Director, Risk Management
About The Position
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™ , which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi® , the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related 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.judi.health . Position Summary The Director of Risk Management serves as the strategic leader for client audit oversight and contract‑related risk across Client Services. This role builds and governs the frameworks that standardize audit execution, elevate 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 prepared to meet regulatory and client expectations.
Requirements
- Bachelor’s degree required; advanced degree preferred.
- 7+ years of experience in regulatory audits, compliance, or risk management in healthcare or related fields.
- Experience leading cross-functional audit programs or oversight functions.
- Strong writing, documentation, and narrative development skills.
- Ability to influence and collaborate across senior stakeholders.
Responsibilities
- Lead strategy and governance for regulatory and client audit programs.
- Establish standardized intake, documentation, and response processes for all audits.
- Ensure consistency and quality of documentation and narrative language across audit submissions.
- Evaluate current contract‑ and PG‑related processes, identify risks or gaps, and recommend improvements to strengthen oversight.
- Develop governance practices to support risk monitoring, escalation, and cross-functional communication.
- Partner with Legal, Compliance, and Finance to manage risk frameworks and coordinate responses.
- Lead and develop audit and PG support staff.
- Oversee development of reporting and dashboards that highlight trends, risks, and performance indicators.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
