Program Manager - Risk Adjustment

** Company :*
* Highmark Inc.

** Job Description :*
* ** GENERAL OVERVIEW*
* 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.

** Leadership Reporting and Goal Setting/Management Support*
* *
* Key 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

** Team Coordination, Initiative Management & Project Support*
* *
* Key Responsibilities:

*
* + 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*
* *
* Key Responsibilities:

*
* + 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

** 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 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 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. If required - 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.

+ As needed - Partners with procurement to develop and execute strategies related to the service/asset contracts.

+ As needed - Manages the vendor to the responsibilities outlined in the contract and statement of work.

+ Other duties as assigned or requested.

** EDUCATION*
* ** Minimum*
* + High School Diploma / GED

** Substitutions*
* + None

** Preferred*
* + Bachelor's degree in Business Administration or Technology Management-related area of study

+ MBA or Master's Degree in Technology Management-related area of study

** EXPERIENCE*
* ** Minimum*
* + 7
-10 years of work experience in project management or

+ 7-10 years of work experience delivering business solutions using information technology

** Preferred*
* + None

** LICENSES/CERTIFICATIONS*
* ** Required*
* + None

** Preferred*
* + PMP or Certification in Project Management

** SCOPE OF RESPONSIBILITY*
* Does this role supervise/manage other employees?

No

** WORK ENVIRONMENT*
* Is Travel Required?

Yes

** _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…