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Highmark Health
Senior Risk and Quality Assurance Analyst
Highmark Health Harrisburg, PA
Company : Highmark Health Job Description : JOB SUMMARY This job supports risk & quality assurance studies required by regulators, the Blue Cross Blue Shield Association (BCBSA), accreditation bodies, executive management, plan partners, group customers, and employee level performance. The programs for which the department is currently wholly or partially responsible for are (a) the BCBSA's Member Touchpoint Measures (MTM), Licensee Desk Level Audit (LDLA), and Federal Employee Program (FEP) Quality Program, (b) the National Committee for Quality Assurance (NCQA), (c) Joint Commission accreditation compliance, (d) quality measures required by state regulators, (e) certain quality measures related to group and partner plan contractual performance guarantees / service level agreements, and (f) employee performance quality. ESSENTIAL RESPONSIBILITIES Plan and conduct risk assessment activities according to the appropriate framework, including but not...

Apr 30, 2026
Ma
Full time
 
Senior Tester, Global Compliance Testing
Manulife Boston, MA
The Global Compliance Testing Team is seeking a Senior Tester to support our US Segment. This role is responsible for executing second line of defense compliance testing and evaluating control effectiveness across a variety of business areas. The ideal candidate is hands-on, detail-oriented, and experienced in performing testing procedures and analyzing results. You will work closely with business and compliance partners to assess controls, identify issues, and support remediation efforts. Position Responsibilities : Execute risk-based compliance testing engagements, including walkthroughs, sample selection, and detailed testing procedures Evaluate the design and operating effectiveness of key controls through hands on testing Document testing activities, evidence, and conclusions in the company GRC platform (e.g., Archer or similar) Test adherence to internal policies, procedures, and applicable regulatory requirements relevant to the business. Analyze...

May 03, 2026
Ma
Senior Tester, Global Compliance Testing
Manulife Boston, MA
The Global Compliance Testing Team is seeking a Senior Tester to support our US Segment. This role is responsible for executing second line of defense compliance testing and evaluating control effectiveness across a variety of business areas. The ideal candidate is hands-on, detail-oriented, and experienced in performing testing procedures and analyzing results. You will work closely with business and compliance partners to assess controls, identify issues, and support remediation efforts. Position Responsibilities : Execute risk-based compliance testing engagements, including walkthroughs, sample selection, and detailed testing procedures Evaluate the design and operating effectiveness of key controls through hands on testing Document testing activities, evidence, and conclusions in the company GRC platform (e.g., Archer or similar) Test adherence to internal policies, procedures, and applicable regulatory requirements relevant to the business. Analyze...

May 02, 2026
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