Strategic Risk Adjustment Program Lead

Highmark Health Company; Trenton (NJ); On-site; USD 120,000 - 160,000; Full time

Job summary

Highmark Inc. is seeking an experienced leader to manage end-to-end Risk Adjustment programs, delivering value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs.

You will drive capability analysis, operating models, governance and incentive design, while mentoring the program team. The role involves partnering with senior leaders, physicians, and technical staff to prioritize and deliver complex initiatives, ensuring alignment with strategic objectives and

Qualifications

• Bachelor's degree or six years of equivalent experience in program management.
• 7–10 years of project/program management experience.
• 3–5 years leadership experience.
• 3–5 years risk revenue experience.
• 1–3 years strategic planning.
• PMI/PMO certification (PMP) preferred.

Responsibilities

• Lead and manage day-to-day governance of Risk Adjustment Program engagements.
• Develop engagement business case, scope, staffing and incentive models.
• Coordinate with executive sponsors and stakeholders for status updates.
• Identify risks to program goals and implement mitigation actions.
• Mentor and coach program team members to improve performance.

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

Master's Degree in Business Administration/Management or Mental Health Services

Job description

Highmark Inc. is seeking an experienced leader to manage end-to-end Risk Adjustment programs, delivering value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs.

You will drive capability analysis, operating models, governance and incentive design, while mentoring the program team. The role involves partnering with senior leaders, physicians, and technical staff to prioritize and deliver complex initiatives, ensuring alignment with strategic objectives and