Company :
Highmark Health
Job Description :
JOB SUMMARY
This job is accountable for the direction and implementation for the technology component of the comprehensive, risk-based information systems audit, advisory, and compliance plan for the Highmark Health Enterprise board-approved annual audit plan. Interacts with a wide spectrum of stakeholders including, but not limited to, executive leadership, subsidiary management, state and federal governments, external auditors, employer groups, and partner plan customers. Ensures that the respective risk management and compliance programs address applicable laws, rules, regulations and relevant business risks as well as corporate requirements, recommending and/or implementing improvements in line with corporate standards, applicable regulations, and/or best practice frameworks. All employees must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and Privacy Policies and Procedures. As a component of job roles and responsibilities, employees in this role may have access to covered information, cardholder data, or other confidential customer information which must be protected at all times. In connection with this responsibility, employees in this role must adhere to all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
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.
- Define and coordinate the IT audit and advisory process with key organizational leaders and review and establish a program to ensure the quality of work performed consistently meets Institute of Internal Auditor (IIA) and Information Systems Audit and Control Association (ISACA) guidelines.Develop and present audit reports and ensure that agreement has been obtained regarding any findings and proposed actions with business owners. Assist in preparation of materials for presentation to senior and executive management, the Highmark Health Audit Committee, and subsidiary boards of directors as required.
- Collaborate with internal assurance partners to ensure that risk assessment and audit activities consider relevant regulatory requirements and industry standards.Proactively identify areas requiring attention or strengthening and work collaboratively with business and technology management to implement improvements in line with corporate standards, applicable regulations, and/or best practice frameworks.
- Provide proactive risk, control and governance counsel to business leadership as required.Interact with and must be able to influence senior management and matrix partners on matters of significance.
- Participate in annual technology audit and advisory risk assessment process with enterprise-wide senior leadership, identifying key strategic and operational risks. Leveraging the risk assessment outcomes, collaboratively assist with the development of the comprehensive, annual, Internal Audit plan with other senior leaders in the Enterprise Risk & Governance department for presentation to and approval from the Highmark Health Audit Committee of the Board of Directors.
- Participate in industry-related forums and training activities to stay current with risk management practices, assurance and attest practices, and specialized technology subject matter risks (e.g. cybersecurity, data governance, etc.).
- Other duties as assigned or requested.
EDUCATION
Required
- Bachelor’s degree in Finance, Business Administration, Accounting, Information Technology, Computer Science or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
Preferred
EXPERIENCE
Required
- 7 years in Information Systems auditing or a combination of experience in audit and an Information Systems related discipline, such as Information Security, Change Management, Systems Development, etc.
- 3 years in a management or leadership role, preferably in an audit or information systems discipline in a healthcare or healthcare-related industry
Preferred
- Familiarity with a wide variety of computer application platforms, including but not limited to: Oracle, SQL Server, DB2, RACF, Linux, and Windows.
- Experience evaluating risks and controls across enterprise technology environments, including cloud platforms, identity and access management, cybersecurity, and emerging technologies.
- Experience leading or performing technology risk, cybersecurity, compliance, or assurance reviews.
- Experience with Archer Governance, Risk, and Compliance (GRC) suite of products.
- Experience leveraging data analytics, automation, or AI-enabled audit techniques to enhance audit effectiveness and efficiency.
LICENSES or CERTIFICATIONS
Required
Preferred
- Certified Information System Auditor (CISA)
- Certified Internal Auditor (CIA)
- Certified Public Accountant (CPA)
SKILLS
- Demonstrate expert knowledge of processes, risk and control frameworks, and audit methodology relating to Information Technology, Information Security, Cybersecurity, System Implementations, and Data Privacy, particularly as applied to application and infrastructure security/controls and the application of technology to support operational control in healthcare (payer and provider) business processes
- Demonstrate expert ability to apply risk-based auditing techniques to the evaluation of systems environments and processes (i.e., data center operations, information security, input, output and processing controls, back-up and recovery, business contingency planning, systems development, and the implementation of advanced technologies)
- 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
- Highly 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
- Ability to interact, build credibility and long-term relationships with senior management to understand the company’s culture, strategic direction, and goals
- Ability to manage multiple projects, meet deadlines while ensuring quality and exceeding client expectations
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Frequently
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 th