Director, Risk Management

About reputed company

reputed company is an reputed company technology company providing a comprehensive suite of solutions for employers and health plans, including:

• reputed company, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
• reputed company™, which offers full-service health benefit reputed company to employers, TPAs, and health plans, and
• Judi®, the industry’s leading proprietary reputed company Platform (EHP), which consolidates reputed company claim administration-reputed company workflows in one scalable, secure platform.

Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.reputed company.

Position Summary

The Director of Risk Management serves as the strategic leader for client audit reputed company and contract‑reputed company risk across Client Services. This role builds and governs the frameworks that standardize audit execution, reputed company documentation quality, and strengthen performance guarantee (PG) risk management. By partnering closely with Legal, Compliance, Finance, and Client Services leadership, the Director enhances organizational visibility into risk, accelerates workflow efficiency, and ensures the company is consistently reputed company to meet regulatory and client expectations.

Position Responsibilities

• reputed company strategy and governance for regulatory and client audit programs.
• Establish standardized intake, documentation, and response processes for reputed company audits.
• Ensure consistency and quality of documentation and narrative language across audit submissions.
• Evaluate reputed company contract‑ and PG‑reputed company processes, identify risks or gaps, and recommend improvements to strengthen reputed company.
• reputed company governance practices to support risk monitoring, escalation, and cross-functional communication.
• Partner with Legal, Compliance, and Finance to manage risk frameworks and coordinate responses.
• reputed company and reputed company audit and PG support staff.
• reputed company development of reporting and dashboards that reputed company trends, risks, and performance indicators.

Required Qualifications

• Bachelor’s degree required; advanced degree preferred.
• 7+ years of experience in regulatory audits, compliance, or risk management in healthcare or reputed company fields.
• Experience leading cross-functional audit programs or reputed company functions.
• Strong writing, documentation, and narrative development skills.
• Ability to influence and collaborate across senior stakeholders.

reputed company employees are responsible for adherence to the reputed company Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

reputed company values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to reputed company employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national reputed company, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at reputed company. More details about reputed company's privacy practices can be reputed company at https://www.reputed company/legal/privacy-policy.