Director, Risk and Assurance

Responsibilities

• Enterprise Risk Management
• Lead the development, implementation, and continuous enhancement of the Enterprise Risk Management (ERM) framework
• Maintain enterprise risk inventories, risk registers, risk scoring methodologies, and governance processes
• Oversee intake, triage, prioritization, and escalation of enterprise risk events
• Facilitate structured risk assessments and risk interviews across business functions
• Evaluate potential regulatory, operational, financial, contractual, and reputational impacts of identified risks
• Assess adequacy of controls, mitigation strategies, and residual risk exposure
• Present significant and emerging risks to executive leadership and governance committees
• Audit Coordination and Assurance
• Oversee organizational coordination of external audits, assessments, SOC audits, client audits, and regulatory reviews
• Ensure effective management of audit requests, evidence collection, deliverables, and stakeholder communications
• Establish quality review processes for audit responses and submissions
• Monitor audit findings and oversee remediation activities
• Identify trends across audits and assessments to strengthen organizational controls
• Maintain enterprise audit readiness programs
• Corrective Action and Remediation Governance
• Establish governance processes for corrective action plan development, tracking, escalation, and closure
• Ensure root causes are appropriately identified and addressed
• Evaluate adequacy and sustainability of remediation and prevention efforts
• Monitor repeat findings and recurring issues to identify systemic risks
• Escalate ineffective remediation efforts and unresolved risks to leadership
• Risk Analytics and Reporting
• Oversee development of enterprise risk dashboards, metrics, and reporting
• Analyze risk, audit, investigation, and remediation trends
• Establish KPIs related to risk reduction, remediation effectiveness, audit readiness, and compliance maturity
• Deliver risk reporting to executive leadership, compliance committees, and governance bodies
• Support data-driven prioritization of compliance and operational risk initiatives
• Leadership and Team Development
• Lead and develop Risk and Assurance team members
• Foster a proactive, solutions-oriented risk culture
• Establish performance expectations, accountability, and professional development plans
• Promote collaboration across Compliance, Privacy, Program Integrity, Operations, Quality, Legal, and Executive Leadership
• Required Skills:
• Strong knowledge of Enterprise Risk Management principles and frameworks
• Knowledge of healthcare regulatory requirements, Medicaid programs, and compliance operations
• Experience leading audit coordination, remediation governance, and risk management activities
• Strong analytical, strategic thinking, and problem-solving abilities
• Ability to influence senior leaders and drive accountability without direct authority
• Excellent written, verbal, and presentation skills
• Experience leading cross-functional initiatives and managing competing priorities

Requirements

• Education: Bachelor's degree in Accounting, Business Administration, Information Systems, or a related field (required). Master's degree in a related field (preferred).
• 10+ years of compliance, risk management, audit, operational excellence, or healthcare operations experience
• 5+ years of leadership experience
• Experience with Enterprise Risk Management programs
• Experience managing external audits, regulatory reviews, and corrective action governance
• Medicaid and healthcare experience strongly preferred
• Certification: CHC, CRCM, CIA, CFE, PMP, Lean Six Sigma Black Belt, or similar certifications preferred
• Working Conditions:
• Remote
• Supervisory Responsibility (If applicable):
• Although this position does not currently have direct reports, it is expect

Benefits

Additional Information

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Duties & Responsibilities: Job Summary The Director, Risk and Assurance serves as the organization's central leader for enterprise risk management, compliance assurance, audit coordination, corrective action governance, and risk analytics. Reporting to the Vice President, Compliance, this role provides strategic oversight of the organization's risk identification, assessment, remediation, and monitoring activities while ensuring consistent and effective management of compliance, operational, contractual, financial, and reputational risks. The Director is responsible for maintaining the organization's enterprise risk framework, overseeing centralized risk intake and triage processes, coordinating external audits and assessments, supporting root cause analysis activities, and ensuring corrective actions are effectively implemented and sustained. This role serves as a key advisor to executive leadership regarding emerging risks, risk trends, remediation effectiveness, and organizational control maturity.

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