Strategic Risk Adjustment Programs Lead

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

Job summary

Highmark Inc. in Olympia, WA seeks an experienced leader to manage and deliver Risk Adjustment programs end-to-end. You will coach teams, define operating models, design incentive structures, and drive governance to meet strategic objectives for MA and ACA programs.

Responsibilities include leading engagements, coordinating with executives, and ensuring continuous improvement in risk documentation and reporting. Strong leadership and healthcare domain knowledge are essential.

Qualifications

• Bachelor’s degree in business/management or computer science or related field.
• PM experience leading risk adjustment or healthcare/clinical programs preferred.
• Experience with governance, budgeting and staff management.

Responsibilities

• Lead day-to-day execution of Strategic Risk Adjustment Program engagements with ownership of deliverables.
• Develop engagement scope, staffing and incentive models for RPM engagements.
• Direct project teams or consultants and implement changes to achieve goals.
• Communicate with executive sponsors to keep project strategy, timelines and risks aligned.
• Brief Enterprise leadership on status, risks and outcomes.

Skills

Excellent Multi-Tasker

Analytical and Logical Reasoning/Think

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. in Olympia, WA seeks an experienced leader to manage and deliver Risk Adjustment programs end-to-end. You will coach teams, define operating models, design incentive structures, and drive governance to meet strategic objectives for MA and ACA programs.

Responsibilities include leading engagements, coordinating with executives, and ensuring continuous improvement in risk documentation and reporting. Strong leadership and healthcare domain knowledge are essential.