Strategic Risk Adjustment Programs Lead

Highmark Health Company; Austin (TX); On-site; USD 120,000 - 180,000; Full time

Job summary

Highmark Inc. is seeking an experienced Senior Project/Program Manager to lead end-to-end risk adjustment programs for government and commercial plans.

You will partner with executive leadership, clinicians, and IT teams to define scope, staffing, governance, and success metrics, delivering value to the health plan and its beneficiaries. The role requires 7–10 years of PM experience, PMP preferred, and a track record of strategic planning and cross-functional delivery.

Qualifications

• Excellent multitasking and analytical thinking skills.
• Strong IT and enterprise system knowledge.
• Experience with financial statements and metrics.

Responsibilities

• Lead and manage risk adjustment program engagements.
• Develop business case, scope, staffing and incentive model for RPM engagements.
• Communicate with executive sponsors to ensure alignment on strategy and timelines.
• Coach and mentor program team members and external consultants.
• Identify risks and drive continuous improvement in department methods.

Skills

Excellent Multi-Tasker

Analytical & Logical Reasoning

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 Senior Project/Program Manager to lead end-to-end risk adjustment programs for government and commercial plans.

You will partner with executive leadership, clinicians, and IT teams to define scope, staffing, governance, and success metrics, delivering value to the health plan and its beneficiaries. The role requires 7–10 years of PM experience, PMP preferred, and a track record of strategic planning and cross-functional delivery.