Program Manager - Risk Adjustment

Highmark Health

3d • $94,200 - $151,000 • Hybrid

About The Position

This 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 and/or 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 and/or within departmental work groups to achieve a coordinated benefit.

Requirements

• 7 -10 years of work experience in project management
• 7-10 years of work experience delivering business solutions using information technology

Nice To Haves

• PMP or Certification in Project Management

Responsibilities

• Preparation of content for leadership review meetings
• Coordination of leadership reviews and revisions to content
• Support facilitation and documentation of strategy sessions to establish and update goals
• Management of leadership dashboards to report on performance related to agreed-upon goals
• Contribute to development and maintenance of operational and project related roadmaps to highlight deliverables, timelines, statuses, and risks
• Lead the successful delivery of evolving risk adjustment initiatives and projects, driving outcomes directly aligned with RAAM's strategic plan
• Development of content for monthly team communications (e.g. five things to know, provider news, etc.)
• Coordination of quarterly team building activities (rotational coffee chats, volunteer opportunities, holiday events, etc.)
• Agenda development and facilitation of team meetings
• Coordination with finance on spend management
• Purchase order set-up and management
• Facilitation of monthly vendor spend management review with leadership
• Complete month-end and year-end reporting in coordination with accounting
• Management of allocation of spend by line of business factoring in MA/ACA member disruption
• Provider incentive accrual management and reporting with accounting
• Work 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 and/or 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.
• Report to the executive team/sponsor/steering committee on the progress, business impacts and strategies around the program(s).
• 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.
• Partners with procurement to develop and execute strategies related to the service/asset contracts.
• Manages the vendor to the responsibilities outlined in the contract and statement of work.
• Other duties as assigned or requested.

Benefits

• 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.
• For accommodation requests, please contact HR Services Online at [email protected]

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED