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Integrated Risk Operations Analyst

Highmark Health

  • Company Hignmark Health
  • Home, PA
  • Finance
  • Full time
  • Day (United States of America)

Company :

Highmark Health

Job Description : 


This position has a primary concentration in supporting the privacy operations of the Enterprise Risk & Governance division such as:

  • conducting ongoing activities related to privacy compliance
  • investigating reports of potential breaches of protected health information to include determination of root cause, mitigation efforts, completing a risk assessment of the incident and other regulatory requirements with respect to PHI breaches
  • review and respond to patient/member privacy rights requests

The incumbent may also provide support related to privacy compliance and risk through assistance with 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 prepares and executes 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.  Works with other areas of Risk Operations to synthesize risk intelligence, cross-functional risk assessment outputs.  Prepares 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.  Collaborates 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.  Prepares and assists with effectively communicating risk treatment progress, methodology, and risk decisioning options to SRPs and business leaders.  Demonstrates a proactive mindset, a positive working approach and feels comfortable working in a highly matrixed environment. 


  • Prepares and executes processes to maintain enterprise policies, standards, procedures/controls, including business continuity/disaster recovery plans, strategies, and facilitates related exercises/scenarios/drills.
  • Prepares and executes risk treatment plans and processes across disciplines (e.g., business resiliency, privacy, compliance, information security, quality, legal) according to strategic objectives.  Works within a highly matrixed environment.  
  • Prepares and executes communication strategies of treatment solutions to SRPs and business leaders.  Ensures work adheres to quality, compliance, policies, procedures, privacy requirements, standards, etc.  Consults with peers and superiors on a regular basis.
  • Prepares and executes monitoring programs intended to prevent, detect, and respond to risks, in partnership with business units, SRPs, and other stakeholders.
  • Prepares and executes enterprise-wide programs (e.g., code of conduct, conflict of interest, etc.).
  • Prepares and assists with providing feedback on risk treatment methodology in partnership with Risk Strategy (avoid, accept, transfer, mitigate).
  • Prepares and executes training and education programs in partnership with Enterprise Learning & Development.
  • Other duties as assigned or requested.



  • Bachelor's Degree in Accounting, Business, Computer Science, Finance, IT or related field. 


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


  • None



  • 3 years in Governance, risk, and compliance experience including audit, policy, regulatory, business resiliency, or related disciplines
  • 1 year in Privacy operations, business resiliency, policy management and process improvement disciplines


  • Customer service experience



  • None

Preferred (any of the following)

  • Business Continuity Management Certification
  • Certified Information Governance Professional (CIGP)
  • Cybersecurity and Infrastructure Security Agency (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 work across a global and diverse team of staff
  • Strong written and verbal communication skills for diverse audiences (senior management, board, peer, and team)
  • Relationship building skills and ability to influence with and without authority in a matrixed organization

Language (Other than English):


Travel Requirement:

0% - 25%


Position Type


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, 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. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( )

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