Strategic Risk Adjustment Programs Lead

Highmark Health; Boise (ID); In loco; USD 110.000 - 170.000; Tempo pieno

Descrizione del lavoro

Highmark Inc. is seeking an accomplished leader to manage end-to-end Risk Adjustment Programs, delivering value to health plans and beneficiaries through governance, process design, and program administration.

The role involves leading engagement teams, shaping incentive models, coordinating with executives and hospital partners, and mentoring staff to drive continuous improvement in risk adjustment documentation and reporting capabilities.

Competenze

• 7–10 years Project / Program Management experience.
• 3–5 years Leadership experience.
• 3–5 years Risk Revenue experience.
• 1–3 years Strategic Planning experience.
• Healthcare industry experience preferred.
• Consulting experience and Cross-Functional Project Teams.
• PMP certification preferred.

Mansioni

• Perform management activities including hiring, coaching, performance management and staff development.
• Lead day-to-day execution of Strategic Risk Adjustment Program engagements with ownership of deliverables.
• Develop engagement business case, scope, staffing and incentive model for RPM engagements.
• Lead project teams and external consultants, driving changes to achieve goals.
• Communicate with executive sponsors to ensure alignment on strategy, timelines, risks and issues.
• Brief executive leadership on status, strategy, and program outcomes.
• Assess risks to program goals and elevate as needed.
• Conduct market reviews to adopt best practices and continuous improvement.
• Perform other duties as assigned.

Conoscenze

Excellent multi-tasking

Analytical reasoning

Information Technology

Enterprise systems

Financial statements

Formazione

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

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

Strumenti

PMP

Descrizione del lavoro

Highmark Inc. is seeking an accomplished leader to manage end-to-end Risk Adjustment Programs, delivering value to health plans and beneficiaries through governance, process design, and program administration.

The role involves leading engagement teams, shaping incentive models, coordinating with executives and hospital partners, and mentoring staff to drive continuous improvement in risk adjustment documentation and reporting capabilities.