Alignment Healthcare LLC
Enterprise Risk Management (ERM) Analyst
Alignment Healthcare LLC, California, Missouri, United States, 65018
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.The Enterprise Risk Management (ERM) Analyst supports the organization’s ERM and Internal Audit programs by identifying, analyzing, and monitoring risks across operational, clinical, and financial domains.
This role provides ad-hoc analytical support to leadership to inform strategic decision-making, assess control performance, and evaluate emerging risks. The analyst collaborates with departments—including Claims, Provider Operations, Compliance, IT, and Finance—to strengthen internal controls, enhance audit readiness, and advance data-driven risk intelligence.**Job Responsibilities:****Enterprise Risk Management*** Execute components of the ERM framework, including risk identification, assessment, and mitigation planning.* Maintain and enhance the Enterprise Risk Register and Key Risk Indicator (KRI) dashboards.* Lead or facilitate risk and control self-assessments (RCSA) with business units.* Conduct trend and scenario analysis to identify emerging or systemic risks.* Prepare concise risk summaries and presentations for senior leadership and risk committees.**Internal Audit & Control Testing*** Perform operational and compliance control testing for key processes and risk areas.* Lead or support internal audit engagements, including planning, fieldwork, and reporting.* Develop, monitor, and validate corrective action plans (CAPs).* Support readiness for external and regulatory audits (CMS, HIPAA, NCQA, DHCS, DOI, etc.).* Maintain audit workpapers and ensure consistent documentation standards.**General Ad-Hoc Analysis & Reporting*** Conduct **ad-hoc risk, compliance, and performance analyses** at the request of senior leaders or committees.* Analyze operational and financial datasets to identify trends, control weaknesses, or potential compliance exposures.* Develop visualizations and reports to support decision-making (using Excel, Power BI, or similar tools).* Provide **root cause analysis** for audit findings, data quality issues, or process variances.* Assist with **benchmarking, loss event analysis, and incident trend monitoring** to support enterprise reporting.* Collaborate with Finance and Operations teams to align risk data with performance metrics and operational KPIs.* Support development of **management dashboards** that integrate risk, audit, and compliance data sources.**Cross-Functional Collaboration*** Partner with Compliance, Privacy, and IT Security teams to align risk oversight efforts.* Contribute to process improvement initiatives and control optimization projects.* Support risk education and awareness initiatives across business units.* Other duties and projects not listed above**Job Requirements:**Experience:Required: 4–6 years of experience in risk management, internal audit, or compliance, preferably within a health plan or managed care organization. Familiarity with CMS, HIPAA, NCQA, DHCS, and state insurance regulatory requirements.Education:Required: Bachelor’s degree in Business, Finance, Accounting, Risk Management, or Healthcare AdministrationSpecialized Skills:Required:•
Strong analytical and critical-thinking abilities; able to interpret and visualize data effectively.•
Advanced proficiency in Microsoft Excel; experience with Power BI, Tableau, or SQL a plus.•
Solid understanding of business process mapping and internal control frameworks.•
Strong written and verbal communication skills for both technical and executive audiences.•
Self-directed with proven ability to manage multiple tasks and deadlines in a regulated environment.•
Knowledge of COSO ERM, ISO 31000, and the Three Lines Model.Preferred:* Certified Internal Auditor (CIA)* Certified Risk Management Assurance (CRMA)* Associate in Risk Management (ARM)* Certified in Healthcare Compliance (CHC)Pay Range: $85,696.00 - $128,543.00Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.*\*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.* #J-18808-Ljbffr
This role provides ad-hoc analytical support to leadership to inform strategic decision-making, assess control performance, and evaluate emerging risks. The analyst collaborates with departments—including Claims, Provider Operations, Compliance, IT, and Finance—to strengthen internal controls, enhance audit readiness, and advance data-driven risk intelligence.**Job Responsibilities:****Enterprise Risk Management*** Execute components of the ERM framework, including risk identification, assessment, and mitigation planning.* Maintain and enhance the Enterprise Risk Register and Key Risk Indicator (KRI) dashboards.* Lead or facilitate risk and control self-assessments (RCSA) with business units.* Conduct trend and scenario analysis to identify emerging or systemic risks.* Prepare concise risk summaries and presentations for senior leadership and risk committees.**Internal Audit & Control Testing*** Perform operational and compliance control testing for key processes and risk areas.* Lead or support internal audit engagements, including planning, fieldwork, and reporting.* Develop, monitor, and validate corrective action plans (CAPs).* Support readiness for external and regulatory audits (CMS, HIPAA, NCQA, DHCS, DOI, etc.).* Maintain audit workpapers and ensure consistent documentation standards.**General Ad-Hoc Analysis & Reporting*** Conduct **ad-hoc risk, compliance, and performance analyses** at the request of senior leaders or committees.* Analyze operational and financial datasets to identify trends, control weaknesses, or potential compliance exposures.* Develop visualizations and reports to support decision-making (using Excel, Power BI, or similar tools).* Provide **root cause analysis** for audit findings, data quality issues, or process variances.* Assist with **benchmarking, loss event analysis, and incident trend monitoring** to support enterprise reporting.* Collaborate with Finance and Operations teams to align risk data with performance metrics and operational KPIs.* Support development of **management dashboards** that integrate risk, audit, and compliance data sources.**Cross-Functional Collaboration*** Partner with Compliance, Privacy, and IT Security teams to align risk oversight efforts.* Contribute to process improvement initiatives and control optimization projects.* Support risk education and awareness initiatives across business units.* Other duties and projects not listed above**Job Requirements:**Experience:Required: 4–6 years of experience in risk management, internal audit, or compliance, preferably within a health plan or managed care organization. Familiarity with CMS, HIPAA, NCQA, DHCS, and state insurance regulatory requirements.Education:Required: Bachelor’s degree in Business, Finance, Accounting, Risk Management, or Healthcare AdministrationSpecialized Skills:Required:•
Strong analytical and critical-thinking abilities; able to interpret and visualize data effectively.•
Advanced proficiency in Microsoft Excel; experience with Power BI, Tableau, or SQL a plus.•
Solid understanding of business process mapping and internal control frameworks.•
Strong written and verbal communication skills for both technical and executive audiences.•
Self-directed with proven ability to manage multiple tasks and deadlines in a regulated environment.•
Knowledge of COSO ERM, ISO 31000, and the Three Lines Model.Preferred:* Certified Internal Auditor (CIA)* Certified Risk Management Assurance (CRMA)* Associate in Risk Management (ARM)* Certified in Healthcare Compliance (CHC)Pay Range: $85,696.00 - $128,543.00Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.*\*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.* #J-18808-Ljbffr