Senior Risk and Quality Assurance Analyst

📋 Description

• • The Senior Risk and Quality Assurance Analyst supports critical risk and quality assurance studies required by regulators, accreditation bodies, and internal stakeholders to ensure compliance and mitigate organizational risk across Highmark Health’s operations.
• • Day-to-day responsibilities include planning and conducting risk assessments using frameworks such as MTM, LDLA, and FEP; reviewing and interpreting audit results; developing assurance plans; leading project coordination with business stakeholders; maintaining risk dashboards in RSA Archer; mentoring junior staff; and ensuring timely completion of audit procedures.
• • The role operates within Highmark Health’s risk and quality assurance team, collaborating across Operations, Sales, Provider, Procurement, Privacy, Information Security, and Legal departments to align risk management practices enterprise-wide.
• • The analyst will develop expertise in healthcare regulatory frameworks, gain leadership experience in cross-functional projects, and strengthen analytical and communication skills while contributing to organizational compliance and quality improvement initiatives.