Strategic Risk Adjustment Programs Lead

Highmark Health; Lincoln (NE); In loco; USD 110.000 - 160.000; Tempo pieno

Descrizione del lavoro

Highmark Inc. seeks an experienced Project/Program Manager to lead end-to-end Risk Adjustment initiatives for its health plan programs. You will collaborate with senior leadership, physicians, and technical staff to define operating models, governance, and metrics for program delivery.

Responsibilities include directing teams, optimizing incentives, and communicating progress to CFO and executives while driving continuous improvement across enterprise programs.

Competenze

• Bachelor's degree required; substitutions allowed for 6 years of progressive experience.
• 7–10 years in Project/Program Management.
• 3–5 years of leadership experience.
• 3–5 years in Risk Revenue and 1–3 years in Strategic Planning.
• Healthcare-industry exposure and cross-functional project team experience are preferred.

Mansioni

• Lead day-to-day management of Strategic Risk Adjustment Program engagements.
• Develop engagement business case, scope, staffing and incentive models.
• Manage project teams and external consultants to achieve goals.
• Communicate with executive sponsors and stakeholders for alignment.
• Brief enterprise leadership on status, strategy, risks and issues.

Conoscenze

Excellent Multi-Tasker

Analytical and Logical Reasoning/Think

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

Six years experience in lieu of Bachelor's degree

Descrizione del lavoro

Highmark Inc. seeks an experienced Project/Program Manager to lead end-to-end Risk Adjustment initiatives for its health plan programs. You will collaborate with senior leadership, physicians, and technical staff to define operating models, governance, and metrics for program delivery.

Responsibilities include directing teams, optimizing incentives, and communicating progress to CFO and executives while driving continuous improvement across enterprise programs.