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Company :

Highmark Health

Job Description :

JOB SUMMARY

Reporting to the Senior Vice President of Risk Strategy and Strategic Risk Partner, this senior leader oversees the team responsible for risk strategy including defining the risk taxonomy, risk appetite and company risk profile. Risk Strategy will serve as the strategic arm of Enterprise Risk and Governance. It will develop and socialize the risk taxonomy, evaluate enterprise risk appetite and profile alignment, and support risk strategy and innovation. The incumbent will develop thought leadership proposals and advise on appropriate risk levels for the enterprise leveraging actuarial and statistical analysis, external resources, and by business knowledge gathered through close partnership with the Strategic Risk Partners and Risk Operations functions. It will identify the strategy for the risk operations team to execute against. This team will also serve as subject matter experts for 2nd line of defense functions (Legal, Compliance, Information Security, Risk Management, Quality Assurance), and serve as leads for their “Communities of Practice”.

ESSENTIAL RESPONSIBILITIES

+ Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.

+ **Risk Quantification:** Responsible for supporting the ongoing refinement of the risk management framework, including identification of and strategy for consuming relevant internal and external risk sources for analytics and monitoring. Responsible for integration of statistical and actuarial models into traditional process-based approaches to risk management across all risk types.

+ **Risk Strategy and the Three Lines of Defense:** Responsible for strengthening the three LoD (Line of Defense) structures within the Highmark Health enterprise and clarifying respective roles and responsibilities for each. Management of the strategy for risk assessment, risk decisioning, risk treatment, and risk reporting/monitoring. Responsible for periodic risk filings with regulatory bodies and liaises with external parties in representing approach to enterprise risk management.

+ **Risk appetite, profile, and governance alignment:** Facilitate the establishment, implementation, and curation of Highmark Health’s and each Highmark Health business unit’s risk appetite across the enterprise risk taxonomy. Responsible for driving risk culture, including embedding the enterprise risk appetite into supporting policies, processes, governance structures, business tools, and templates. Responsible for developing and overseeing implementation of enterprise management committees, including charters, committee composition, and ongoing administration in support of canvasing the evolving enterprise risk profile, appetite, and taxonomy.

+ **Strategic Initiative Delivery:** Accountable for oversight and delivery of team of professionals attached to high priority enterprise initiatives to ensure security, audit, risk, compliance, and privacy considerations are identified and addressed. Interact with Highmark Health and vendor personnel at all levels and is able to effectively communicate risks, expectations, and alternative strategies to mitigate Highmark Health concerns.

+ **Continuous improvement:** Lead and implement best practice approach to the management of risk including corporate risk across the organization. Develop and implement measures to evaluate the impact and efficacy of risk strategy.

EDUCATION

Required

+ Bachelor's Degree

Substitutions

+ None

Preferred

+ Master's Degree

EXPERIENCE

Required

+ 5 - 7 years of leading risk strategy

+ 7 - 10 years in progressive leadership roles

+ 5 - 7 years’ experience in healthcare or financial services

+ 5 - 7 years’ experience in M&A due diligence, strategic programs, and contracting

Preferred

+ None

LICENSES or CERTIFICATIONS

Required

+ None

Preferred

+ None

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

Never

**_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.

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Req ID: J260451