Highmark Health Senior Integrated Risk Operations Analyst in Home, Montana
Job Description :
This job leads development and communication of enterprise policies, standards, and procedures/controls according to applicable laws, regulations, and industry requirements supporting a broad range of frameworks including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, NCQA, the BCBSA, etc.. The incumbent assists with the development and execution of procedures associated with improving upon existing risk treatment activities including, but not limited to, enterprise policies, privacy operations, business resiliency and continuity planning, records and information management. Assists management in the areas of scheduling, direction, institutionalization of standard practices, prioritization and execution of risk treatment activities. Proactively works with other areas of Risk Operations to synthesize risk intelligence, cross-functional risk assessment outputs. Develops and executes actionable risk treatment strategies. Monitors and controls quality of risk treatment artifacts (e.g., business resiliency plans, recovery strategies, records taxonomy, policy and procedure inventory, privacy activities) while actively seeking opportunities for continuous process, technology, and reporting improvement. The incumbent also assists teams in order to collaborate with various areas and Senior Risk Partners (SRPs) on risk treatment plans including, legal, government affairs, HR, finance, facilities, quality, privacy, security, safety, and IT. Works in a team environment that promotes cooperation, accountability, customer focus and effective work relationships in order to attain business goals. Effectively communicates risk treatment progress, methodology, and risk decisioning options to SRPs and business leaders. Must have a proactive mindset and approach and feel comfortable working in a highly matrixed environment.
Develops and executes processes to maintain enterprise policies, standards, procedures/controls, including business continuity/disaster recovery plans, strategies, and facilitates related exercises/scenarios/drills.
Executes the strategic direction for the team that treats risk across disciplines (privacy, compliance, information security, quality, legal).Works within a highly matrixed environment.
Develops and executes communication strategies of treatment solutions to SRPs and business leaders.Reviews the work of others to ensure quality, compliance, and adherence to policies, procedures, privacy requirements, standards, etc.
Develops and executes monitoring programs intended to prevent, detect, and respond to risks, in partnership with business units, SRPs, and other stakeholders.
Implements and provides feedback on risk treatment methodology in partnership with Risk Strategy (avoid, accept, transfer, mitigate).
Administers enterprise-wide programs (e.g., code of conduct, conflict of interest, etc.).
Develops and executes training and education programs in partnership with Enterprise Learning & Development.
Other duties as assigned or requested.
- Bachelor's Degree in Accounting, Business, Legal Studies, Finance, IT or related field
- 6 years of related and progressive experience in lieu of Bachelor's degree
- Master's Degree in Accounting, Business, Legal Studies, Finance, IT or related field
5 years in Governance, risk, and compliance experience including audit, policy, regulatory, business resiliency, or related disciplines
3 years in Privacy operations, business resiliency, policy management and process improvement disciplines
LICENSES or CERTIFICATIONS
Preferred (any of the Following)
Business Continuity Management Certification
Certified Information Governance Professional (CIGP)
Certified Information Systems Auditor (CISA)
Certified Information Privacy Professional (CIPP)
Juris Doctor (JD)
Demonstrated knowledge of business continuation and crisis management
Demonstrated knowledge of policy and procedure governance and administration
Strong knowledge of business and technology processes, risk and control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes
Strong knowledge of how to leverage technologies to drive efficient and effective GRC processes across payor/provider industries
Strong resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective 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
Leadership qualities with an ability to motivate and inspire a group of individuals to achieve superior results
Language (Other than English):
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Teaches / trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Works primarily out-of-the office selling products/services (sales employees)
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
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.
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 their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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 their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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Req ID: J188702