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Vice President Operational Risk Management Jobs in Virginia

The VP of Operational Excellence will integrate and implement (across all business lines) Program ... management, quality, EH&S, independent review, risk management, and continuous improvement ...

The VP of Operational Excellence will integrate and implement (across all business lines) Program ... management, quality, EH&S, independent review, risk management, and continuous improvement ...

Reporting to the President, the Vice President, Controller will lead the organization's global ... risk management practices and financial compliance frameworks Global Operations & Field Office ...

Reporting to the President, the Vice President, Controller will lead the organization's global ... risk management practices and financial compliance frameworks Global Operations & Field Office ...

Cash, Liquidity & Risk Management * Oversee enterprise-wide cash flow forecasting, liquidity ... Ensure robust treasury controls, efficient global cash operations, and compliance with internal ...

Cash, Liquidity & Risk Management * Oversee enterprisewide cash flow forecasting, liquidity ... Ensure robust treasury controls, efficient global cash operations, and compliance with internal ...

Cash, Liquidity & Risk Management * Oversee enterprisewide cash flow forecasting, liquidity ... Ensure robust treasury controls, efficient global cash operations, and compliance with internal ...

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Showing results 1-20

Vice President Operational Risk Management information

See Virginia salary details

$67.9K

$154.4K

$261.7K

How much do vice president operational risk management jobs pay per year?

As of Jun 4, 2026, the average yearly pay for vice president operational risk management in Virginia is $154,444.00, according to ZipRecruiter salary data. Most workers in this role earn between $114,500.00 and $183,400.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Vice President of Operational Risk Management, and why are they important?

To thrive as a Vice President of Operational Risk Management, you need deep expertise in risk assessment, regulatory compliance, and business process analysis, typically supported by a bachelor’s or master’s degree in finance, risk management, or a related field. Familiarity with risk management frameworks (such as COSO and ISO 31000), governance tools, and certifications like FRM or ORM are highly valuable. Exceptional communication, leadership, and critical thinking skills help effectively guide teams and influence organizational culture. These competencies are crucial to proactively identifying, assessing, and mitigating operational risks that could impact an organization’s performance and reputation.

What are some common challenges faced by a Vice President of Operational Risk Management, and how are they typically addressed?

A Vice President of Operational Risk Management often faces the challenge of balancing risk mitigation with business objectives, especially in rapidly changing regulatory environments. They must ensure that risk management frameworks are robust yet adaptable, and that teams across the organization are aligned in their understanding and implementation of risk controls. Collaboration with business units, compliance, and internal audit is essential to proactively identify and address potential risks. Regular training, strong communication, and fostering a risk-aware culture help address these challenges and drive continuous improvement.

What does a Vice President of Operational Risk Management do?

A Vice President of Operational Risk Management is responsible for identifying, assessing, and mitigating risks that could impact the operations of an organization. They develop risk management strategies, establish policies and procedures, and ensure compliance with relevant regulations. This role involves collaborating with various departments to promote a risk-aware culture and to implement effective risk controls. Additionally, they often oversee risk assessments, incident investigations, and the reporting of risk exposures to senior leadership.

What is the difference between Vice President Operational Risk Management vs Risk Manager?

AspectVice President Operational Risk ManagementRisk Manager
CredentialsAdvanced degrees (MBA, Risk Management certifications)Bachelor's or Master's in related fields, certifications like CRM or FRM
Work EnvironmentStrategic leadership, executive meetings, policy developmentOperational risk assessments, reporting, and implementation
Employer & Industry UsageFinancial institutions, large corporations, bankingFinancial services, insurance, corporate risk departments

The Vice President of Operational Risk Management typically oversees risk strategies at an executive level, focusing on policy and strategic risk mitigation. In contrast, Risk Managers handle day-to-day risk assessments and operational controls. Both roles require risk management credentials and are vital in financial and corporate sectors, but the VP role involves higher-level decision-making and leadership responsibilities.

What cities in Virginia are hiring for Vice President Operational Risk Management jobs? Cities in Virginia with the most Vice President Operational Risk Management job openings:
VP, Clinical Policy & Risk Management

VP, Clinical Policy & Risk Management

Humana

Arlington, VA • On-site

Full-time

Posted 24 days ago


Humana rating

8.0

Company rating: 8.0 out of 10

Based on 252 frontline employees who took The Breakroom Quiz

145th of 260 rated insurance


Job description

Become a part of our caring community
Humana maintains a robust clinical risk management function to ensure effective risk mitigation, control, and governance processes across Care Management and Utilization Management. The mission of the Medicare and Medicaid Operational Risk Management Department is to partner with CM/UM teams to drive operational compliance, member access to care, and efficiency, while proactively identifying and managing risks related to care and utilization management.
The Vice President, Clinical Policy and Risk Management will oversee a department comprising 5 direct reports that lead CM/UM Risk Management, UM and CM audit teams, policy governance and clinical learning. This role reports directly to the Senior Vice President - Clinical Operations.

Responsibilities

  • Identify, assess, and report operational and clinical risks within CM/UM processes to appropriate governance structures.
  • Monitor CM/UM compliance and operational metrics, ensuring escalation and resolution of any issues impacting member care or regulatory compliance.
  • Track, interpret, and implement CMS Federal and Medicaid State regulations impacting CM/UM, ensuring timely and complete adoption.
  • Support regulatory audits with emphasis on CM/UM compliance and facilitate remediation where necessary.
  • Lead risk mitigation efforts related to care management and utilization management, including maturity assessments and oversight of issues and opportunities.
  • Oversee CM/UM business continuity and work across leadership to resolve any IOPs administered.
  • Foster quality and continuous improvement within CM/UM control processes, ensuring alignment with policies, standards, and applicable laws.
  • Address legislative and regulatory issues with potential impact on CM/UM operations, including fraud risk identification and mitigation.
  • Lead the strategy, design, implementation, and continuous improvement of clinical learning programs that support onboarding, role readiness, compliance, and performance for Care Management and Utilization Management teams; oversee end-to-end learning solution development, including curriculum architecture, instructional design standards, learning technologies and systems administration, workflow integration, and new hire onboarding experiences
  • Partner closely with clinical, operational, compliance, and business leaders to ensure learning content is aligned to regulatory requirements, clinical processes, system functionality, and business priorities; establish scalable onboarding and learning pathways, optimize learner experience across platforms, and use performance data, audit findings, and operational insights to strengthen adoption, reduce risk, and improve readiness and effectiveness of the clinical workforce.

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree
  • Extensive experience (10+ years) in CM/UM risk management, regulatory compliance, process improvement, or related fields, with several years in leadership roles.
  • Advanced knowledge of CM/UM operational controls, risk mitigation strategies, and regulatory requirements for Medicare and Medicaid.
  • Demonstrated expertise in internal controls, clinical and operational risk management, and IT technical controls within CM/UM environments.
  • Exceptional project management skills, integrity, and business ethics.
  • Ability to collaborate with stakeholders across the enterprise and influence outcomes in complex, matrixed environments.
  • Excellent communication skills and executive presence.

Preferred Qualifications

  • MBA
  • Relevant professional credentials (CPA, CIA, CISSP, JD, SOA, RN, CCM, or similar)

Scheduled Weekly Hours

40
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.


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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

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