Senior Director, Clinical Risk Management

Overview

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience. Reporting to the Chief Quality Officer, the Senior Director of Risk Management provides strategic leadership and oversight for the development and implementation of the health plan’s clinical risk management program and plan.

This role is accountable for identifying, assessing, and mitigating risks that could impact organizational performance, regulatory compliance, and member safety. The Senior Director collaborates with executive leadership, operational teams, and regulatory agencies to ensure member safety, adherence to state and federal requirements, accreditation standards, and industry best practices.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience. Reporting to the Chief Quality Officer, the Senior Director of Risk Management provides strategic leadership and oversight for the development and implementation of the health plan’s clinical risk management program and plan.

This role is accountable for identifying, assessing, and mitigating risks that could impact organizational performance, regulatory compliance, and member safety. The Senior Director collaborates with executive leadership, operational teams, and regulatory agencies to ensure member safety, adherence to state and federal requirements, accreditation standards, and industry best practices.

• Organizational Leadership & Culture – Driving a culture of member safety and accountability across the organization.
• Strategy & Program Development – Designing and implementing enterprise-wide risk management frameworks and protocols.
• Compliance & Regulatory Oversight – Ensuring compliance with all applicable regulations and accreditation standards.
• Risk Monitoring & Mitigation – Identifying emerging risks and leading proactive intervention strategies.
• External Relations & Reporting – Building strong stakeholder relationships and providing transparent reporting to leadership and governing bodies.

The IEHP Team is committed to incorporating IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. IEHP aims to match our team members with the same energy by providing prime benefits and more.

• Competitive salary
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development
• Wellness programs that promote a healthy work-life balance
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

• Required:
  
  A minimum of ten (10) years of progressive experience in clinical risk management within a health plan or healthcare setting
• A minimum of three (3) years of proven leadership experience managing enterprise risk programs
• Required:
  
  Bachelor’s degree in nursing and/or related field from an accredited institution
• In lieu of the required degree, a minimum of eight (8) years of additional relevant work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above
• Master’s degree in nursing or related field from an accredited institution is preferred
• Certified Professional in Patient Safety (CPPS) or other relevant certification preferred
• Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California Board of Registered Nursing required

• Must have a valid California Driver’s license
• Advanced knowledge of risk management principles, practices and techniques
• Knowledge of healthcare/health plan operations, regulations, and compliance requirements
• Demonstrated knowledge of healthcare laws and regulations, safety science, and patient safety best practices
• Knowle…