Strategic Risk Adjustment Programs Lead

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

Job summary

Highmark Inc. seeks an experienced program and project management leader to oversee end-to-end Risk Adjustment initiatives for government programs (MA and ACA).

You will partner with senior leadership, physicians, and technical teams to define operating models, incentives, governance, and delivery roadmaps that drive value and risk-adjusted outcomes. Responsibilities include leading engagements, building business cases, managing scopes and resources, communicating status to executives, and

Qualifications

• Bachelor's Degree in Business Administration/Management or Computer and Information Science.
• Six years of relevant and progressive experience in lieu of Bachelor's degree.
• Master's Degree in Business Administration/Management or Mental Health Services preferred.
• 7–10 years Project / Program Management experience.
• 3–5 years Leadership, 3–5 years Risk Revenue, 1–3 years Strategic Planning.

Responsibilities

• Lead the Strategic Risk Adjustment Program engagements and deliverables.
• Develop engagement business case, scope, staffing and incentive model.
• Manage project team members and external consultants.
• Work with executive sponsors to ensure clear, transparent communication and alignment.
• Brief executive leadership on status, strategy, timelines, risks and issues.
• Drive continuous improvement and adoption of best practices.

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. seeks an experienced program and project management leader to oversee end-to-end Risk Adjustment initiatives for government programs (MA and ACA).

You will partner with senior leadership, physicians, and technical teams to define operating models, incentives, governance, and delivery roadmaps that drive value and risk-adjusted outcomes. Responsibilities include leading engagements, building business cases, managing scopes and resources, communicating status to executives, and