Reporting to senior staff in the Cycling & Micromobility Unit, the Cycling Infrastructure Hardening Program Manager will lead a citywide program to strengthen protection for cycling and…
Added 5 mins ago
Research Project Manager, Cycling & Micromobility Unit
City of New York
New York City, NY
Under the direction of the Research & Analytics Lead, the Research Project Manager will support the Cycling & Micromobility Unit’s research program and maintenance of the Unit’s…
Added 5 mins ago
Public Health Adviser, Bureau of Public Health Clinics
City of New York
New York City, NY
Participate in quality improvement initiatives, staff meetings, and training sessions to strengthen program effectiveness and service delivery.
Added 5 mins ago
Senior Director of Data
City of New York
New York City, NY
…candidates directly to voters’ doors. Our public matching funds program ensures small contributions can make a big difference, allowing regular people to run for office by relying on the…
Added 6 mins ago
Project Manager
HTC Global Services Inc
Dimondale, MI
Job Title : Senior IT Project Manager – Government / Technical Integration Position Overview
Added 6 mins ago
IT Project Management Project Manager COTS Project Integration Management Transfer Sk
COOLSOFT
Dimondale, MI
This position is for a Senior Project Manager (PM3) to assist the State of Michigan Project Management Office supporting Michigan Department of Treasury with a multi-year high priority…
Added 7 mins ago
Project Manager
Michigan State University(MSU)
East Lansing, MI
…and national laboratory and industrial partners The Project Manager will lead project controls and coordinate delivery across technical teams, university offices and external partners.…
Added 7 mins ago
Manager, HR Business Partner
Ford Motor Company
Dearborn, MI
As a Manager, HR Business Partner, you will provide strategic HR partnership to business operations leaders in a function, market, or business unit. You will work closely with senior…
Added 7 mins ago
Engineering Manager, DevOps & Platform Engineering
Ford Motor Company
Dearborn, MI
The ideal candidate is a people manager who believes in building strong teams and developing talent. They bring the judgment to navigate cross-functional priorities and organizational…
Added 7 mins ago
Product Supportability Program Manager
KLATencor Corporation
Ann Arbor, MI
…Engineering, Product Training, Digital Solutions and Analytics, and Technical Product Support. Our services organization maximizes the value of our customers' KLA assets - with highly…
Added 7 mins ago
Senior Project Manager - Hybrid - In Person Interview
MSys Inc.
Dimondale, MI
This position is for a Senior Project Manager (PM3) to assist the State of Michigan Project Management Office supporting Michigan Department of Treasury with a multi-year high priority…
Added 13 mins ago
Project Manager, Video Distribution
Jobgether
Remote, United States
We are seeking an experienced Project Manager to lead the planning and delivery of a large-scale terrestrial Content Delivery Network (CDN) initiative supporting satellite-terrestrial video…
Added 24 mins ago
Patient Care Technician - Dialysis
Fresenius Medical Care
Caldwell, ID
…Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process…
Added 40 mins ago
IT Program Manager
Jobgether
Remote, United States
The IT Program Manager will provide executive-level leadership for a major federal IT services program supporting the modernization of supply chain and logistics operations within the…
Added 56 mins ago
NS
GENERAL BUSINESS AND INDUSTRIAL SPECIALIST
Naval Sea Systems Command
Bath, ME
- $120,548 to $156,715 USD / year
You will serve as a Test Manager with the responsibility of independently planning, integrating, coordinating, analyzing, and managing one or more complex projects, products, initiatives,…
Added 59 mins ago
VH
Supervisory Recreation Therapist
Veterans Health Administration
Honolulu, HI
- $93,445 to $121,482 USD / year
…for planning, directing, and coordinating all aspects of the delivery of Recreation Therapy and Speech Pathology Services at…
Added 59 mins ago
VH
Senior Social Worker
Veterans Health Administration
San Antonio, TX
- $112,783 to $146,621 USD / year
…appropriate resources. Identifies and collaborates with the M2VA Program Manager and Lead Coordinator, if applicable, at the receiving VA health care facility to initiate and process…
Added 59 mins ago
AN
PRODUCTION CONTROLLER
Army National Guard Units
Carson City, NV
- $55,934 to $72,716 USD / year
…activities.Coordinates with units and other support activities concerning the delivery, status of repairoperations, and/or pick up of completed work…
Added 59 mins ago
VH
Licensed Practical Nurse- Home Based Primary Care
Veterans Health Administration
Bismarck, ND
- $61,361 to $79,772 USD / year
…Veterans while helping coordinate the daily operations of the program. This position offers a unique blend of direct patient care, care coordination, program support, data management, and…
Added 1 hour ago
VH
Lead Health System Specialist (Credentialing and Privileging)
Veterans Health Administration
West Haven, CT
- $88,005 to $114,413 USD / year
…responsible for providing lead administrative, consulting, technical direction and support to the C&P Specialists, C&P Manager and to program…
Added 1 hour ago
VH
Licensed Practical Nurse - Telehealth Clinical Technician
Veterans Health Administration
Camdenton, MO
- $36,464 to $68,562 USD / year
…imager for telehealth store and forward applications, clinic manager for real time telehealth events, including patient education activities, provision of equipment for the Telehealth…
Added 1 hour ago
VH
Licensed Vocational Nurse (Medical Specialty Clinic)
Veterans Health Administration
Waco, TX
- $51,454 to $93,645 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in…
Added 1 hour ago
VH
Registered Nurse - Case Manager/Care Coordinator (EDRP)
Veterans Health Administration
Fort Bliss, TX
- $77,964 to $133,738 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 hour ago
VH
Registered Nurse - Clinical Coordinator
Veterans Health Administration
Quincy, IL
- $68,823 to $114,737 USD / year
Conducts program evaluations, analyzes clinic operations, and implements quality improvement initiatives to enhance patient outcomes and service delivery.

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