Allameda Alliance for Health
Senior Director, Enterprise Risk Management
Allameda Alliance for Health, Alameda, California, United States, 94501
PRINCIPLE RESPONSIBILITIES:
Principle responsibilities include:
The Sr. Director of Enterprise Risk Management and Operational Oversight is responsible for developing, implementing, and overseeing the enterprise-wide risk management program for Alameda Alliance for Health. This role will lead the identification, assessment, and mitigation of risks across the organization, ensuring compliance with regulatory requirements and alignment with business objectives. The Sr. Director will manage risk management and operational oversight through annual risk assessment development and mitigation/monitoring activities, monitoring completion of corrective action plans, management of marketing and member material oversight and fulfillment, management of analysis of regulatory changes, communication and implementation, management of business continuity and disaster recovery initiatives, and manage Compliance Department liaisons with business units.
Principal responsibilities include:
Develop and maintain an enterprise-wide risk management framework and strategyLead the implementation and ongoing management of risk assessment processes across all business unitsCollaborate with senior leadership to integrate risk management into strategic planning and decision-making processesDesign and implement risk reporting mechanisms to provide timely and accurate information to stakeholdersOversee the development and maintenance of risk registers and risk mitigation plansFacilitate risk workshops and training sessions to promote a culture of risk awareness throughout the organizationMonitor emerging risks in the healthcare industry and assess their potential impact on the organizationEnsure compliance with relevant regulatory requirements and industry standards, including Medicare, Medicaid, and state-specific regulationsManage relationships with external auditors, regulators, and other stakeholders regarding risk management mattersLead and mentor a team of 7-20 risk management professionals, including managers, analysts, and specialistsSupport the Chief Compliance Officer in development of strategic plans for improvement of Compliance Department OperationsDevelop policies and procedures for assigned service areasConduct periodic enterprise training regarding risk management and operational oversightServe on internal committees and workgroups as assigned by the Chief Compliance OfficerPrepare executive summaries and reports, develop and conduct training activities for subordinates, peers and business unitsLead or participate in interdisciplinary teams
ESSENTIAL FUNCTIONS OF THE JOB:
In-depth knowledge of enterprise risk management frameworks and methodologiesThorough knowledge of healthcare regulations, including Medicare and Medicaid requirementsStrong understanding of the healthcare industry, including regulatory landscape and emerging trendsKnowledge of health plan management, compliance, finance, accounting, assurance and control principlesProficiency in risk management software, data analysis tools, and standard office applications (e.g., Microsoft Office suite)Excellent analytical and problem-solving skillsOutstanding communication and presentation abilitiesProven leadership and team management experience, with the ability to effectively manage a large teamDemonstrated project management, organization and facilitation skillsStrategic thinker with business risk awarenessHigh level of personal integrity, and the ability to professionally handle confidential mattersHigh level of tact and ability to communicate complex and potentially sensitive issues to various levels of managementAbility to influence and collaborate with senior executives and cross-functional teamsAbility to effectively prioritize and execute tasks in a high-pressure environm ntAbility to read, analyze, and interpret complex documentsAbility to respond effectively to sensitive inquiries or complaintsAbility to write speeches and articles using original or innovative techniques or styleAbility to make effective and persuasive speeches and presentations on controversial or complex topics to top management, public groups, and/or boards of directorsAbility to work with mathematical concepts such as probability and statistical inferenceAbility to apply concepts such as fractions, percentages, ratios, and proportions to practical situationsAbility to define problems, collect data, establish facts, and draw valid conclusionsAbility to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables
PHYSICAL REQUIREMENTS:
Constant and close visual work at desk or computer;Constant data entry using keyboard and/or mouse;Constant sitting and working at desk;Frequent verbal and written communication with staff and other business associates by telephone, correspondence, or in person;Frequent lifting of folders and various objects weighing between 0 and 30 lbs;Frequent walking and standing;Occasional driving of an automobile;Occasional travel between offices for meetings; andPossible travel by aircraft.
Number of Employees Direct Supervision: 2-7
Number of Employees In-Direct Supervision: 10-20
MINIMUM QUALIFICATIONS:
EDUCATION OR TRAINING EQUIVALENT TO:
Bachelor's degree in Business Administration, Finance, Healthcare Administration, or a related field required.Master's degree in a relevant field preferred.Professional certifications such as CRMA, CRISC, ARM, or healthcare-specific certifications highly desirable.
MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:
Minimum of 7 years of experience in risk management, with at least 3-5 years in a leadership role.
SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):
Required: Substantial experience in health plan compliance or operations.
Preferred: Experience working with Medicare, Department of Health Care Services (DHCS), or Financial Management Group Certification (FMGC) programs.
Proven track record of developing and implementing enterprise risk management programs in a healthcare setting.
Experience working with regulatory bodies and managing compliance requirements in healthcare.
Demonstrated ability to lead and manage teams of varying sizes, preferably in the range of 7-20 direct reports.
Strong understanding of managed care operations and/or compliance requirements preferred.
Excellent interpersonal skills and can work effectively with staff at all levels.
Ability to communicate effectively and provide constructive feedback.
Proficient in developing and maintaining tracking and reporting tools for compliance assessment.
In-depth knowledge of enterprise risk management frameworks and methodologies.
Strong understanding of the healthcare industry, including regulatory landscape and emerging trends.
Excellent analytical and problem-solving skills.
Outstanding communication and presentation abilities.
Proven leadership and team management experience, with the ability to effectively manage a large team.
Ability to influence and collaborate with senior executives and cross-functional tea
Principle responsibilities include:
The Sr. Director of Enterprise Risk Management and Operational Oversight is responsible for developing, implementing, and overseeing the enterprise-wide risk management program for Alameda Alliance for Health. This role will lead the identification, assessment, and mitigation of risks across the organization, ensuring compliance with regulatory requirements and alignment with business objectives. The Sr. Director will manage risk management and operational oversight through annual risk assessment development and mitigation/monitoring activities, monitoring completion of corrective action plans, management of marketing and member material oversight and fulfillment, management of analysis of regulatory changes, communication and implementation, management of business continuity and disaster recovery initiatives, and manage Compliance Department liaisons with business units.
Principal responsibilities include:
Develop and maintain an enterprise-wide risk management framework and strategyLead the implementation and ongoing management of risk assessment processes across all business unitsCollaborate with senior leadership to integrate risk management into strategic planning and decision-making processesDesign and implement risk reporting mechanisms to provide timely and accurate information to stakeholdersOversee the development and maintenance of risk registers and risk mitigation plansFacilitate risk workshops and training sessions to promote a culture of risk awareness throughout the organizationMonitor emerging risks in the healthcare industry and assess their potential impact on the organizationEnsure compliance with relevant regulatory requirements and industry standards, including Medicare, Medicaid, and state-specific regulationsManage relationships with external auditors, regulators, and other stakeholders regarding risk management mattersLead and mentor a team of 7-20 risk management professionals, including managers, analysts, and specialistsSupport the Chief Compliance Officer in development of strategic plans for improvement of Compliance Department OperationsDevelop policies and procedures for assigned service areasConduct periodic enterprise training regarding risk management and operational oversightServe on internal committees and workgroups as assigned by the Chief Compliance OfficerPrepare executive summaries and reports, develop and conduct training activities for subordinates, peers and business unitsLead or participate in interdisciplinary teams
ESSENTIAL FUNCTIONS OF THE JOB:
In-depth knowledge of enterprise risk management frameworks and methodologiesThorough knowledge of healthcare regulations, including Medicare and Medicaid requirementsStrong understanding of the healthcare industry, including regulatory landscape and emerging trendsKnowledge of health plan management, compliance, finance, accounting, assurance and control principlesProficiency in risk management software, data analysis tools, and standard office applications (e.g., Microsoft Office suite)Excellent analytical and problem-solving skillsOutstanding communication and presentation abilitiesProven leadership and team management experience, with the ability to effectively manage a large teamDemonstrated project management, organization and facilitation skillsStrategic thinker with business risk awarenessHigh level of personal integrity, and the ability to professionally handle confidential mattersHigh level of tact and ability to communicate complex and potentially sensitive issues to various levels of managementAbility to influence and collaborate with senior executives and cross-functional teamsAbility to effectively prioritize and execute tasks in a high-pressure environm ntAbility to read, analyze, and interpret complex documentsAbility to respond effectively to sensitive inquiries or complaintsAbility to write speeches and articles using original or innovative techniques or styleAbility to make effective and persuasive speeches and presentations on controversial or complex topics to top management, public groups, and/or boards of directorsAbility to work with mathematical concepts such as probability and statistical inferenceAbility to apply concepts such as fractions, percentages, ratios, and proportions to practical situationsAbility to define problems, collect data, establish facts, and draw valid conclusionsAbility to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables
PHYSICAL REQUIREMENTS:
Constant and close visual work at desk or computer;Constant data entry using keyboard and/or mouse;Constant sitting and working at desk;Frequent verbal and written communication with staff and other business associates by telephone, correspondence, or in person;Frequent lifting of folders and various objects weighing between 0 and 30 lbs;Frequent walking and standing;Occasional driving of an automobile;Occasional travel between offices for meetings; andPossible travel by aircraft.
Number of Employees Direct Supervision: 2-7
Number of Employees In-Direct Supervision: 10-20
MINIMUM QUALIFICATIONS:
EDUCATION OR TRAINING EQUIVALENT TO:
Bachelor's degree in Business Administration, Finance, Healthcare Administration, or a related field required.Master's degree in a relevant field preferred.Professional certifications such as CRMA, CRISC, ARM, or healthcare-specific certifications highly desirable.
MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:
Minimum of 7 years of experience in risk management, with at least 3-5 years in a leadership role.
SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):
Required: Substantial experience in health plan compliance or operations.
Preferred: Experience working with Medicare, Department of Health Care Services (DHCS), or Financial Management Group Certification (FMGC) programs.
Proven track record of developing and implementing enterprise risk management programs in a healthcare setting.
Experience working with regulatory bodies and managing compliance requirements in healthcare.
Demonstrated ability to lead and manage teams of varying sizes, preferably in the range of 7-20 direct reports.
Strong understanding of managed care operations and/or compliance requirements preferred.
Excellent interpersonal skills and can work effectively with staff at all levels.
Ability to communicate effectively and provide constructive feedback.
Proficient in developing and maintaining tracking and reporting tools for compliance assessment.
In-depth knowledge of enterprise risk management frameworks and methodologies.
Strong understanding of the healthcare industry, including regulatory landscape and emerging trends.
Excellent analytical and problem-solving skills.
Outstanding communication and presentation abilities.
Proven leadership and team management experience, with the ability to effectively manage a large team.
Ability to influence and collaborate with senior executives and cross-functional tea