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Blue Shield of California

California nonprofit health insurance provider

Enterprise Risk Management Specialist – Principal

Risk ManagementConfirmed live in the last 24 hours
Full-timeOakland, CA, USA$137.7k - $233kHybrid

About the Job

Requirements

  • A bachelor's degree, or a high school diploma/GED plus four years of additional relevant experience in lieu of a degree.
  • Ten years of prior relevant experience.
  • Mastery-level knowledge of Enterprise Risk Management standards and processes.
  • Prior health insurance industry experience.
  • Strong analytical skills, including the ability to synthesize large volumes of qualitative and quantitative information into clear, executive-level risk narratives.
  • Executive presence and strong communication and presentation skills, with a proven track record of developing and delivering clear, concise reporting to senior management and executive governance forums.
  • Demonstrated intellectual curiosity and professional skepticism, including the ability to validate assumptions, examine underlying issues, and ask insightful questions that identify meaningful risks and opportunities.

Responsibilities

  • Execute key Enterprise Risk Management program deliverables, including the Enterprise Risk Assessment, Top Risk Profile, risk scenario modeling, Key Risk Indicator monitoring, risk register administration, and maintenance of Enterprise Risk Management policies, procedures, and frameworks.
  • Enhance qualitative and quantitative risk evaluation methodologies based on industry standards and best practices.
  • Partner with business risk owners to develop, document, and implement mitigation plans for identified risks.
  • Prepare timely, clear, concise, and high-quality risk reporting for the Board of Directors, its committees, and executive leadership.
  • Enhance data-driven risk dashboards and metrics that provide actionable insights into the company's risk profile and emerging risk trends.
  • Review and assess the company's risk appetite and tolerance.
  • Oversee the preparation, maintenance, and filing of regulatory submissions, including the Own Risk and Solvency Assessment Report and Form F, as well as rating agency deliverables.
  • Provide second-line-of-defense risk management oversight, guidance, training, and coaching across the company.
  • Participate in key governance forums and advise on the risk implications of new products and changes to strategic initiatives.
  • Build trusted relationships with senior business leaders and key stakeholders.

Desired Qualifications

  • Professional certifications such as CPA, CIA, FSA/ASA, or CFA.
  • Additional degrees such as an MBA or JD.
  • Experience in highly regulated industries such as finance/banking, pharmaceuticals, defense/aerospace, manufacturing, or energy/utilities.

About the Company

Blue Shield of California

California nonprofit health insurance provider

Blue Shield of California is a nonprofit health plan provider that offers medical insurance options for individuals, families, and employers within California. It operates as a mutual benefit corporation and maintains a broad network of healthcare professionals and facilities, enabling members to access care and manage claims through an online portal. Its services include preventive care programs and digital health coaching, with prior authorization required for certain medical, surgical, and some prescription drugs to control costs and ensure medical necessity. The company draws a substantial portion of its membership from CalPERS and focuses on delivering stable, affordable access to care within the state. Its goal is to provide members with reliable health coverage, a wide provider network, and tools to manage their health and expenses efficiently.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
United States
Founded
1939

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