Risk Partner

Highmark Health

**
5 years in compliance or risk functions
3 years in leadership or management role
Knowledge of managed care operations
** Highmark Health is seeking a Risk Partner responsible for implementing and maintaining the Compliance Program to ensure adherence to federal and state regulations. The role requires extensive knowledge in compliance, privacy, and managed care operations, along with a focus on risk management strategies. **

Job Summary

  • The incumbent is responsible for implementing, executing, and maintaining the Compliance Program to ensure business alignment with federal and state laws.
  • This role serves as a single point of contact for risks, compliance, privacy, and security needs while partnering closely with legal counsel.
  • The position requires extensive knowledge of applicable federal and state rules along with a solid working knowledge of managed care operations.

Matching Summary

Match Score: 75

** Highmark Health is seeking a Risk Partner responsible for implementing and maintaining the Compliance Program to ensure adherence to federal and state regulations. The role requires extensive knowledge in compliance, privacy, and managed care operations, along with a focus on risk management strategies. **

Skills & Requirements

Must-have

  • 5 years in compliance or risk functions
  • 3 years in leadership or management role
  • Knowledge of managed care operations
  • In-depth knowledge of HIPAA regulations
  • Experience with internal and external audit methodologies
  • Ability to perform privacy risk assessments

Nice-to-have

  • Master's degree in related field
  • Certified Healthcare Compliance (CHC)
  • Certified Compliance & Ethics Professional (CCEP)
  • Strong ethical integrity and discretion
  • Experience presenting to Board of Directors

Key Requirements

  • Bachelor's Degree in Business, Finance, Health Administration, or related field
  • 5 years experience in compliance, privacy, government affairs, healthcare operations, risk, audit, or legal
  • 3 years in a leadership or management role
  • Preferred certifications: CPA, CIA, CFE, CHC, or CCEP

Work Rights

Not specified

Tailored Resume

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