Strategic Risk Adjustment Programs Lead

Highmark Health Company; Bismarck (ND); In loco; USD 103.000 - 165.000; Tempo pieno

Descrizione del lavoro

Highmark Inc. is seeking a senior program manager to oversee end-to-end management, delivery, and support for Risk Adjustment Programs.

You will coordinate with health plan leaders, physicians, and technical teams to identify priorities and drive large-scale initiatives aligned with strategic objectives for MA and ACA programs. The role includes mentoring team members, developing engagement business cases, and leading cross-functional projects with executive visibility.

Competenze

• Bachelor's Degree in Business Administration/Management or Computer and Information Science is required.
• Six years relevant and progressive experience in lieu of Bachelor's degree.
• Master's Degree in Business Administration/Management or Mental Health Services preferred.

Mansioni

• Perform management responsibilities including hiring/termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
• Plan, organize, staff, direct and control day-to-day operations; develop and implement policies; may have budgetary responsibility.
• Lead day-to-day execution of Strategic Risk Adjustment Program engagements with ownership of deliverables and resources.
• Develop the engagement business case, scope, staffing and incentive model for RPM engagements with Providers on internal programs.
• Lead and manage project team members and external consultants with changes to achieve goals.
• Brief executive sponsors and stakeholders to ensure alignment with objectives, activities and outcomes.
• Regularly brief senior leadership on strategy, performance, timelines, risks and issues.
• Evaluate risks to program goals and elevate where appropriate.
• Conduct market reviews to identify best practices and drive department improvement.
• Other duties as assigned.

Conoscenze

Multitasking

Analytical thinking

Information Technology

Enterprise Systems

Financial Statements

Formazione

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

Six years relevant experience in lieu of Bachelor's degree

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

Descrizione del lavoro

Highmark Inc. is seeking a senior program manager to oversee end-to-end management, delivery, and support for Risk Adjustment Programs.

You will coordinate with health plan leaders, physicians, and technical teams to identify priorities and drive large-scale initiatives aligned with strategic objectives for MA and ACA programs. The role includes mentoring team members, developing engagement business cases, and leading cross-functional projects with executive visibility.