JOB SUMMARY
This job leads a team that creates and communicates 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, business resiliency and continuity planning, records and information management. Leads team 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 and leads development and execution of 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) while actively seeking opportunities for continuous process, technology, and reporting improvement. The incumbent also collaborates with various areas and Senior Risk Partners (SRPs) on risk treatment plans including, legal, government affairs, HR, finance, facilities, quality, security, safety, and IT. Leads team environment that promotes cooperation, accountability, customer focus and effective work relationships in order to attain business goals and to effectively communicate 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.
ESSENTIAL RESPONSIBILITIES
Leads development and execution of processes to maintain enterprise policies, standards, procedures/controls, including business continuity/disaster recovery plans, strategies, and related exercises.
Leads and executes the strategic direction for the team that treats risk across disciplines (privacy, compliance, information security, quality, legal). Works within a highly matrixed environment.
Leads development and execution of a communication strategy of treatment solutions to SRPs and business leaders.
Leads development and execution of a monitoring program intended to prevent, detect, and respond to risks, in partnership with business units.
Leads implementation and provides feedback on risk treatment methodology in partnership with Risk Strategy (avoid, accept, transfer, mitigate).
Leads the administration of enterprise-wide programs (e.g., code of conduct, conflict of interest, etc.).
Leads development and execution of the training and education program in partnership with Enterprise Learning & Development.
Other duties as assigned or requested.
EDUCATION
Required
Bachelor's Degree in Accounting, Business, Computer Science, Finance, IT or related field.
Substitutions
6 years of related and progressive experience in lieu of Bachelor's degree
Preferred
None
EXPERIENCE
Required
7 years with Governance, Risk, and Compliance including audit, policy, regulatory, business resiliency, or related disciplines
5 years in a privacy operations, business resiliency, policy management and process improvement disciplines
Preferred
None
LICENSES or CERTIFICATIONS
Required
None
Preferred (any of the following)
Business Continuity Management certification
Certified Information Governance Professional (CIGP)
Certified Information System Auditor (CISA)
Certified Information Privacy Professional (CIPP)
Juris Doctorate (JD)
SKILLS
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
Demonstrated 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
Demonstrated leadership qualities with an ability to motivate and inspire a group of individuals to achieve superior results
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
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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