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Director of Risk Management

2 months ago

Crown Point, United States Vaco Full time

The Director of Risk Management is responsible for leading the risk management function for our Medicare Advantage Plan. This senior role involves strategic oversight of all risk-related activities, ensuring robust risk identification, assessment, and mitigation processes are in place to protect the organization's assets and ensure compliance with regulatory requirements. The Senior Vice President will work closely with the CEO and other senior leaders to integrate risk management into the overall strategic direction of the company.
Key Responsibilities:

  1. Strategic Risk Management:
    • Develop and lead the implementation of an enterprise-wide risk management strategy.
    • Provide strategic guidance to the executive team on risk-related issues and opportunities.
    • Align risk management objectives with the company's overall goals and initiatives.
  2. Leadership and Oversight:
    • Lead the Risk Management department, providing direction and oversight to ensure effective performance.
    • Foster a culture of risk awareness and proactive risk management across the organization.
    • Mentor and develop risk management staff to build a high-performing team.
  3. Risk Identification and Assessment:
    • Oversee comprehensive risk assessments to identify potential threats and vulnerabilities.
    • Ensure the development and utilization of advanced risk assessment tools and methodologies.
    • Monitor industry trends and data to anticipate emerging risks.
  4. Risk Mitigation and Control:
    • Design and implement robust risk mitigation strategies and controls.
    • Collaborate with senior leaders to integrate risk management practices into all business operations.
    • Oversee the development of contingency plans and business continuity strategies.
  5. Regulatory Compliance:
    • Ensure full compliance with federal, state, and local regulations governing Medicare Advantage Plans.
    • Maintain up-to-date knowledge of regulatory changes and their impact on the organization.
    • Liaise with legal and compliance teams to address regulatory challenges.
  6. Incident Management:
    • Direct the investigation and resolution of significant incidents and claims.
    • Establish and enforce protocols for incident reporting and management.
    • Analyze incident data to identify root causes and implement preventive measures.
  7. Reporting and Documentation:
    • Prepare and present comprehensive risk management reports to the CEO, board of directors, and other stakeholders.
    • Ensure meticulous documentation of risk assessments, mitigation plans, and incident reports.
    • Utilize data analytics to inform decision-making and strategy development.
  8. Training and Education:
    • Develop and oversee training programs on risk management policies and procedures for all staff levels.
    • Promote continuous education and awareness of risk management practices.
  9. Collaboration and Communication:
    • Act as a key advisor to the CEO and executive team on all risk-related matters.
    • Facilitate effective communication and collaboration between departments to support integrated risk management.
    • Represent company in external risk management forums and industry groups.

Qualifications:

  • Master's degree in Risk Management, Business Administration, Healthcare Management, or a related field.
  • Minimum of 10-15 years of senior leadership experience in risk management, with a strong background in healthcare or insurance.
  • Extensive knowledge of Medicare Advantage Plans and regulatory requirements.
  • Exceptional strategic thinking and analytical skills.
  • Proven leadership abilities and experience managing large teams.
  • Excellent communication, negotiation, and interpersonal skills.
  • Professional certifications such as Certified Risk Manager (CRM) or Certified Professional in Healthcare Risk Management (CPHRM) are highly desirable.

Vaco values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice

Vaco is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco LLC and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco LLC and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .

Vaco also wants all applicants to know their rights that workplace discrimination is illegal.

By submitting to this position, you agree that you will be giving Vaco the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice

Vaco LLC and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco") respects your privacy and are committed to providing transparent notice of our policies.

  • California residents may access Vaco's HR Notice at Collection for California Applicants and Employees here.
  • Virginia residents may access our state specific policies here.
  • Residents of all other states may access our policies here.
  • Canadian residents may access our policies in English here and in French here.
  • Residents of countries governed by GDPR may access our policies here.
Pay Transparency Notice

Determining compensation for this role (and others) at Vaco depends upon a wide array of factors including but not limited to:

  • the individual's skill sets, experience and training;
  • licensure and certification requirements;
  • office location and other geographic considerations;
  • other business and organizational needs.

With that said, as required by local law, Vaco believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.