Senior Regulatory Implementation & Risk Lead, Healthcare

Highmark Health; Pittsburgh (Allegheny County); On-site; USD 120,000 - 160,000; Full time

Job summary

Highmark Health is seeking a senior leader to drive large risk and intake initiatives, coordinating with regulatory bodies and internal partners to ensure compliance and effective risk management across the enterprise.

The role requires strong project leadership, regulatory knowledge, and experience supporting audits, with frequent collaboration across departments and external partners.

Qualifications

• Bachelor's degree required in Accounting, Finance, Business Administration/Management, Information Technology, Pre-Law, Computer, Information Science, or related field.
• Substitutions: 6 years of related experience in lieu of Bachelor's.
• Preferred Master's degree in one of the listed fields.

Responsibilities

• Lead large projects or initiatives with a global team of specialists.
• Translate regulatory requirements into business/technical specs for stakeholders.
• Support external audits ensuring compliance and proper documentation.
• Standardize risk intake and auditing processes across the enterprise.
• Provide status reports to Risk Partners and Audit Committee as needed.

Skills

Regulatory guidelines

Risk management

Communication skills

Project leadership

Audit support

Education

Bachelor's degree in Accounting, Finance, Business Admin/Management, IT or related field

Master's degree preferred

Job description

Highmark Health is seeking a senior leader to drive large risk and intake initiatives, coordinating with regulatory bodies and internal partners to ensure compliance and effective risk management across the enterprise.

The role requires strong project leadership, regulatory knowledge, and experience supporting audits, with frequent collaboration across departments and external partners.