What are the responsibilities and job description for the Director, Risk Management position at Judi Health?
About Judi Health
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:
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.
Position Responsibilities
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.
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.
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.
Position 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.
- 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.
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.
Salary : $150,000