Strategic Risk Adjustment Programs Leader

Allegheny Clinic; Pennsylvania; Hybrid; USD 90.000 - 130.000; Vollzeit

Zusammenfassung

Highmark Inc. is seeking an experienced leader to manage end-to-end Risk Adjustment Program engagements, delivering value to the Health Plan and beneficiaries.

You will collaborate with executives, physicians and tech staff, shaping governance, incentive models and operating models to drive strategic objectives. You will coach and mentor teams, manage staffing and budgets where applicable, and continuously improve processes and tools across multiple programs including RPM engagements and

Qualifikationen

• Requires a 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.
• Preferred PMP certification.

Aufgaben

• Lead staffing, coaching and development, rewards and recognition, performance management and staff productivity.
• Plan, organize, staff, direct and control day-to-day operations; develop and implement policies and programs; may have budgetary responsibility.
• Lead day-to-day execution of Strategic Risk Adjustment Program engagements, owning deliverables, resources and outcomes.
• Develop the engagement business case, scope, staffing and incentive model for RPM engagement with Providers on internal programs.
• Lead project teams and external consultants by implementing changes to meet project goals.
• Communicate with executive sponsors and stakeholders to ensure alignment with objectives, activities and outcomes.
• Brief executive leadership on project status, strategy, performance, timelines, risks and issues.
• Evaluate risks to risk adjustment program goals and drive continuous improvement.
• Other duties as assigned.

Kenntnisse

Excellent Multi-Tasker

Analytical and Logical Reasoning/Think

Information Technology

Enterprise Systems

Financial Statements

Ausbildung

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

Jobbeschreibung

Highmark Inc. is seeking an experienced leader to manage end-to-end Risk Adjustment Program engagements, delivering value to the Health Plan and beneficiaries.

You will collaborate with executives, physicians and tech staff, shaping governance, incentive models and operating models to drive strategic objectives. You will coach and mentor teams, manage staffing and budgets where applicable, and continuously improve processes and tools across multiple programs including RPM engagements and