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Director of Risk Management

Judi HealthCharlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States
On-site Full-time $150K/yr - $180K/yr

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Experience Level

Senior Level Manager

Qualifications

Required Qualifications:Bachelor’s degree required; advanced degree preferred. Proven experience in risk management, compliance, or audit roles. Strong understanding of regulatory standards and requirements. Exceptional analytical skills with a detail-oriented mindset. Excellent communication and leadership abilities. Experience in developing training programs and leading teams.

About the job

About Judi Health

Judi Health is a pioneering enterprise health technology company dedicated to transforming healthcare for employers and health plans. Our offerings include:

  • Capital Rx, a public benefit corporation that provides comprehensive pharmacy benefit management (PBM) solutions tailored for self-insured employers,
  • Judi Health™, which delivers robust health benefit management solutions for employers, TPAs, and health plans, and
  • Judi®, the industry's leading proprietary Enterprise Health Platform (EHP), designed to unify all claim administration workflows within a scalable and secure environment.

Collaborating closely with our clients, we are committed to rebuilding trust in the U. S. healthcare system and laying down the necessary infrastructure for the quality care everyone deserves. To learn more about our mission, please visit www.judi.health.

Position Summary

The Director of Risk Management will act as the strategic leader overseeing client audit processes and managing contract-related risks across Client Services. This pivotal role involves establishing and governing frameworks that standardize audit execution, enhance documentation quality, and fortify performance guarantee (PG) risk management. Working closely with Legal, Compliance, Finance, and Client Services leadership, the Director will boost organizational visibility into risk, streamline workflow efficiencies, and ensure readiness to meet regulatory and client expectations.

Key Responsibilities:

  • Direct strategy and governance for regulatory and client audit initiatives.
  • Create standardized processes for audit intake, documentation, and responses.
  • Guarantee consistency and quality in documentation and narrative submissions across audits.
  • Assess existing contract and PG-related processes, identify risks or gaps, and propose enhancements for improved oversight.
  • Develop governance practices to facilitate risk monitoring, escalation, and interdepartmental communication.
  • Collaborate with Legal, Compliance, and Finance to manage risk frameworks and coordinate responses.
  • Lead and mentor audit and PG support staff.
  • Oversee the creation of reporting and dashboards to highlight trends, risks, and performance indicators.

About Judi Health

Judi Health is at the forefront of health technology innovation, dedicated to providing comprehensive solutions that empower employers and health plans in managing their healthcare benefits effectively. Our commitment to transparency and trust is reshaping the healthcare landscape in the U. S.

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