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Highmark Health

Risk Partner

Highmark Health

Risk Partner overseeing compliance, privacy, audits, and regulatory investigations for Highmark, a health insurance company. Advising leaders and governing enterprise risk programs across U.S.

Posted 9/3/2026full-timeAlabama, Alaska, Arizona, California, Colorado, Connecticut, Florida, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming • 🇺🇸 United StatesMid-LevelSenior💰 $102,700 - $164,600 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive knowledge of compliance programs, federal and state regulations, and risk management strategies. Capable of leading compliance initiatives, conducting audits, and providing strategic guidance to senior management while ensuring adherence to privacy regulations such as HIPAA.

Highest-signal resume keywords
Compliance Program ImplementationRisk Management StrategiesHIPAA KnowledgeLeadership in Compliance OversightAudit Methodologies

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Compliance Program StructuresPrivacy Risk AssessmentRegulatory InterpretationManaged Care OperationsQuality ImprovementFederal and State RegulationsStrategic Compliance PlanningAudit ExecutionData ReportingOperational Process Monitoring
Soft Skills
Excellent Oral CommunicationWritten Communication SkillsPresentation SkillsAnalytic SkillsInterdepartmental Leadership
Industry Keywords
Healthcare OperationsGovernment AffairsCorporate Integrity PrinciplesCompliance OversightInsurance Industry Knowledge

About the role

Key responsibilities & impact
  • Implement, execute, and maintain the Compliance Program and related policies
  • Ensure business activities comply with federal and state laws, regulations, and regulatory guidance
  • Administer, interpret, and enforce the Compliance Program
  • Audit and monitor operational processes
  • Conduct or oversee compliance investigations
  • Ensure adequate Compliance Program training
  • Execute risk and compliance plans across the enterprise risk taxonomy through matrixed leadership
  • Monitor and track internal and external audit progress, recurring risk and compliance reporting, mandated training, investigations, and impacts of new or changing laws, regulations, and contractual relationships
  • Advise business leaders and provide thought leadership aligned with the enterprise risk strategy and framework
  • Serve as the single point of contact for business risks, compliance, privacy, and security needs
  • Partner with legal counsel, Risk Operations, Risk Enablement, and business leaders
  • Implement and maintain compliance and risk management programs
  • Provide proactive guidance and education to senior management
  • Participate in Compliance and Risk Committee discussions and presentations
  • Gather data and prepare reports for senior management and the Board of Directors
  • Track, monitor, and report Risk Operations activities using standard metrics
  • Identify and address risks; intake and triage risks from senior leadership
  • Respond to non-compliance reports and recommend resolution, risk treatment, and corrective action plans
  • Coordinate with legal counsel and Internal Investigations Unit on incidents and issues
  • Liaise with external regulators and enforcement bodies
  • Ensure completion of education and training initiatives
  • Participate in enterprise risk strategy governance, formal risk assessments, and annual audit plan implementation
  • Maintain knowledge of regulatory, security, and privacy developments
  • Perform other duties as assigned

Requirements

What you’ll need
  • Bachelor's Degree in Business, Finance, Health Administration, Public Health, Public Administration, Legal, Accounting or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
  • 5 years in compliance, privacy, government affairs, healthcare operations, risk, audit, or legal functions
  • 3 years in a leadership or management role
  • Extensive knowledge of applicable federal and state rules
  • Solid working knowledge of managed care operations, compliance program structures, information security, and audit methodologies
  • Foundational understanding of privacy regulations, including in-depth knowledge of HIPAA
  • Ability to perform a privacy risk assessment
  • Broad-based business knowledge and in-depth knowledge of insurance industry, strategic compliance planning, regulatory concerns, compliance requirements, and corporate integrity principles
  • Excellent oral, written, and presentation skills, plus conceptual and analytic skills
  • Skill in leading interdepartmental and cross-functional strategy development
  • Experience with managed care, Medicare, federal and/or state regulations, quality improvement, and compliance oversight
  • Ability to comprehend and interpret regulatory, legislative, and contractual mandates
  • Experience managing multiple projects and professional staff
  • Highest level of integrity and ethics
  • Travel requirement: 0%–25%
  • No language other than English required
  • Required licenses or certifications: None

Benefits

Comp & perks
  • 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Highmark Health Website LinkedIn All Job Openings 10,000+ employees Founded 1852 🛡️ Insurance 💼 Consulting 📦 Logistics 💰 $5M Grant on 2021-05 Insurance
  • Consulting
  • Logistics Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike. Risk Partner 🔥 48 minutes ago 🏢 null – Onsite 💵 $102.7k - $164.6k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🎲 Risk 🦅 H1B Visa Sponsor 👻 Ghost score 0% Apply Now Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
  • Implement, execute, and maintain the Compliance Program and related policies
  • Ensure business activities comply with federal and state laws, regulations, and regulatory guidance
  • Administer, interpret, and enforce the Compliance Program
  • Audit and monitor operational processes
  • Conduct or oversee compliance investigations
  • Ensure adequate Compliance Program training
  • Execute risk and compliance plans across the enterprise risk taxonomy through matrixed leadership
  • Monitor and track internal and external audit progress, recurring risk and compliance reporting, mandated training, investigations, and impacts of new or changing laws, regulations, and contractual relationships
  • Advise business leaders and provide thought leadership aligned with the enterprise risk strategy and framework
  • Serve as the single point of contact for business risks, compliance, privacy, and security needs
  • Partner with legal counsel, Risk Operations, Risk Enablement, and business leaders
  • Implement and maintain compliance and risk management programs
  • Provide proactive guidance and education to senior management
  • Participate in Compliance and Risk Committee discussions and presentations
  • Gather data and prepare reports for senior management and the Board of Directors
  • Track, monitor, and report Risk Operations activities using standard metrics
  • Identify and address risks; intake and triage risks from senior leadership
  • Respond to non-compliance reports and recommend resolution, risk treatment, and corrective action plans
  • Coordinate with legal counsel and Internal Investigations Unit on incidents and issues
  • Liaise with external regulators and enforcement bodies
  • Ensure completion of education and training initiatives
  • Participate in enterprise risk strategy governance, formal risk assessments, and annual audit plan implementation
  • Maintain knowledge of regulatory, security, and privacy developments
  • Perform other duties as assigned 🎯 Requirements
  • Bachelor's Degree in Business, Finance, Health Administration, Public Health, Public Administration, Legal, Accounting or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
  • 5 years in compliance, privacy, government affairs, healthcare operations, risk, audit, or legal functions
  • 3 years in a leadership or management role
  • Extensive knowledge of applicable federal and state rules
  • Solid working knowledge of managed care operations, compliance program structures, information security, and audit methodologies
  • Foundational understanding of privacy regulations, including in-depth knowledge of HIPAA
  • Ability to perform a privacy risk assessment
  • Broad-based business knowledge and in-depth knowledge of insurance industry, strategic compliance planning, regulatory concerns, compliance requirements, and corporate integrity principles
  • Excellent oral, written, and presentation skills, plus conceptual and analytic skills
  • Skill in leading interdepartmental and cross-functional strategy development
  • Experience with managed care, Medicare, federal and/or state regulations, quality improvement, and compliance oversight
  • Ability to comprehend and interpret regulatory, legislative, and contractual mandates
  • Experience managing multiple projects and professional staff
  • Highest level of integrity and ethics
  • Travel requirement: 0%–25%
  • No language other than English required
  • Required licenses or certifications: None Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Senior Business Control Specialist, GMO Risk, Global Markets Operations 🔥 1 hour ago Bank of America 10,000+ employees 🏦 Banking 💸 Finance 💳 Fintech Website LinkedIn All Job Openings Business control specialist strengthening risk controls for Bank of America’s global markets operations. Monitoring controls, audits, remediation, and operational excellence across GFICCO functions. 🏢 Houston – Onsite ⏰ Full Time 🟠 Senior 🎲 Risk 🦅 H1B Visa Sponsor Group Risk Specialist – Committee and Council Governance 🔥 5 hours ago TD 10,000+ employees 🏦 Banking 💸 Finance 🛡️ Insurance Website LinkedIn All Job Openings Group Risk Specialist strengthening committee and council governance for TD, a global financial institution. Supporting risk oversight, regulatory alignment, reporting, and escalation processes. 🏢 Mount Laurel – Onsite 💵 $91k - $136.2k / year 💰 Grant on 2023-10 ⏰ Full Time 🟠 Senior 🔴 Lead 🎲 Risk 🦅 H1B Visa Sponsor Risk and Control Advisor – Business Resiliency Oversight 🔥 20 hours ago PNC 10,000+ employees 💸 Finance 🏦 Banking 👥 HR Tech Website LinkedIn All Job Openings Risk advisor overseeing PNC’s business resiliency and operational resilience programs. Challenging risk assessments, evaluating recovery capabilities, and reporting findings across a major financial services company. 🏢 Pittsburgh – Onsite 💵 $91k - $202.8k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🎲 Risk 🦅 H1B Visa Sponsor Senior Data Governance Analyst 🔥 23 hours ago Northwest Bank 1001 - 5000 🏦 Banking 💸 Finance Website LinkedIn All Job Openings Senior Data Governance Analyst leading Northwest Bank’s data governance, lifecycle management, and quality initiatives. Developing policies, controls, tools, metrics, and remediation strategies across the enterprise. 🏢 Columbus – Onsite ⏰ Full Time 🟠 Senior 🎲 Risk 🦅 H1B Visa Sponsor Senior Risk Manager 🕒 Yesterday GE Vernova 10,000+ employees 💼 Consulting 📦 Logistics 🏭 Manufacturing Website LinkedIn All Job Openings Senior Risk Manager governing risks and opportunities for GE Vernova’s Small Modular Reactor EPC projects. Leading lifecycle mitigation, analytics, governance, and cross-functional alignment. 🏢 Atlanta – Onsite 💵 $137.6k - $187.6k / year ⏰ Full Time 🟠 Senior 🎲 Risk View More Risk Manager Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Remote jobs Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources About us Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass Resume Review AI Apply Copilot OpenClaw job finder API docs Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs