Strategic Risk Adjustment Programs Lead

Highmark Health Company; Boston (MA); Vor Ort; USD 103.000 - 165.000; Vollzeit

Zusammenfassung

Highmark Inc. seeks a seasoned program manager to lead end-to-end risk adjustment programs for Health Plan beneficiaries under MA and ACA. You will partner with senior leadership, physicians and technical staff to design operating models, incentives, governance and to deliver large and small projects that improve outcomes.

You will coach the program team, oversee engagement deliverables, manage risks and budgets, and ensure alignment with strategic objectives and regulatory requirements.

Qualifikationen

• Bachelor’s degree or substantial equivalent experience in business/IT.
• Experience with enterprise systems and financial reporting.
• Leadership and program management background are preferred.

Aufgaben

• Lead end-to-end management and delivery of risk adjustment programs.
• Coach and mentor program team members and manage engagement teams.
• Define operating models, governance, and incentive design.
• Communicate with executives on status, risks, and outcomes.
• Oversee process improvements and program budgeting.

Kenntnisse

Excellent multi-tasking

Analytical reasoning

Logical thinking

Information technology

Enterprise systems

Financial statements

Ausbildung

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

Six (6) years relevant experience in lieu of Bachelor's degree

Jobbeschreibung

Highmark Inc. seeks a seasoned program manager to lead end-to-end risk adjustment programs for Health Plan beneficiaries under MA and ACA. You will partner with senior leadership, physicians and technical staff to design operating models, incentives, governance and to deliver large and small projects that improve outcomes.

You will coach the program team, oversee engagement deliverables, manage risks and budgets, and ensure alignment with strategic objectives and regulatory requirements.