Senior Level Risk Operations Specialist Jobs
Senior level risk operations specialist jobs put experienced professionals in charge of risk program design, cross-functional oversight, and the operational decisions that protect the organization from exposure. Openings are concentrated in Banking & Financial Services and Science & Research, with a mix of on-site, hybrid, and remote opportunities across employers like Stripe, OpenAI, and M&T Bank hiring at this level now.
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Position: Vice President, Quality, Stars, Risk Adjustment and Performance Operations
The Vice President, Quality, Stars, Risk Adjustment, and Performance Operations will lead Monogram Health’s enterprise strategy and operational execution across all products, with an emphasis on Medicare Advantage, Quality Stars, HEDIS, Risk Adjustment, Clinical Documentation Improvement, and compliance standards. This role will collaborate across departments to translate strategy into scalable workflows, clear accountability, and measurable performance results.
Responsibilities
- Lead Monogram Health’s enterprise strategy and end-to-end performance for Quality, Stars, HEDIS, Risk Adjustment, and clinical documentation improvement.
- Set annual and long-range goals, operating plans, milestones, and accountability, and drive execution and corrective action across the organization.
- Develop payer specific strategies that reflect contractual requirements, performance methodologies, financial incentives, data availability, and operational opportunities.
- Own trusted scorecards, forecasts, and reporting with clear definitions, validated data, and reconciliation across clinical, payer, CMS, and financial sources.
- Partner with Finance, Actuarial, and Medical Economics to quantify and forecast the revenue, medical cost, and margin implications of performance.
- Translate opportunities into scalable clinical and operational workflows by defining requirements and priorities for clinical, product, analytics, and technology teams.
- Lead governance and executive reviews, remove barriers, resolve competing priorities, and hold internal teams and external partners accountable for results.
- Manage payer relationships and external partners, including data and methodology issues, contractual discussions, implementation, service levels, and measurable return on investment.
- Oversee coding, clinical documentation integrity, audit, and data submission controls, ensuring regulatory compliance, audit readiness, remediation, and effective feedback loops.
- Build and retain a high performing multidisciplinary team and educate stakeholders on regulatory, Stars, HEDIS, and risk model changes and their operational and financial implications.
Position Requirements
- Bachelor’s degree required; master’s degree in healthcare, business, public health, or a related field preferred.
- Minimum of ten (10) years of progressive healthcare leadership experience, including at least five (5) years leading Medicare Advantage Stars, Quality, HEDIS, Risk Adjustment, or closely related programs.
- Demonstrated ability to build and lead professional and large-scale operational teams in a fast paced, matrixed environment.
- Advanced analytical and financial skills, including the ability to translate payer, CMS, clinical, and financial data into executive decisions and measurable results.
- Experience with Medicare Advantage payer relationships, value-based contracts, Stars incentives, risk adjustment economics, coding, audit, and performance methodology issues.
- Proven ability to define requirements and drive delivery across clinical, operational, analytics, technology, actuarial, finance, payer, and vendor teams without direct authority over every resource.
Compensation
The base salary range for this role is $210,000 to $280,000 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors.
In addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package.
Benefits
- Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
- Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
- Time Off & Leave – 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave
- Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
Position: Vice President, Quality, Stars, Risk Adjustment and Performance Operations
The Vice President, Quality, Stars, Risk Adjustment, and Performance Operations will lead Monogram Health’s enterprise strategy and operational execution across all products, with an emphasis on Medicare Advantage, Quality Stars, HEDIS, Risk Adjustment, Clinical Documentation Improvement, and compliance standards. This role will collaborate across departments to translate strategy into scalable workflows, clear accountability, and measurable performance results.
Responsibilities
- Lead Monogram Health’s enterprise strategy and end-to-end performance for Quality, Stars, HEDIS, Risk Adjustment, and clinical documentation improvement.
- Set annual and long-range goals, operating plans, milestones, and accountability, and drive execution and corrective action across the organization.
- Develop payer specific strategies that reflect contractual requirements, performance methodologies, financial incentives, data availability, and operational opportunities.
- Own trusted scorecards, forecasts, and reporting with clear definitions, validated data, and reconciliation across clinical, payer, CMS, and financial sources.
- Partner with Finance, Actuarial, and Medical Economics to quantify and forecast the revenue, medical cost, and margin implications of performance.
- Translate opportunities into scalable clinical and operational workflows by defining requirements and priorities for clinical, product, analytics, and technology teams.
- Lead governance and executive reviews, remove barriers, resolve competing priorities, and hold internal teams and external partners accountable for results.
- Manage payer relationships and external partners, including data and methodology issues, contractual discussions, implementation, service levels, and measurable return on investment.
- Oversee coding, clinical documentation integrity, audit, and data submission controls, ensuring regulatory compliance, audit readiness, remediation, and effective feedback loops.
- Build and retain a high performing multidisciplinary team and educate stakeholders on regulatory, Stars, HEDIS, and risk model changes and their operational and financial implications.
Position Requirements
- Bachelor’s degree required; master’s degree in healthcare, business, public health, or a related field preferred.
- Minimum of ten (10) years of progressive healthcare leadership experience, including at least five (5) years leading Medicare Advantage Stars, Quality, HEDIS, Risk Adjustment, or closely related programs.
- Demonstrated ability to build and lead professional and large-scale operational teams in a fast paced, matrixed environment.
- Advanced analytical and financial skills, including the ability to translate payer, CMS, clinical, and financial data into executive decisions and measurable results.
- Experience with Medicare Advantage payer relationships, value-based contracts, Stars incentives, risk adjustment economics, coding, audit, and performance methodology issues.
- Proven ability to define requirements and drive delivery across clinical, operational, analytics, technology, actuarial, finance, payer, and vendor teams without direct authority over every resource.
Compensation
The base salary range for this role is $210,000 to $280,000 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors.
In addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package.
Benefits
- Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
- Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
- Time Off & Leave – 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave
- Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
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Senior Level Risk Operations Specialist Jobs: Frequently Asked Questions
How do I get a senior level risk operations specialist job?
Employers hiring at the senior level expect candidates who have owned risk frameworks, not just executed within them. Concrete experience leading risk assessments, designing controls, and influencing policy decisions across business units carries the most weight. Demonstrating that you have mentored analysts, driven cross-functional alignment, and measurably reduced operational exposure gives your application a clear edge over generalist backgrounds.
Which companies hire senior level risk operations specialists?
Companies hiring senior level risk operations specialists right now include Stripe, OpenAI, and M&T Bank, based on current listings on Migrate Mate as of November 2026. Hiring at this level tends to concentrate in financial services, technology, and large regulated industries where complex risk environments require experienced professionals who can own programs independently.
Are there remote senior level risk operations specialist jobs?
Yes, though availability varies by employer and industry. About 100% of senior level risk operations specialist openings are remote or hybrid as of November 2026, reflecting the analytical and cross-functional nature of the work. Roles tied to physical operations or regulated environments requiring on-site oversight tend to be the exception.
What makes a risk operations specialist role senior level?
Senior level risk operations specialist roles are defined by program ownership rather than task execution. Candidates are expected to design and govern risk frameworks, lead audits and investigations independently, set standards for junior team members, and engage directly with leadership on risk posture and strategy. The scope extends across the organization, and the decisions made at this level carry material consequences.
Which industries hire the most senior level risk operations specialists?
Senior Level risk operations specialist roles concentrate in Banking & Financial Services and Science & Research, based on current listings on Migrate Mate as of November 2026. These sectors typically operate under strict regulatory requirements, complex transaction volumes, or high-stakes operational environments that create sustained demand for senior professionals who can build and lead risk functions.