Senior Risk and Compliance Analyst

highmarkhealth; Pittsburgh (Allegheny County); On-site; USD 90,000 - 130,000; Full time

Job summary

Highmark Health in Pittsburgh is seeking a risk and compliance professional to support assessment activities across frameworks such as NIST, HITRUST, PCI, HIPAA, SOC, CMS, and JCAHO. The role partners with enterprise risk, technology, and delivery teams to meet mission requirements in a matrixed environment.

Proactive mindset and strong collaboration are essential. Responsibilities include leading risk assessments, developing assurance plans, maintaining dashboards, and guiding cross-functional

Qualifications

• 5 years in Audit and Compliance
• 3 years of Business Process Design
• 3 years of Project Management
• Knowledge of NIST, HITRUST, PCI, HIPAA, SOC, CMS, JCAHO frameworks

Responsibilities

• Plan and conduct risk assessment activities according to frameworks (NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO).
• Review and interpret results and develop assurance plans; ensure controls are implemented.
• Lead development of project plans and coordinate with owners and stakeholders.
• Interface with business areas, technical staff, and third parties to execute cross-functional risk assurance projects.
• Maintain RSA Archer risk dashboards and prepare management reports.
• Ensure risk questionnaires are distributed and completed on time; assist in training.
• Collaborate with Procurement, Privacy, Information Security, Legal throughout engagements.
• Monitor compliance with procedures and departmental metrics.

Skills

Risk & control frameworks

Healthcare risk processes

Regulatory knowledge

Education

Bachelor's Degree in related field

6 years of related experience in lieu of Bachelor's

Master's Degree (preferred)

Tools

RSA Archer

Job description

Company : Highmark Health Job Description :

JOB SUMMARY

This job works collaboratively to support of all risk and compliance assessment activities of Highmark Health across a broad range of frameworks including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, 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. This individual must have a proactive mindset and approach, and feel comfortable working in a highly matrixed environment.

ESSENTIAL RESPONSIBILITIES

• Plan and conduct risk assessment activities according to the appropriate framework, including but not limited to NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, in order to identify, assess, prioritize, evaluate and address financial, information security, privacy, and other areas of risk. Prepare draft reports and other management reporting deliverables. Review all work prepared by less experienced team members to ensure audit quality standards are consistently met in all forms of documentation.
• Review and interpret inherent risk assessment results, engagement risks, and develop assurance plans (e.g., on-site audit, contract review, financials assessment, purchasing data analysis) to address relevant risk areas and to ensure proper controls are implemented. Accountable for the review and interpretation of authoritative guidance (including, but not limited to NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO reports) and performs qualitative and quantitative impact assessments based on physical, technical, and administrative safeguards as well as contractual requirements; conducts additional information gathering and risk assessments as-needed; documents and reports results.
• Lead development of project plans to support risk assessment and decisioning in coordination with business owners and other stakeholders within task-based budgets. Collaborate and communicate with Information Security, Privacy, Procurement, Audit, Compliance, and other teams across the Enterprise to align risk management objectives, practices and procedures.
• Interface with business areas, technical staff, project teams, and third parties to execute cross-functional risk assurance projects. Lead the communication of assessment results and findings with multiple stakeholder groups and provides consultation and direction throughout.
• Interpret complex data flow/ information sharing activities, customer integrations, and information safeguards into simplified and high-level terminology and/or process/data flows. Maintains risk management reporting dashboards in RSA Archer applications in order to keep information complete, accurate, and current. Prepare and assist with the delivery of risk assurance reports to management.
• Ensure risk questionnaires and other risk assessments are distributed and completed on-time and prepares initial impact assessments. Ensure compliance requirements are met across the Enterprise. Assist in training and mentoring team members on multi-faceted engagements, platform customer dependencies, and interpretation of complex contract agreements.
• Collaborate with lead in providing input and consultation on risk and assurance reporting. Collaborate and consult with other areas (e.g., Procurement, Privacy, Information Security, Legal) throughout the engagement lifecycle Assist in providing timely feedback on interpretations regarding authoritative guidance.
• Proactively reviews updates made to departmental desk-level procedures, risk assessment methodology, assessment procedures, questionnaires, training, etc. and is responsible for monitoring compliance with departmental metrics, internal control activities, contractual obligations, regulatory requirements, and responding to customer inquiries / audits.
• Other duties as assigned or requested

EDUCATION

• Required
• Bachelor's Degree in Accounting, Finance, Business Administration/Management, Information Technology, Pre-Law, or related field
• Substitution s
• 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, or related field

EXPERIENCE

• Required
• 5 years in Audit and Compliance
• To Include:
• 3 years of Business Process Design
• 3 years of Project Management
• Preferred
• None

LICENSES or CERTIFICATIONS

• Required
• None
• Preferred (any of the following)
• Certified Public Accountant (CPA)
• Certified Information Systems Analyst (CISA)
• Certified Information Privacy Professional (CIPP)
• Certified Information Systems Security Professional (CISSP)

SKILLS

• Demonstrate expert 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 ma