Strategic Risk Adjustment Programs Leader

Highmark Health Company; Pierre (SD); Vor Ort; USD 103.000 - 165.000; Vollzeit

Zusammenfassung

Highmark Inc. is seeking a senior project/program manager to oversee end-to-end Risk Adjustment engagements, driving strategic initiatives and program delivery across health plans and partners. The role emphasizes capability analysis, operating model design and governance with executives.

The ideal candidate will have extensive PM experience, leadership skills, and a track record in risk revenue and strategic planning within healthcare. Domestic travel may be required.

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 is preferred.

Aufgaben

• Lead and manage Strategic Risk Adjustment Program engagements, owning deliverables, resources and outcomes.
• Develop the engagement business case, scope, staffing and incentive model for RPM engagements with Providers on internal programs.
• Supervise project team members and external consultants, implementing changes to achieve project goals.
• Communicate with executive sponsors to ensure alignment on strategy, timelines, risks and issues.
• Brief executive leadership on program status, strategy, performance and timelines.

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

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

Jobbeschreibung

Highmark Inc. is seeking a senior project/program manager to oversee end-to-end Risk Adjustment engagements, driving strategic initiatives and program delivery across health plans and partners. The role emphasizes capability analysis, operating model design and governance with executives.

The ideal candidate will have extensive PM experience, leadership skills, and a track record in risk revenue and strategic planning within healthcare. Domestic travel may be required.