Lead Risk and Compliance Analyst

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Lead Risk and Compliance Analyst

120 5th Avenue Place, Pittsburgh PA 15222-3099, United States

Full time

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Job DescriptionWorking with UsBenefits & PerksHear From Our TeamHow We Hire

Job Details

Category Audit & Compliance

Type Full time

Location(s) 120 5th Avenue Place, Pittsburgh PA 15222-3099, United States

Brand Highmark Health

Posted 11/10/2026

Req ID J283758

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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. The incumbent must have a proactive mindset and approach, and feel comfortable working in a highly matrixed environment.

ESSENTIAL RESPONSIBILITIES

• Provide input and consultation on risk and assurance reporting, along with terms and conditions in supplier contracts. Collaborates and consults with other areas (e.g., Procurement, Privacy, Information Security, Legal) throughout the compliance/contract lifecycle along with internal business and contract administration partners. Provide timely feedback to business areas.

• Interpret inherent risk assessment results and develops third party and overall assurance plans to address relevant risk areas and to ensure proper controls are implemented. Accountable for the review and interpretation information provided by third parties and performs qualitative and quantitative impact assessments; conducts additional information gathering and risk assessments with suppliers as-needed; document and report results. Review draft reports and other management reporting deliverables prior to the Enterprise Director and Vice President. Oversee and review all work prepared by less experienced team members to ensure audit quality standards are consistently met in all forms of documentation.

• Oversee the delivery and timely completion of risk questionnaires and other risk assessments and leads impact assessment activates. Lead team to ensure compliance requirements are met across the Enterprise. Train and mentor team members on multi-faceted relationships, platform customer dependencies, and interpretation of complex contract agreements.

• Interprets complex data flow/ information sharing activities and information safeguards into simplified and high-level terminology and/or process/data flows. Maintain Enterprise reporting dashboards in RSA Archer applications in order to keep information complete, accurate, and current. Prepares and assists with the delivery of reports to management.

• Maintain and review updates made to profiles, engagements, assessments, contracts, and other third party information in the RSA Archer, including periodic or automated refresh of supplier data from ancillary systems.

• Interface with business areas, technical staff, project teams, and third parties to lead and execute cross-functional risk assurance projects. Provide consultation and direction throughout, evaluate risks relative to new or existing programs and initiatives that support the Enterprise"s strategic direction, core operations, etc.

• Responsible for ensuring departmental desk-level procedures, risk assessment methodology, assessment procedures, questionnaires, training, etc. are updated periodically and is accountable for monitoring compliance with departmental metrics, internal control activities, contractual obligations, regulatory requirements, and responding to customer inquiries / audits. Build and maintain strong working relationships with all Enterprise companies to support the management of risks across multiple departments.

• Other duties as assigned or requested.

EDUCATION

Required

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

Substitutions

• 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

• 7 years in Audit and Compliance

To Include:

• 5 years of Business Process Design

• 3 years in Project Management

Preferred

• None

LICENSES or CERTIFICATIONS

Required

• None

Preferred (any of the following)

• Certified Public Accountant (CPA)

• Certified Information Systems Auditor (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 management, sourcing and procurement, and completing assessments of vendors

• Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a cross-campus and diverse team of management and 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

• Developed leadership qualities with an ability to motivate and inspire a group of individuals to achieve superior results

• High capacity to think analytically, interpret information / observations, apply judgment and make effective, strategic decisions

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 any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Why Choose Highmark Health?

At Highmark Health, we are on a mission to reinvent healthcare for everyone. When you bring your curiosity and drive to our award-winning team, you will find continuous opportunities to grow your career, break down barriers in the industry, and make a meaningful impact every day.

Benefits & Perks

Taking Care of You

Your Benefits at a Glance

• Health: Complete medical, dental, vision, prescription, HSA, and FSA coverage.
• Time Off: Paid vacation, holidays, and dedicated volunteer time.
• Finance: Employer-sponsored 401(k), life/disability insurance, and tuition reimbursement.
• Perks: Exclusive team discounts on shopping, memberships, and events.

Medical Coverage

Medical, prescription drug, dental, and vision coverage

Paid Time Off

Vacation, holidays, volunteering

Retirement Package

Employer-sponsored 401(k) plan

Insurance & Coverage

Life, AD&D and disability insurance

Onsite & Preventative Care

We make staying healthy easy with 100% covered preventative exams (including flu shots) and onsite pharmacy services at major campuses. Plus, stay active with free fitness center access at major Highmark campuses, Allegheny General, and West Penn Hospital.

Make Mindful Changes

Secure bicycle parking at major campuses. Healthy food options at onsite cafeterias. Stress management classes including yoga, mindfulness, and meditation.

Holistic Support, 24/7

Work-life resources including assistance programs and financial counseling services. 24/7 telephone access to health and wellness coaching.

Get Rewarded for Giving Back

Health incentive program that rewards team members. Team member networks to gather in the name of health. Paid volunteer time and incentives for making a difference.

Hear from Our Team

Real people, real stories

"I have met some really great people over the years at Highmark Health and the company has treated me really well. I get really good benefits. I"ve always been rewarded for working hard. That"s what keeps me here."

Victoria T.

Associate Strategy Analyst, enGen

"I love participating with the PRIDE BRG. It"s an engaged, dynamic group of almost 400 people. I also love to turn on the digital hub on my computer and see what"s going on with any of the Business Resource Groups. It"s really neat to be able to support other BRGs and see others support PRIDE. Every time I go to a different BRG event, I always feel welcome, even if I"m not part of that group."

Amanda M.

Director of Social Determinants of Health | Vice Chair of PRIDE

Our Hiring Process: Step-by-Step

1. Apply

Find a role that sparks your passion and submit your application! We'll send an immediate confirmation email, and our team will review your qualifications over the next 1-2 weeks.

2. Interview

If your profile is a great match, we'll reach out to schedule your interview-whether by phone, video, or in person. Don"t worry, we'll provide all the prep details in advance so you can shine.

3. Job Offer

The moment you've been waiting for! If selected, we'll connect to celebrate and walk you through the details: compensation, benefits, paid time off, and all the perks of joining the team.

4. Pre-Employment

After you accept online, we'll guide you through standard screening (including a background check and drug screen, plus health screenings for certain clinical roles). Once cleared, we"ll officially confirm your start date!

5. Onboarding

Welcome aboard! Before Day 1, we'll send everything you need to hit the ground running-including your schedule, location, and the required identification documents to bring with you.

Bonus Fast-Track Tip

Applying for EVS, Dietary, or Customer Service roles? You can skip the traditional line and chat with Bridget, our AI recruiting assistant, to find open roles and schedule an eligible interview instantly.

Apply Now

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Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

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 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.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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