Strategic Risk Adjustment Programs Leader

Highmark Health Company; Denver (CO); On-site; USD 150,000 - 190,000; Full time

Job summary

Highmark Inc. in Denver is seeking an experienced leader to manage and deliver Risk Adjustment Programs end-to-end, coordinating with executives and healthcare partners to drive strategic outcomes. You will mentor the program team and ensure governance and performance across initiatives.

The role requires 7–10 years in project/program management, leadership and risk revenue experience, plus strategic planning skills. PMP certification is preferred; healthcare industry exposure is highly valued.

Qualifications

• Bachelor's degree in Business Administration/Management or Computer and Information Science required.
• Six years relevant and progressive experience in lieu of Bachelor's degree.
• Master's degree preferred.

Responsibilities

• Perform management responsibilities including hiring/termination decisions, coaching, development, rewards, recognition, performance management and staff productivity.
• Lead day-to-day execution of Strategic Risk Adjustment Program engagements, owning deliverables, resources and outcomes.
• Develop engagement business case, scope, staffing and incentive model for RPM engagement with Providers.
• Lead and manage project team members and external consultants by implementing changes to ensure goals are achieved.
• Brief executive leadership on project status, strategy, timelines, risks and issues.

Skills

Excellent Multi-Tasker

Analytical reasoning

Information Technology

Enterprise Systems

Financial Statements

Education

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

Six years relevant experience in lieu of Bachelor's

Master's Degree in Business Administration/Management or Mental Health Services

Job description

Highmark Inc. in Denver is seeking an experienced leader to manage and deliver Risk Adjustment Programs end-to-end, coordinating with executives and healthcare partners to drive strategic outcomes. You will mentor the program team and ensure governance and performance across initiatives.

The role requires 7–10 years in project/program management, leadership and risk revenue experience, plus strategic planning skills. PMP certification is preferred; healthcare industry exposure is highly valued.