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CareFirst Risk Management Analyst in Washington, District Of Columbia

Resp & Qualifications

COMPANY SUMMARY:

CareFirst, Inc., and its affiliated companies, generally referred to as CareFirst BlueCross BlueShield (CareFirst), is the Mid-Atlantic region’s largest private sector health insurer, serving the healthcare needs of 3.5 million members in Maryland, the District of Columbia, and portions of northern Virginia. The Company offers a comprehensive portfolio of products and services to individuals and groups, as well as state and federal government sponsored plans. With a market share almost three times that of the closest competitor, the company commands 45 percent penetration across the region.

In July 2018, Brian D. Pieninck assumed the role of President and CEO after serving as the company’s COO of Strategic Business Units and IT Division. Under his leadership, the organization completed an extensive review of its operations and clinical programs, resulting in an expansive 3-year strategy to grow and diversify the company’s core business. Along with a 5-year vision to drive the transformation of the healthcare experience across the continuum of its members, partners, and communities, the company has placed a renewed and intentional focus on fostering a mission-based culture, which drives every decision the company makes. The organization employs over 5,600 full-time employees in Maryland, Northern Virginia, the District of Columbia, and West Virginia. CareFirst has earned multiple workplace awards recognizing its leadership in diversity and inclusion, wellness engagement, and creation of a supportive and equitable work environment for all employees.

At CareFirst, you are part of an inspired, collaborative team that is building the healthcare experience we want for our families and our future. Every day, we make a meaningful difference in the communities where we live and work.

We practice empathy, seek to understand, invest in inclusion, demand equity and nurture belonging every day for our employees and the communities we serve. We rely on the rich diversity of our employees’ experiences and backgrounds to achieve our mission. Every year we host a Week of Equity and Action where we deepen our investment and commitment to diversity, equity, and inclusion. During this week thousands of employees engage in workshops and volunteerism with the goal of bettering themselves and our community.

  • Women make up around 70% of CareFirst’s employee population, and over 50% identify as BIPOC (Black, Indigenous, and people of color).

  • We have 9 resource groups that connect employees over shared identities (LGBTQ, veteran status, race, etc.) and passions (climate change, healthy living, leadership development).

  • Employees are encouraged to give back and volunteer in their communities with their civic engagement hours.

As a not-for-profit, CareFirst regularly ranks among the most philanthropic organizations with $65 million invested in the community in 2020 to improve overall health, and increase the accessibility, affordability, safety, and quality of healthcare throughout its market area. The company’s employees consistently add to this impact by devoting thousands of volunteer hours to numerous community organizations and social causes. The company’s continued efforts to reinvest in community health care programs has repeatedly earned CareFirst regional accolades as a leading corporate philanthropist, including the No. 2 and No. 7 spots on the Baltimore Business Journal and Washington Business Journal’s 2019 list of top corporate givers, respectively.

PURPOSE:

The Risk Analyst is responsible for supporting and facilitating operational risk programs designed to ensure the identification and mitigation of risks; the management of controls and safeguards to minimize the impact of potential and existing risks affecting the organization; compliance with laws, regulations, standards, policies/procedures, and organization frameworks; and monitoring and effectuation of remediation of issues identified.

Please note this is a hybrid (remote and on-site) position.

ESSENTIAL FUNCTIONS:

  • Identify issues and concerns, provide the appropriate level of support, and proactively manage risk, control efficiency and effectiveness, and develop process improvement opportunities to improve the enterprise risk culture. Track and monitor evolving risks and threats maintained within the centralized risk register, including third party risks, and collaborate with business owners to track risk and threat mitigation strategies. Collaborate with business owners to identify and contribute to a centralized inventory of processes, controls, process-level risks, and areas for improvement to ensure efficiency in the control and process environment across the enterprise.

  • Provide advisory support in the completion of divisional risk assessments. Govern and support associates in the completion of third party risk assessments and control self-assessments to ensure the adequacy of controls in place to safeguard the organization, including tracking, monitoring, and managing issues identified. Maintain documentation for re-performance ability, including leveraging the Governance Risk and Compliance (GRC) tool and repository (e.g., Compliance 360). Contribute to the repository of best practices and tools/accelerators related to third party risk assessments, operational risk assessments, and control self-assessments.

  • Support maintenance of the centralized repository for third party relationships including accountable business owners, inherent risk, and tier for each respective third party relationship. Provide support to Integrated Compliance teams to ensure compliance with the Third Party Risk Management (TPRM) framework and standards to ensure that controls in place surrounding data protection, privacy, and access (among other areas) are compliant with corporate standards and risk appetite. Support completion of due diligence on third party controls in place both corporately and with the third party, in collaboration with subject matter resources across all relevant risk domains to determine residual risk of third party relationships.

  • Collaborate with Integrated Compliance teams and key subject matter resources across all relevant risk domains to define and establish frameworks (e.g., Compliance, Risk Assessment, Risk Governance) and definitions for key data elements. Maintain frameworks to meet industry standards (e.g., NIST, HITRUST). Contribute to the development of enterprise-wide training and awareness materials that educate associates and leadership on best practices, pervasive operational risk management issues, risk management tools and processes, and lessons learned.

QUALIFICATIONS:

Education Level: Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 3 years experience in a risk management, third party risk management, audit, compliance, security governance or legal services role.

Preferred Qualifications:

Possess or in the process of obtaining a relevant risk or business certification (e.g., CPA, CIA, CISA, CISM).

Knowledge, Skills and Abilities (KSAs)

  • Capabilities and experience in performing independent assessments, including compliance & legal reviews, contract reviews, testing controls, and developing & reviewing assessment reports.

  • Problem solver who works independently and within a team using interpersonal skills, including excellent oral and written communication skills.

  • Understands and possesses general project management skills relevant to performing assessment functions and responsibilities.

  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Department

Department: Integrated Compliance and Risk

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Hire Range Disclaimer

Actual salary will be based on relevant job experience and work history.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

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REQNUMBER: 16643

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