Vice President, Enterprise Risk Management

Responsibilities

• Lead the transformation and modernization of the ERM function, building new processes, structures, and tools aligned with enterprise objectives.
• Reassess existing risk management frameworks, policies and tools to enhance visibility, agility and accountability across the organization.
• Drive a strategic program that is proactive in monitoring and analyzing trends, identifying risks (threats and opportunities) and developing actionable insights or impacts to Humana’s objectives, growth and reputation.
• Champions and promotes a risk-aware culture throughout Humana, aligning Humana’s strategy with ERM’s objectives and risk appetite.
• Establish an ERM roadmap, including program milestones, technology implementation, and staffing strategy.
• Monitor changes in the regulatory environment and ensure the organization’s risk management practices are compliant with federal, state, industry and COSO requirements.
• Enhance integrated risk reporting for executive leadership, the board and key governance committees, using dashboards, key risk indicators, and risk heat maps.
• Partner closely with internal audit, compliance, legal, operational risk, IT and business partners to ensure a coordinated and risk-aware culture.
• Build and manage a high-performing ERM team using a hybrid model of internal staff and the selected outsourced provider.
• Collaborate closely with outsourced provider to ensure adherence to service-level agreements and performance standards.
• Foster a collaborative, high-accountability environment where both internal and external staff contribute to program maturity.
• Establish and lead effective enterprise risk management committee governance and reporting, providing valuable reporting and insights to the leadership team and Audit Committee.
• Ensure process and tools are established to identify risk themes and effectively communicate and escalate those to leadership as applicable.
• Present risk findings and recommendations to executive leadership and the Audit Committee.
• Lead risk assessment activities, including risk identification, prioritization, and the establishment of risk appetite and tolerance levels.
• Facilitate scenario planning sessions with key stakeholders.
• Champion the development and execution of risk education and awareness programs across the enterprise to embed risk awareness into daily operations.
• Develop a governance structure for approvals and oversight of new projects (transformation, systems, processes, etc.).
• Lead execution of the developed governance structure to provide appropriate oversight for alignment with organizational risk tolerance and strategy.

  Requirements

  • Bachelor’s Degree
  • Minimum 15 years of progressive risk management or compliance experience within the healthcare industry; minimum of 10 years of leadership experience
  • Strategic thinker with ability to think “Big Picture” and partner across teams to develop and support best-in-class risk solutions to protect and drive value.
  • Proven success in rebuilding or maturing an ERM function and managing outsourced or co-sourced teams.
  • Strong knowledge of healthcare regulations, quality and safety principles, and payer-provider risk arrangements.
  • Excellent strategic thinking, change management, stakeholder engagement and communication skills.
  • Familiarity with GRC tools and risk analytics platforms.
  • Able to challenge the status quo constructively and positively, leading relevant strategies.
  • Strong written and verbal communication skills, with ability to read and understand regulatory communications, able to effectively articulate compelling arguments, positions, strategy and vision.
  • Strong enterprise mindset, financial acumen, and customer centricity to navigate complexity and support the broader growth aspirations of the business, leverage strategic analysis of data to inform business making decisions.
  • Demonstrated ability to transition between strategic and operational aspects to deliver on growth, driving innovation/change to improve the business model.
  • Demonstrated critical thinker that can offer innovative solutions.
  • Exceptional written, oral, interpersonal, and presentation/communication skills and the ability to effectively interface with senior management and team members.
  • Strong process improvement skills and demonstrated ability to influence and optimize processes to drive, business synergies and productivity.
  • Excellent judgment and creative problem-solving skills including negotiations and conflict resolution skills.
  • Individual with enthusiasm and infectious energy to advance new ideas and methods for proactive, forward-looking risk framework that produces results.