Strategic Risk Adjustment Programs Lead

Highmark Health Company; United States; Remote; USD 103.000 - 165.000; Vollzeit

Zusammenfassung

Highmark Inc. seeks an experienced senior leader to manage end-to-end Risk Adjustment programs for government health plans, delivering strategic initiatives across the organization. The role includes coaching, governance, and cross-functional collaboration with executives, providers, and technical teams.

The incumbent will oversee project delivery, risk management, and continuous improvement efforts to strengthen patient care documentation and reporting capabilities.

Qualifikationen

• Bachelor’s Degree in Business Administration/Management or Computer and Information Science.
• Six (6) years relevant and progressive experience in lieu of Bachelor’s degree.
• Master’s Degree in Business Administration/Management or Mental Health Services preferred.

Aufgaben

• Lead day-to-day execution of Risk Adjustment Program engagements with providers on internal programs.
• Develop engagement business case, scope, staffing and incentive model for RPM engagements.
• Coordinate with executive sponsors and stakeholders to ensure alignment and timely updates.

Kenntnisse

Multi-tasking

Analytical thinking

Information Technology

Enterprise systems

Financial statements

Ausbildung

Bachelor’s degree in Business or CS

Six years relevant experience

Master’s degree preferred

Jobbeschreibung

Highmark Inc. seeks an experienced senior leader to manage end-to-end Risk Adjustment programs for government health plans, delivering strategic initiatives across the organization. The role includes coaching, governance, and cross-functional collaboration with executives, providers, and technical teams.

The incumbent will oversee project delivery, risk management, and continuous improvement efforts to strengthen patient care documentation and reporting capabilities.