JOB SUMMARY
This role supports the strategic activities for the organization, including (i) maintenance of the enterprise risk taxonomy, (ii) documentation of the enterprise risk profile, and appetite/tolerance; (iii) documentation of risk assessments and mitigation strategies; (iv) emerging risk evaluation; (v) completion of compliance / regulatory certifications and filings; and (vi) contribution to the annual audit + compliance plan. As senior members of the Enterprise Risk Strategy Department, this role supports stakeholders by providing objective risk analysis through a quantitative process that links risks to the enterprise risk appetite, including the development of risk stress scenarios using internal and external resources.
ESSENTIAL RESPONSIBILITIES
Strategic Initiative Support and Delivery: Directly supports the Director - Enterprise Risk Strategy in contributing and leading discussions with individuals across the Enterprise Risk & Governance (ER&G) division, as well as relevant business owners to implement the strategy program / workflow that directly impacts high priority, Executive Leadership Team (ELT)-qualified initiatives, including but not limited to:
(i) ELT qualified requests of CRO;
(ii) support of due diligence efforts for Mergers & Acquisitions;
(iii) support of enterprise strategic initiatives.
Audit, Risk, and Compliance Strategy & Planning: Directly supports the Director - Enterprise Risk Strategy and the Director - Risk Initiatives with the development of key strategic, administrative and mandated deliverables (e.g. annual audit planning), including but not limited to the following:
(i) Annual ERM threat assessment;
(ii) Contribution to payor or provider compliance plans in coordination with Strategic Risk Partners, Risk Operations, and Risk Enablement;
(iii) Audit Plan Development in coordination with Internal Audit, Risk Operations, and Risk Enablement;
(iv) Monitoring and tracking of the delivery of all risk activities for Highmark Health, AHN, including internal and external audit progress, privacy matters, risk and compliance reporting, and the impacts of new and changing laws, regulations, and contractual obligations.
Enterprise Risk Strategy Implementation + Reporting: Lead in the identification and assessment of risks, create decisioning frameworks to treat risks, implement measures to modify risk(s), and detect / respond to risk(s), including but not limited to:
(i) Development and maintenance of enterprise risk taxonomy;
(ii) Evaluation and development of enterprise risk appetite and profile alignment;
(iii) Oversight and submission of regulatory risk filings (e.g. ORSA reporting);
(iv) Cascading enterprise risk appetite into business case templates and project management frameworks across Highmark Health;
Risk Modeling: Contributes to the development of advanced models used to quantify risks to inform Audit Committee and/or senior management deliverables.
Communication and Oversight: Establishes and maintains relationships with business owners, provide coaching and guidance to Risk Strategy Analysts, brings knowledge sharing and best practices to the risk function, and demonstrates ability to apply a thorough understanding of Highmark's complex business processes and environment, including visualizing and developing solutions to highly complex problems and issues.
Other duties as assigned or requested.
EDUCATION
Required
Bachelor's Degree in Finance, Business, Public Policy Healthcare, Information Technology, Information Security or related field
Substitutions
Related and progressive experience in lieu of Bachelor's degree
Preferred
Master's Degree in Finance, Business, Public Policy Healthcare, Information Technology, Information Security or related field
EXPERIENCE
Required
5 years in Compliance, Quality, Public Policy, Government Affairs, Project Management, Healthcare Operations or Law
Preferred
3 years in Information Security Analysis or Information Risk Management
3 years in Privacy Analysis, Privacy Risk Management and working in and understanding regulatory environment
LICENSES or CERTIFICATIONS
Required
None
Preferred
None
SKILLS
Strong documentation and reporting skills
Strong written and oral communication skills
Presenting compliance and quality issues to senior audiences
Demonstrated client relationship, influencing, and teamworking skills
Strong quantitative and analytical skills
Self-starter with the ability to work under pressure independently or as a part of a team
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:
$86,400.00Pay Range Maximum:
$138,600.00Base 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.
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 [email protected]
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Skills Required
- Bachelor's Degree in Finance, Business, Public Policy, Healthcare, Information Technology, Information Security or related field
- 5 years in Compliance, Quality, Public Policy, Government Affairs, Project Management, Healthcare Operations or Law
- Master's Degree in Finance, Business, Public Policy, Healthcare, Information Technology, Information Security or related field
- 3 years in Information Security Analysis or Information Risk Management
- 3 years in Privacy Analysis or Privacy Risk Management with regulatory environment experience
- Strong documentation and reporting skills
- Strong written and oral communication skills
- Experience presenting compliance and quality issues to senior audiences
- Demonstrated client relationship, influencing, and teamwork skills
- Strong quantitative and analytical skills
- Self-starter able to work independently or as part of a team under pressure
Highmark Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Highmark Health and has not been reviewed or approved by Highmark Health.
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Healthcare Strength — Medical, prescription, dental, and vision coverage are emphasized alongside 100% coverage for preventive exams, with onsite pharmacy access and fitness center availability at major campuses.
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Retirement Support — An employer‑sponsored 401(k) with a company match is highlighted, with AHN materials illustrating a 100% match on the first 4% plus an additional 1% employer contribution as an example within the enterprise.
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Wellbeing & Lifestyle Benefits — Wellness programs include stress‑management classes, health coaching, incentives for healthy activities, team‑member discounts, and volunteer incentives, with paid volunteer time also noted in the overall package.
Highmark Health Insights
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.
