Program Manager - Risk Adjustment

Apply for Program Manager - Risk Adjustment | Careers at Highmark Health Skip to main content Careers Working here Our Companies Career Areas Early CareersInterns Talent Community Team Member Stories Veterans Explore Jobs Project ManagementProgram Manager - Risk Adjustment Explore our jobs Program Manager - Risk Adjustment Apply Open in new tab iconPA Working at Home - PennsylvaniaCompany Highmark Inc.Job Description GENERAL OVERVIEWThis job is responsible for the successful definition implementation and delivery of complex programs that requires cross-functional collaboration and interdependencies between a group of projects andor related activities within the constraint of scope quality time and budget and under circumstances involving multiple moderate-probability moderate-impact risk factors. Manages a matrix group of employees and contractors who serve on project teams andor within departmental work groups to achieve a coordinated benefit.This role can be hybrid or remote. If you are within 50 miles of an office you are required to be onsite 3 days a week T W Th. Outside of 50 miles you can be remote. ESSENTIAL RESPONSIBILITIESWork with management to assemble project teams and work groups to produce deliverables required to achieve the objectives of a defined corporate program. Lead project managers and work group leaders in the development and maintenance of comprehensive plans for a defined corporate program.Organize direct and coordinate cross-functional activities to focus corporate resources on the successful delivery and implementation of the desired results for a defined corporate program andor strategic initiative.Work with the executive sponsor of a corporate program VP or higher and other management as required to achieve the objectives of a defined corporate program. Acquire detailed understanding of the business objectives for an assigned area.Monitor and evaluate the progress alignment and financial health" of a cross-functional group of projects and related activities which together constitutes a defined corporate program. Direct corrective action as needed to maintain the viability of the program. If required - Report to the executive teamsponsorsteering committee on the progress business impacts and strategies around the programs.Assess risks that might jeopardize successful achievement of the desired results of a program develop risk mitigation strategies and tactics and implement risk mitigation plans.As needed - Partners with procurement to develop and execute strategies related to the serviceasset contracts.As needed - Manages the vendor to the responsibilities outlined in the contract and statement of work.Other duties as assigned or requested.EDUCATIONMinimumHigh School Diploma GEDSubstitutionsNonePreferredBachelors degree in Business Administration or Technology Management-related area of studyMBA or Masters Degree in Technology Management-related area of studyEXPERIENCEMinimum7 -10 years of work experience in project management or7-10 years of work experience delivering business solutions using information technologyPreferredNoneLICENSESCERTIFICATIONSRequiredNonePreferredPMP or Certification in Project ManagementSCOPE OF RESPONSIBILITYDoes this role supervisemanage other employeesNoWORK ENVIRONMENTIs Travel RequiredYes Disclaimer The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties responsibilities and qualifications required of employees to do this job.Compliance Requirement This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policiesNote Job duties and responsibilities support separation of duties across multiple usersAs a component of job responsibilities employees may have access to covered information cardholder data or other confidential customer information that must be protected at all times. In connection with this all employees must comply with both the Health Insurance Portability Accountability Act of 1996 HIPAA as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Companys Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore it is every employees responsibility to comply with the companys Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws rules and regulations as well as company policies and training requirements.Pay Range Minimum94200.00Pay Range Maximum151000.00Base pay is determined by a variety of factors including a candidates qualifications experience and expected contributions as well as internal peer equity market and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal state or local law.We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process please contact the email below.For accommodation requests please contact HR Services Online at HRServiceshighmarkhealth.orgCalifornia Consumer Privacy Act Employees Contractors and Applicants Notice Apply Job DetailsJob categoryProject ManagementPosition TypeFull TimePosted03242026LocationsPA Working at Home - PennsylvaniaLine of BusinessEntityRecruiterHiring ManagerExperience LevelJob FamilyProject Management-HMReq IDJ276623 Share Facebook X LinkedIn Whatsapp Email Copy URL Apply Open in new tab iconArrow left iconTwitter iconFacebook iconLinkedin iconInstagram iconYoutube iconGlassdoor icon Featured Links Competitively Sensitive Information Cyber Security Notice at Collection E-Verify English E-Verify - Employee Rights and Responsibilities Data Protection Sitemap Terms of Service Do Not SellShare E-Verify Spanish Digital Privacy Policy Highmark Health is an independent licensee of the Blue Cross Blue Shield Association. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal state or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process please contact the email below. For accommodation requests please contact HR Services Online at HRServiceshighmarkhealth.org. 2026 Highmark Health. All Rights Reserved.