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Vice President Risk Jobs in California (NOW HIRING)

HJ Staffing

VP, Risk Adjustment & Quality

Huntington Beach, CA · On-site

$131.50K - $176.40K/yr

We are seeking a VP, Risk Adjustment & Quality to take ownership of the strategic integration between revenue integrity and clinical outcomes. In this role, you will oversee the complete lifecycle of ...

Guild Mortgage

VP, Credit Risk

San Diego, CA · On-site +1

VP, Credit Risk Guild Mortgage Company, closing loans and opening doors since 1960. As a mortgage banking firm we are dedicated to serving the home owner/buyer. Our goal is to provide affordable home ...

Guild

VP, Credit Risk

San Diego, CA · On-site

$177K - $242K/yr

The VP of Credit Risk ensures that the company's lending practices and policies are sound and compliant with Guild's risk objectives and Secondary Markets guidelines and eligibility. This role also ...

Guild

VP, Credit Risk

San Diego, CA · On-site +1

The VP of Credit Risk ensures that the company's lending practices and policies are sound and compliant with Guild's risk objectives and Secondary Markets guidelines and eligibility. This role also ...

Guild Mortgage

VP, Credit Risk

San Diego, CA · On-site +1

The VP of Credit Risk ensures that the company's lending practices and policies are sound and compliant with Guild's risk objectives and Secondary Markets guidelines and eligibility. This role also ...

Visa

Vice President, Clearing

Foster City, CA · On-site

Visa is seeking a Vice President, Clearing role to strengthen executive ownership of the most ... Partnership with Architecture, Risk, Legal, and Controls teams to ensure responsible, explainable ...

Visa

Vice President, Clearing

Foster City, CA · Hybrid

Visa is seeking a Vice President, Clearing role to strengthen executive ownership of the most ... Partnership with Architecture, Risk, Legal, and Controls teams to ensure responsible, explainable ...

Palomar Holdings, Inc.

VP, Reinsurance

San Diego, CA · On-site

$170K - $255K/yr

We are Hiring! VP, Reinsurance Location: La Jolla, CA The Details: We are seeking a driven ... Oversee the buying process of risk transfer solutions consisting of pro rata and excess of loss ...

Palomar Holdings Inc

VP, Reinsurance

La Jolla, CA · Hybrid

As VP, Reinsurance, you will report directly to EVP, Ceded Reinsurance and will work closely with senior leaders of the Risk Management, Underwriting, Actuarial and Programs teams to lead and execute ...

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Vice President Risk information

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

To thrive as a Vice President of Risk, you need deep expertise in risk management, regulatory compliance, financial analysis, and a strong educational background, often with a degree in finance, business, or a related field. Familiarity with risk assessment tools, enterprise risk management (ERM) software, and industry certifications such as FRM or CFA are typically expected. Exceptional leadership, strategic thinking, and communication skills help navigate complex risk environments and influence organizational decision-making. These skills are crucial for proactively identifying threats, ensuring regulatory adherence, and safeguarding an organization’s assets and reputation.

How does the Vice President of Risk typically collaborate with other departments to manage organizational risk?

The Vice President of Risk works closely with departments such as Compliance, Legal, Operations, and Finance to ensure a holistic approach to risk management. This collaboration often includes leading cross-functional risk assessments, developing mitigation strategies, and communicating risk policies across the organization. Regular meetings and reporting structures help ensure that all departments are aligned on risk priorities, enabling swift and coordinated responses to emerging threats. Effective communication and relationship-building are essential, as the VP of Risk must balance business objectives with regulatory requirements and operational needs.

What does a Vice President of Risk do?

A Vice President of Risk is responsible for identifying, assessing, and mitigating risks that could threaten the financial stability, reputation, or operational effectiveness of an organization. They develop risk management policies, oversee risk assessment processes, and ensure compliance with relevant regulations. This role typically involves collaborating with other departments to implement risk controls and reporting to senior executives about potential risks and their impact. Additionally, they may manage a team of risk analysts and work closely with external auditors or regulatory bodies.

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

AspectVice President RiskRisk Manager
Required CredentialsBachelor's degree, often advanced certifications like FRM or CRM, extensive experienceBachelor's degree, certifications like FRM or CRM preferred, relevant experience
Work EnvironmentStrategic leadership in corporate settings, executive-level responsibilitiesOperational risk assessment, implementing risk mitigation strategies
Employer & Industry UsageFinancial institutions, large corporations, insurance companiesFinancial services, manufacturing, healthcare, various industries

The Vice President Risk typically holds a senior leadership role focused on strategic risk oversight at the executive level, while a Risk Manager handles day-to-day risk assessment and mitigation. Both roles require similar credentials but differ in scope, responsibility, and strategic influence within organizations.

What are the most commonly searched types of Risk jobs in California? The most popular types of Risk jobs in California are:
What cities in California are hiring for Vice President Risk jobs? Cities in California with the most Vice President Risk job openings:
Vice President Risk jobs near you

VP, Risk Adjustment & Quality

HJ Staffing

Huntington Beach, CA • On-site

$131.50K - $176.40K/yr

Full-time

Posted 7 days ago

Job description

We are seeking a VP, Risk Adjustment & Quality to take ownership of the strategic integration between revenue integrity and clinical outcomes. In this role, you will oversee the complete lifecycle of risk capture including prospective, concurrent, and retrospective workflows while ensuring our organization maintains high performance in CMS Star Ratings and HEDIS quality metrics.

What You Will Do

  • Strategic Execution: Develop and execute enterprise-wide Medicare Advantage risk adjustment strategies aligned with CMS requirements.
  • SME Leadership: Serve as the subject matter expert on CMS-HCC models, risk score forecasting, and regulatory shifts.
  • Operations Oversight: Manage all risk adjustment activities, including provider coding initiatives, chart reviews, in-home assessments, and data submissions.
  • Compliance & Audit: Ensure full compliance with CMS, RADV, and OIG guidance. Lead internal and external audit responses.
  • Performance Excellence: Drive year-over-year risk score performance while maintaining strict audit readiness.
  • Cross-Functional Collaboration: Partner with network management and clinical leadership to improve documentation (CDI) and physician engagement.
What You Will Bring
  • Education: Master's degree in Business (MBA), Health Administration (MHA), or a related clinical field.
  • Experience: 10+ years of progressive leadership in managed care, with specialized expertise in Medicare Advantage and Value-Based Care frameworks.
  • Technical Knowledge: Deep understanding of ICD-10 coding standards, HCC methodologies, and CMS quality reporting.
  • Certifications (Preferred): CPHQ (Quality), CHCA (HEDIS Auditor), or a clinical license (RN).
You Will Be Successful If:
  • You have a strategic and analytical mindset with strong financial acumen.
  • You are an expert at executive-level communication and influencing cross-functional teams.
  • You operate effectively in fast-paced, highly regulated environments.
  • You maintain high integrity and a relentless commitment to compliance.
Additional Details
  • Work Environment: This is a 100% onsite opportunity in Huntington Beach, CA.
  • Requirement: Candidates must be local and comfortable being in the office 5 days a week, or be fully prepared to relocate immediately.