Program Manager - Risk Adjustment

About the Role

This position is responsible for the successful definition, implementation, and delivery of complex programs that require cross-functional collaboration and interdependencies between a group of projects and related activities. The role manages a matrix group of employees and contractors to achieve coordinated benefits within the constraints of scope, quality, time, and budget, while addressing multiple moderate-probability, moderate-impact risk factors.

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 (Tuesday, Wednesday, Thursday). If you are outside of 50 miles, you may work remotely.

Responsibilities

Leadership Reporting and Goal Setting/Management Support

• 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

Team Coordination, Initiative Management & Project Support

• 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

Budget and Spend Management

• 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

Essential Responsibilities

• 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 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 program objectives
• Acquire a 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 that constitute 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) if required
• Assess risks that might jeopardize successful achievement of program results, develop risk mitigation strategies and tactics, and implement risk mitigation plans
• Partner with procurement to develop and execute strategies related to service/asset contracts as needed
• Manage vendors to the responsibilities outlined in the contract and statement of work as needed
• Other duties as assigned or requested

Requirements

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

Qualifications

• Minimum: High School Diploma / GED
• Preferred: Bachelor’s degree in Business Administration or Technology Management-related area of study
• Preferred: MBA or Master’s Degree in Technology Management-related area of study

Skills

• Preferred: PMP or Certification in Project Management

Pay

Pay Range Minimum: $94,200.00

Pay Range Maximum: $151,000.00

Base pay is determined by a variety of factors including a candidate’s 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.

Schedule

Travel is required for this role.