Risk Manager, Contracts & Compliance
hace 5 días
San Diego
Introduction At RPS, we don’t just embrace bold ideas, we make them happen. We’re a team of entrepreneurs, big-picture thinkers, and passionate experts who thrive on possibility. Every day, we collaborate across teams, challenge convention, and push boundaries to design innovative solutions for our clients. With access to top-rated carriers and a dynamic marketplace, we bring strategy and creativity together to deliver what others might call impossible. Here, every voice counts, every perspective matters, and every challenge is an opportunity to grow. You’ll be supported by a culture that celebrates ownership, curiosity, and high performance, where you’re trusted to do your best work and encouraged to keep learning along the way. Overview The Risk Manager - Contracts & Compliance is responsible for overseeing and advancing the organization’s enterprise risk management strategy within a third-party administration (TPA) environment supporting health and welfare benefit plans. This role provides expert leadership across regulatory compliance, fiduciary risk, operational risk, and vendor oversight, while serving as a trusted advisor to executive leadership, boards, and external partners. The ideal candidate brings a minimum of eight (8) years of progressive risk management experience within a TPA or health and welfare benefits environment, with demonstrated expertise in compliance, plan governance, and complex stakeholder management. How you'll make an impact Enterprise & Operational Risk Management • Develop, implement, and maintain a comprehensive risk management framework tailored to health and welfare benefit plans administered by the organization., • Identify, assess, and mitigate enterprise, operational, fiduciary, regulatory, and reputational risks., • Maintain risk registers, mitigation plans, and reporting mechanisms aligned with best practices., • Regulatory & Compliance Oversight, • Ensure compliance with applicable federal and state regulations, including but not limited to ERISA, ACA, HIPAA, COBRA, CMS guidance, and DOI requirements., • Partner with internal teams and external counsel to monitor regulatory changes and assess organizational impact., • Lead or support audits, examinations, and regulatory inquiries, including corrective action planning. Fiduciary & Plan Governance Support • Advise trustees, boards, and plan sponsors on fiduciary obligations, risk exposure, and governance best practices., • Prepare and present risk and compliance updates for board meetings, committees, and executive leadership., • Support policy development, documentation standards, and governance controls. Vendor & Third-Party Risk Management • Oversee vendor risk assessments, contract compliance, and performance monitoring., • Collaborate with procurement, legal, and operational teams to evaluate vendor controls and service-level adherence., • Support contract lifecycle management (CLM) processes related to risk and compliance provisions., • Incident Management & Issue Resolution, • Lead investigation and resolution of compliance incidents, data breaches, operational failures, or member escalations with potential risk exposure., • Ensure timely documentation, root-cause analysis, and implementation of corrective actions., • Coordinate with IT, legal, HR, and communications teams as needed. Leadership & Cross-Functional Collaboration • Serve as a subject-matter expert and strategic partner to operations, IT, finance, legal, and client-facing teams., • Provide guidance, training, and mentorship related to risk awareness and compliance best practices., • Bachelor’s degree in Risk Management, Business Administration, Finance, Healthcare Administration, or a related field (Master’s preferred)., • Minimum eight (8) years of experience in risk management, compliance, or governance within a third-party administration (TPA) environment supporting health and welfare benefits., • Deep working knowledge of health and welfare benefit plan operations and regulatory requirements., • Proven experience supporting boards, trustees, or executive leadership in a fiduciary or regulated environment., • Strong analytical, documentation, and risk assessment skills., • Professional certifications such as CRMP, CCEP, CHPC, CHC, or similar., • Experience with enterprise risk management (ERM) or GRC frameworks., • Familiarity with contract lifecycle management (CLM) systems and third-party vendor risk programs., • Experience leading or supporting audits and regulatory reviews., • Strategic Risk Thinking, • Regulatory & Fiduciary Expertise, • Executive Presence & Judgment, • Stakeholder & Board Engagement, • Operational Excellence, • High Integrity & Confidentiality #LI-LB3 Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve: • Medical/dental/vision plans, which start from day one!, • Life and accident insurance, • 401(K) and Roth options, • Tax-advantaged accounts (HSA, FSA), • Educational expense reimbursement, • Digital mental health services (Talkspace), • Flexible work hours (availability varies by office and job function), • Training programs, • Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing, • Charitable matching gift program We value inclusion and diversity ___ to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.