Senior Regulatory Implementation and Assurance Analyst

Highmark Health; Louisiana (MO); Hybrid; USD 79,300 - 127,100; Full time

Job summary

Highmark Health seeks a Senior Regulatory Implementation and Assurance Analyst to lead major risk and compliance initiatives. This role collaborates with risk, business, and technology teams to translate regulatory guidance into actionable requirements across jurisdictions.

The position emphasizes project leadership, audit support, and governance across HIPAA, HITRUST, CMS, and other bodies, with a hybrid work model and 0–25% travel.

Qualifications

• Bachelor's degree or 6 years of related experience in a regulated industry.
• Experience interacting with regulators, auditors, or oversight bodies.
• Knowledge of risk and control frameworks, and healthcare regulatory processes.
• Strong written and verbal communication for senior leadership and board-level audiences.

Responsibilities

• Lead large team projects or initiatives with a global team of specialists.
• Coordinate with impacted departments to translate regulatory requirements into business and technical requirements.
• Provide executive summaries to Risk Partners, Business Unit leadership, and Audit Committee as required.
• Create and execute regulatory implementation strategies across multiple jurisdictions.
• Support external audits ensuring information governance, chain of custody, and minimal disruption to operations.

Skills

Regulatory risk

Audits

Stakeholder mgmt

Regulatory guidelines

Communication

Analytical thinking

Education

Bachelor's degree in Accounting, Finance, Business Administration/Management, Information Technology, Pre-Law, Computer, Information Science, or related field

6 years of related and progressive experience in lieu of Bachelor's degree

Job description

## Senior Regulatory Implementation and Assurance AnalystApplyremote type: Hybridlocations: PA, Working at Home - Pennsylvania: MD, Working at Home - Maryland: WA, Working at Home - Washington: NC, Working at Home - N Carolina: LA, Working at Home - Louisianatime type: Full timeposted on: Posted Yesterdayjob requisition id: J284592## **Company :**Highmark Health## **Job Description :****JOB SUMMARY**This job is responsible for leading large projects and initiatives related to the risk case management and intake activities of Highmark Health in support of a broad range of frameworks and oversight bodies including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, NCQA, the BCBSA, etc. The incumbent will partner with the organizational risk and business partners, the technology organization, and global delivery teams to meet Highmark Health’s mission requirements in a manner consistent with the enterprise risk appetite. The incumbent must have a proactive mindset and approach, and feel comfortable working in a highly matrixed environment.**ESSENTIAL RESPONSIBILITIES*** Lead large team projects or initiatives involving a global team of specialists. Coordinate with impacted departments to identify necessary changes to policies, procedures, processes, and technology based on the identification of legislative, regulatory, sub-regulatory, and licensing / accreditation requirements from the Regulatory Guidance team;. Translate and communicate compliance requirements into business and technical requirements for impacted stakeholders and systems. Provide regular, executive summaries/abstracts to Risk Partners, Business Unit leadership, and/or the Audit Committee of the Board of Directors as required.* Create and execute complex regulatory implementation strategies for assigned legislative, regulatory, sub-regulatory, and licensing / accreditation requirements across multiple jurisdictions, including assessments of the regulatory impact of changes to people, processes, and technologies deployed across the enterprise.* Support all external audits of the organization, including ensuring that a) appropriate agreements are in place before the release of any information, b) the release of information is in accordance with applicable laws and organizational policies, c) information provided to the auditors is complete and accurate, d) chain of custody is maintained, and e) disruption to the daily operations of the Company is minimized.* Standardize documentation and tracking of audits, market conduct exams, regulatory reviews, and external accreditation assessments of the organization. During an audit, engage senior Business Unit leadership and removing barriers for outside parties. Prepare and/or provide status reporting to Risk Partners, accountable management, and the Audit Committee of the Board of Directors as necessary.* Standardize and expand internal and external risk intake (hotlines, inboxes, self-service, inquiries, vendor pipeline, incident & problem management systems, strategic initiative portfolio, etc.), and provide a streamlined, consistent point of entry for risk tracking, assessment, treatment, and monitoring for all of Highmark Health.* Implement policies and procedures to facilitate a consistent, high quality, confidential, and compliant service experience, including establishing service levels and requirements for the department and developing and implementing methods to record, assess, and analyze risk intake.* Leverage analytics programs, decision support systems, and standards that apply to complex information sets in order to make logical and supported risk & regulatory implementation recommendations.* Other duties as assigned or requested.**EDUCATION****Required*** Bachelor's degree in Accounting, Finance, Business Administration/Management, Information Technology, Pre-Law, Computer, Information Science, or related field**Substitutions*** 6 years of related and progressive experience in lieu of Bachelor's degree**Preferred*** Master's degree in Accounting, Finance, Business Administration/Management, Information Technology, Pre-Law, Computer, Information Science, or related field**EXPERIENCE****Required*** 5 years of interacting with regulators, auditors, and/or oversight bodies* 5 years of increasing accountability and/or progressive role, preferably in an audit or compliance discipline in a healthcare or healthcare related industry**Preferred*** None**LICENSES or CERTIFICATIONS****Required*** None**Preferred** (any of the following)* Certified Public Accountant (CPA)* Certified Information Systems Auditor (CISA)* Juris Doctor (JD)**SKILLS*** Demonstrate 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 relevant regulatory guidelines, vendor management, sourcing and procurement, and completing risk-based assessments* Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a cross-campus and diverse team of management and 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. written and verbal communication skills for diverse audiences (senior management, board, peer, and team)* Capacity to think analytically, interpret information / observations, apply judgment and make effective, strategic decisions**Language (Other than English):**None**Travel Requirement:**0% - 25%**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS****Position Type**Office-basedTeaches / trains others regularlyFrequentlyTravel regularly from the office to various work sites or from site-to-siteRarelyWorks primarily out-of-the office selling products/services (sales employees)NeverPhysical work site requiredYesLifting: up to 10 poundsConstantlyLifting: 10 to 25 poundsOccasionallyLifting: 25 to 50 poundsRarely***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:**$79,300.00**Pay Range Maximum:**$127,100.00*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.*