Strategic Risk Adjustment Program Lead

Highmark Health Company; Jackson (MS); On-site; USD 90,000 - 130,000; Full time

Job summary

Highmark Inc. is seeking an experienced Project/Program Manager to oversee end-to-end risk adjustment programs, delivering value to the health plan and beneficiaries through governance, process design, and metrics development.

The role involves coaching and mentoring program teams and coordinating with executives and providers. The ideal candidate has 7–10 years of PM experience, strong leadership, and expertise in risk revenue and strategic planning.

Qualifications

• 7–10 years of Project/Program Management experience.
• 3–5 years of leadership experience.
• 3–5 years in Risk Revenue domain or related.
• 1–3 years Strategic Planning.

Responsibilities

• Lead 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 external consultants by implementing and managing changes to ensure project goals are achieved.
• Work closely with executive sponsors and stakeholders to ensure ongoing alignment with project objectives, activities, and outcomes.
• Regularly brief the executive leadership of the Enterprise on project status, including program strategy, performance, timelines, risks, and issues.

Skills

Excellent Multi-Tasker

Analytical and Logical Reasoning/Think

Information Technology

Enterprise Systems

Financial Statements

Education

Bachelor's Degree in Business Administration/Management or Computer and Information Science

Job description

Highmark Inc. is seeking an experienced Project/Program Manager to oversee end-to-end risk adjustment programs, delivering value to the health plan and beneficiaries through governance, process design, and metrics development.

The role involves coaching and mentoring program teams and coordinating with executives and providers. The ideal candidate has 7–10 years of PM experience, strong leadership, and expertise in risk revenue and strategic planning.