JOB SUMMARY
Within area of expertise (application, solution, information, technology, business), designs, develops, implements, supports, and enables Governance, Risk and Compliance (GRC) architecture and technology solutions to meet business capabilities and needs. Ensures completeness of GRC solutions architecture by adequately addressing all the pertinent concerns of its stakeholders. Ensures integrity of GRC solutions architecture by connecting various views of stakeholders, reconciling conflicting concerns, and showing the trade-offs made in so doing. Considers practicality and fitness for purpose in determining GRC architecture to develop and/or improve upon. Leverages industry, business, technology, risk, and compliance knowledge to enable and/or improve business processes, practices, organizations, and systems. Supports collaboration with others across the enterprise to provide solutions and recommendations in order to consolidate data repositories, information, GRC tools and other technology resources by centralizing them under common GRC solutions. Adheres to service levels, prepares reporting and other customer communications. Adheres to quality standards, configuration practices and procedures, and supports the realization of measurable business benefits. Works independently and in cross-functional team environments while also assisting with special assignments, as needed.
ESSENTIAL RESPONSIBILITIES
EDUCATION
- Defines, designs, and continuously improves business processes, risk and compliance functions through the use of technology. Develops and configures the enterprise risk, governance, compliance and business solutions that combine knowledge of particular business processes and issues, general technological options, compliance and regulatory requirements, and process facilitation techniques. Collaborates with company customers, staff, IT colleagues, and other stakeholders in identifying customer requirements, assessing impacts to other areas, considering available options, comparing costs and benefits, and recommending solutions. Takes initiative, demonstrates a proactive mindset and is comfortable working in a highly matrixed environment.
- Specifies and designs GRC technology systems, solutions, networks, infrastructure elements, and processes. Assists with selection of appropriate design standards, methods and tools and ensures that they are applied effectively. Evaluates and undertakes impact analysis on solution design and implementation options. Develops approach and consults with others to ensures that the system architecture balances functional, service quality and systems management requirements. Tests and validates system configurations. Collaborates with customers and other stakeholders in order to maintain and to improve data quality.
- Works with customers to establish, conceptualize, and align expectations with a focus on GRC process automation; facilitates requirements evaluation/rationalization activities; translates customer expectations into written artifacts. Assists with preparation and monitoring of project plans, task-based budgets and milestones. Develops, maintains and communicates project status reports to business and technical stakeholders as well as senior leadership, as needed. Executes data access governance processes, procedures, and related review activities including user profile and provisioning process updates.
- Performs detailed component requirements gathering and analysis, collection of customer and technology and translates these into detailed solutions/designs for implementation using selected products. Documents technical aspects of system development, configuration, testing, integration (including requests for changes, deviations from specifications, etc.), process transformation, and project management artifacts using standard templates. Assists with upgrades, testing and other solution validation activities.
- Communicates effectively with multiple levels of organization, assists with managing expectations of customers, partners and management. Performs customer walkthroughs, timelines and plans; design and technical walk-throughs; training; problem resolution and decision making activities.
- Maintains an in-depth and current knowledge of multiple technical aspects in area of expertise and assists with providing advice regarding GRC technology and process solutions. Assists with commercialization opportunities for future growth, as needed.
- Researches, creates, and implements novel approaches to training and education on GRC process automation, digital transformation and technology enablement. Applies relevant technical and business strategies, policies, standards and practices to multiple work products. Contributes to knowledge management repositories and other communities of practice.
- Other duties as assigned or requested.
Required
- Bachelor's Degree in Computer Science, Information Technology or related degree
Substitutions
- 6 years of related and progressive experience in lieu of Bachelor's degree
Preferred
- Master's Degree in Computer Science, Information Technology or related degree
EXPERIENCE
Required
- 3 years with Governance, Risk, and Compliance Technology, preferably with Healthcare or a Healthcare related industry
- 1 year of IT discipline, Process Improvement, and System Architecture
Preferred (any of the following)
- 1 year with Archer Governance Risk and Compliance suite
- 1 year with SailPoint Access and Data Governance solutions
- 1 year of API Development
- 1 year of Java/Web Development
- 1 year as an Enterprise Architect (SCEA)
LICENSES or CERTIFICATIONS
Required
- None
Preferred (any of the following)
- Certified Information System Auditor (CISA)
- Certified Information Systems Security Professional (CISSP)
- Archer Certified Professional (ACP)
- Governance of Enterprise IT (CEGIT)
SKILLS
- Experience with project management tools, methodologies, and working practices (e.g., Agile, Waterfall).
- Knowledge of business and technology processes, risk and control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes.
- Knowledge of how to leverage technologies to drive efficient and effective GRC processes across payor/provider industries.
- Experienced with resource and project planning capabilities, decision making skills, history of results-oriented delivery, and participation in team building across a global and diverse team of staff.
- Strong written and verbal communication skills for diverse audiences (senior management, board, peer, and team).
- Strong relationship building skills and ability to influence with and without authority in a matrixed organization.
- High capacity to think analytically, interpret information / observations, apply judgment and to assist with making effective, strategic decisions.
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
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 job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As 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 Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s 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 Minimum:
$57,700.00Pay Range Maximum:
$107,800.00Base 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.
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.
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What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms.
A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best.
Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia.
We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions.
We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.









