Senior Manager, Risk and Assurance

Public Partnerships | PPLUS NY Remote, NY
$112,000 - $135,000Remote

About The Position

The Senior Manager, Risk and Assurance serves as the primary operational partner to the Director, Risk and Assurance and is responsible for building, implementing, and continuously improving the infrastructure, processes, and tools that support Enterprise Risk Management (ERM), audit coordination, corrective action governance, root cause analysis (RCA), and risk reporting activities across the organization. This role plays a critical role in maturing the Risk and Assurance function by developing scalable workflows, governance resources, reporting structures, and operational processes that enable proactive risk management and organizational accountability. The Senior Manager serves as a central liaison across Compliance, Program Integrity, Privacy, Operations, Quality, Client Services, Information Security, and other business functions to ensure consistent execution of risk management and remediation activities. The ideal candidate possesses strong operational knowledge of PPL's business processes, systems, state programs, client requirements, and service delivery model, and can leverage that knowledge to identify risks, evaluate controls, facilitate remediation efforts, and drive continuous improvement.

Requirements

  • Strong analytical and problem-solving capabilities
  • Excellent written, verbal, facilitation, and stakeholder management skills
  • Ability to influence without direct authority and drive accountability across business functions
  • Ability to synthesize complex operational and regulatory information into actionable recommendations
  • Strong understanding of risk management, compliance, audit coordination, operational controls, and corrective action processes
  • Demonstrated ability to design and implement operational workflows, governance processes, and scalable business solutions
  • Strong project management and organizational skills
  • Experience supporting root cause analysis, corrective action management, and continuous improvement initiatives
  • Experience working with workflow automation, reporting tools, dashboards, or governance platforms preferred
  • Bachelor’s degree in Accounting, Business Administration, Information Systems, or a related field (required).
  • Substantial Experience in lieu of degree.
  • 7+ years of experience in healthcare operations, compliance, quality, audit, risk management, operational excellence, or related fields, or 5+ years at PPL or a similar FMS provider
  • Demonstrated experience leading cross-functional initiatives and process improvement efforts
  • Experience supporting audits, corrective action governance, investigations, or risk management programs preferred
  • Strong familiarity with PPL operational processes, systems, state programs, client requirements, and service delivery model strongly preferred
  • Medicaid, long-term services and supports (LTSS), and consumer-directed services experience strongly preferred

Nice To Haves

  • Master’s degree in a related field (preferred).
  • CHC, CRCM, CIA, CFE, PMP, Lean Six Sigma Black Belt, or similar certifications preferred or willingness to attain

Responsibilities

  • Partner with the Director, Risk and Assurance to design, implement, and mature the Risk and Assurance function
  • Develop and maintain operational processes, workflows, templates, tools, and governance resources supporting ERM, audit coordination, RCA, and corrective action management
  • Support development of enterprise risk methodologies, risk scoring frameworks, intake processes, escalation protocols, and reporting standards
  • Assist in establishing consistent practices across business units for risk identification, assessment, remediation, and monitoring
  • Continuously evaluate opportunities to improve efficiency, transparency, and effectiveness of risk management activities
  • Coordinate and facilitate enterprise risk assessment activities and structured risk interviews
  • Support risk intake, triage, impact analysis, and risk prioritization processes
  • Research regulatory, contractual, financial, operational, and reputational implications of identified risks
  • Assess existing controls, mitigation strategies, and residual risk exposure
  • Maintain enterprise risk inventories, risk registers, mitigation plans, and supporting documentation
  • Monitor risk treatment activities and escalate emerging concerns as appropriate
  • Design and oversee workflows supporting corrective action plan (CAP) development, tracking, validation, and closure
  • Support development of automated solutions for remediation tracking, prevention activities, approvals, notifications, and escalation pathways
  • Facilitate root cause analysis activities and ensure findings are appropriately documented
  • Trend root causes, remediation activities, and repeat findings to identify systemic vulnerabilities
  • Assess effectiveness and sustainability of remediation and prevention efforts
  • Escalate unresolved risks, overdue actions, and recurring issues to leadership
  • Coordinate operational aspects of external audits, regulatory reviews, client audits, SOC audits, and assessment activities
  • Develop and maintain audit tracking tools, evidence repositories, and workflow management processes
  • Monitor audit deliverables, stakeholder assignments, and response timelines
  • Conduct quality reviews of audit submissions and supporting documentation
  • Identify trends and recurring findings across audits to inform organizational improvement efforts
  • Develop dashboards, scorecards, and reporting mechanisms supporting ERM, audits, corrective actions, and governance activities
  • Analyze trends related to risk events, audit findings, remediation activities, investigations, and operational performance
  • Support development of KPIs and metrics related to risk reduction, remediation effectiveness, audit readiness, and compliance maturity
  • Prepare reports and presentations for executive leadership, governance committees, and compliance oversight bodies
  • Partner with business leaders to identify process improvement opportunities and strengthen organizational controls
  • Serve as a trusted partner to operational leaders across all business functions
  • Support consistent integration of ERM, audit coordination, incident management, investigation findings, and corrective action governance processes
  • Promote alignment between Risk and Assurance, Corporate Compliance, Program Integrity, Regulatory Intelligence, Privacy, and Operational teams
  • Support organizational readiness for regulatory changes, audits, assessments, and emerging risks
  • Provides direct leadership, oversight, coaching, and performance management for Risk and Assurance personnel, including roles responsible for audit coordination, controls oversight, enterprise risk management, root cause analysis, corrective action governance, and related assurance activities.
  • Responsible for establishing team priorities, assigning work, monitoring performance, supporting professional development, and ensuring alignment of Risk and Assurance activities with organizational objectives, regulatory requirements, and enterprise risk management strategies.

Benefits

  • Base salary within the posted range. Actual compensation will be determined based on a variety of factors, including skills, experience, and geographic location. Compensation may vary for positions based in high cost-of-labor markets.
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