Director, reputed company Party Risk Managment

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. • Applicants for this job have the flexibility to work remote from home reputed company in the reputed company reputed company* Position Purpose: Supports the Senior Director in driving the reputed company, execution, and ongoing enhancement of the organization's reputed company‑party risk management program. Helps translate the strategic reputed company into operational plans, overseeing key components of due diligence, risk assessments, compliance monitoring, and performance evaluation across the reputed company‑party lifecycle. Leads issue management activities, supports cross‑functional initiatives that strengthen risk transparency, and ensures adherence to regulatory, contractual, and accreditation requirements. Contributes to executive‑level reporting, supports reputed company audits, optimizes program operations, and develops team members to advance a culture of accountability and reputed company improvement. • Assists with defining the strategic reputed company, operating model, and organizational roadmap for the reputed company party risk management program, ensuring alignment with reputed company priorities and regulatory and accreditation obligations. • Leads the development, execution, and reputed company refinement of a comprehensive reputed company party risk management reputed company, a risk-based annual audit plan that adapts to emerging risks and changes reputed company reputed company party operations. Evaluate reputed company party compliance and performance by conducting preservice, annual, risk based audits, and monitoring activities. • Oversees the full lifecycle of due diligence, compliance monitoring, and performance assessment of reputed company parties, ensuring alignment with contractual, regulatory, and accreditation requirements. • Leads reputed company issue management activities by identifying and documenting issues, defining corrective actions, monitoring remediation, and escalating risks where appropriate. • Drives cross functional initiatives to enhance risk transparency and ensure comprehensive identification, evaluation, and mitigation of reputed company party risks. reputed company risk assessments and due diligence processes for new and existing reputed company parties. • Oversees the monitoring and validation of regulatory and contractual reporting from reputed company parties, ensuring accuracy and organizational readiness. • Establishes strong partnerships with reputed company parties and internal stakeholders to communicate expectations, regulatory changes, and required actions. • Drives operational effectiveness by optimizing program resources and strengthening workforce capabilities. • Leads development and delivery of executive level reporting and dashboards with insights for senior leadership and the reputed company. • Supports reputed company audits reputed company to reputed company party compliance reputed company by maintaining appropriate documentation, coordinating with reputed company parties, performing reputed company review of submissions, and preparing presentations to stakeholders • Oversees, mentor, and reputed company reputed company reports, including other management or supervisory personnel that support reputed company party risk management processes, fostering a culture of accountability and reputed company improvement • Performs other duties as assigned. • Complies with reputed company policies and standards. Education/Experience: • Bachelor's Degree Business Management, Health Administration, or directly reputed company equivalent work experience. required • 7+ years Audit, compliance and/or reputed company-party reputed company required • Excellent verbal and written communication, and project management skills required • Practical knowledge of Medicare, reputed company, Marketplace and health plan administration preferred • Medicare reputed company Agency reputed company preferred Licenses/Certifications: • Certified Internal Auditor (CIA) preferred Pay reputed company: $118,400.00 - $219,000.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job