Director Of Quality And Risk Jobs in Riverside, CA

Employee Benefits is the core of our business and at our heart we are a people-focused organization. Every day, we help over 100,000 employers give their employees peace of mind by providing health, pharmacy, long and short-term disability, vision, dental and other insurance solutions. What makes us unique is that we can surround our clients with more services and more technology-based tools and a team of advisors that simply cares more than anyone else.
If you want a career giving people the reassurance that they can have access to the health care they need for themselves and their loved ones, join OneDigital.
Our Newest Opportunity:
The Director of Risk & Analytics for Southern California is responsible for leading the strategy, delivery, and evolution of risk, actuarial, and analytics capabilities for OneDigital's Southern California Employee Benefits practice. This role sits at the intersection of data, strategy, and client impact and plays a critical role in how we retain clients, win new business, and scale our practice. The Director serves as a market-facing leader and trusted advisor, actively participating in client and prospect meetings as needed, and partnering closely with producers, consultants, and market leadership to translate complex analytics into clear, actionable insight.
While this role leverages national tools and Centers of Excellence, accountability is firmly rooted in SoCal market execution, outcomes, and adoption as we build the next phase of growth.
Essential Duties and Responsibilities (including but are not limited to):
Market Leadership & Strategy

• Owns and leads the SoCal Risk & Analytics strategy, aligned to local client needs, renewal complexity, and growth priorities.
• Serves as the senior analytics and risk leader for the SoCal Employee Benefits practice.
• Partners with market leadership to drive client retention, new business growth, and margin expansion through analytics-enabled strategy.

Client & Prospect Engagement

• Actively participates in client and prospect meetings, particularly for complex renewals, high-risk populations, funding strategy discussions, and growth opportunities.
• Serves as a trusted advisor to HR, finance, producers, and consultants by translating complex data into clear, executive-ready insights.
• Supports strategic client relationships, competitive pursuits, and marquee presentations as needed.

Client Delivery & Advisory

• Leads and oversees advanced analytics delivery for SoCal clients, including:
  • Health & welfare financial modeling, projections, and cost-driver analysis
  • Plan design and employee contribution modeling
  • Benchmarking and multi-year financial forecasting
  • Funding strategy evaluation, including self-funded, level-funded, and alternative funding arrangements (e.g., ICHRA, captives, reference-based pricing)
• Evaluates and compares traditional and alternative funding strategies to optimize cost, risk, and long-term sustainability.
• Provides analytical and financial guidance to support renewal positioning, carrier discussions, and client decision-making.
• Oversees and supports block renewal negotiations with carrier partners in alignment with each client's overall benefits strategy.

Stop Loss Strategy

• Serves as the SoCal leader for stop loss strategy, in partnership with OneDigital's Stop Loss Center of Excellence.
• Ensures competitive, well-structured stop loss placements aligned with client funding strategies, including captives, reference-based pricing arrangements, and ICHRA-compatible solutions.
• Provides guidance on claims trends, market dynamics, carrier performance, and risk tradeoffs across alternative funding approaches.

Team Leadership & Development

• Leads and develops SoCal-based analytics and risk talent through direct leadership.
• Coaches team members on technical excellence, business acumen, and consultative delivery.
• Supports hiring, onboarding, performance management, and succession planning for market analytics roles.

Operational Excellence, Scale & National Partnership

• Designs and refines scalable analytics delivery models to support consistent, high-quality execution as the practice grows.
• Establishes capacity models, delivery standards, and workflow expectations for the SoCal market.
• Serves on internal national committees and working groups, acting as a liaison between the SoCal market and national analytics teams.
• Drives adoption and effective use of analytics tools, services, and enterprise solutions across the SoCal Employee Benefits practice.

Continuous Improvement & Communication

• Gathers and synthesizes feedback from clients, consultants, and producers to continuously improve analytics offerings and delivery.
• Communicates analytics capabilities, updates, and best practices across the SoCal Employee Benefits practice.
• Partners with national teams to ensure alignment between enterprise solutions and evolving local market needs.

Qualifications, Skills and Requirements:

• Advanced analytical and financial modeling expertise, including multi-year projections, funding comparisons, and risk modeling.
• Deep knowledge of health insurance, self-funded plans, medical stop loss, and employee benefits.
• Demonstrated experience modeling and advising on alternative funding strategies, including:
  • ICHRA and other account-based benefit models
  • Medical stop loss captives
  • Reference-based pricing and value-based reimbursement approaches
  • Level-funded and hybrid funding arrangements
• Ability to clearly articulate financial, operational, and employee experience tradeoffs across funding strategies.
• Strong operational mindset with the ability to scale delivery without sacrificing quality.
• Exceptional written and verbal communication skills, with the ability to present complex technical concepts to executive audiences.
• Strong consultative presence in client- and prospect-facing settings.
• Proven ability to influence in a matrixed organization.
• Strong project management, problem-solving, and prioritization skills.

Education, Training and Experience:

• Bachelor's degree or equivalent experience required
• 10+ years of related experience in health benefits, analytics, actuarial, or risk-related roles
• 5+ years leading people, projects, or complex client work
• Experience supporting large, sophisticated employer groups
• Operational or practice leadership experience strongly preferred
• Advanced proficiency in Microsoft Excel and PowerPoint required
• Life & Health insurance license preferred

The typical base pay range for this role nationwide is $160,000 to $200,000 per year.
Your base pay is dependent upon your skills, education, qualifications, professional experience, and location. In addition to base pay, some roles are eligible for variable compensation, commission, and/or annual bonus based on your individual performance and/or the company's performance. We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs. You will receive reimbursement of job-related expenses per the company policy and may receive employee perks and discounts.
To learn more, visit: www.onedigital.com/careers
OneDigital is an equal opportunity employer. Not only as a matter of standard, but to honor and celebrate our differences. We believe that the power of ONE starts with you. We are committed to cultivating and preserving a culture that celebrates diversity, insists on equity and inclusion, and connects us. Ensuring our people feel seen, valued, respected, and supported is fundamental to our core values and business goals.
OneDigital provides equal employment opportunities to all employees and applicants for employment regardless of their: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy (including childbirth, lactation and related medical conditions), national origin or ancestry, citizenship or immigration status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law (collectively, "protected characteristics"). A copy of the Federal EEO poster is linked here.
Pursuant to local Fair Chance Ordinances, we will consider qualified applications with arrest or conviction records for employment. For applicable candidates, the following ordinances are linked here to inform you of your rights as an applicant:
City and County of San Francsico
City of Los Angeles
County of Los Angeles
Employment decisions shall comply with all other applicable federal, state and city/county laws prohibiting discrimination in employment. OneDigital complies with all criminal history inquiry [or 'ban the box'] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington.
In short, we believe in hiring the most qualified applicant for the position, regardless of background.
If you have questions about our hiring policies and practices, we would be happy to discuss upon receiving your application. We hope to welcome you to OneDigital and look forward to hearing from you.
OneDigital understands the immense responsibility and opportunities provided by Artificial Intelligence. We utilize advanced Artificial Intelligence [AI] technologies to enhance our recruitment process. This includes using AI to filter candidates based on their qualifications and to rediscover potential candidates from our existing applicant pool. Our AI systems help us efficiently identify the best fit for our open positions, ensuring a streamlined and effective hiring experience. However, AI does not replace the humans in our process. If you have concerns about our use of AI, you may opt out where laws allow.
Thank you for your interest in joining the OneDigital team!