Director of Risk & Analytics - Hybrid (Irvine, CA)
$160k - $200kOneDigital
Employee Benefits is the core of our business and at our heart we are a people-focused organization. Every day, we help over 100,000 employers give their employees peace of mind by providing health, pharmacy, long and short-term disability, vision, dental and other insurance solutions. What makes us unique is that we can surround our clients with more services and more technology-based tools and a team of advisors that simply cares more than anyone else.
If you want a career giving people the reassurance that they can have access to the health care they need for themselves and their loved ones, join OneDigital.
- Owns and leads the SoCal Risk & Analytics strategy, aligned to local client needs, renewal complexity, and growth priorities.
- Serves as the senior analytics and risk leader for the SoCal Employee Benefits practice.
- Partners with market leadership to drive client retention, new business growth, and margin expansion through analytics-enabled strategy.
- Actively participates in client and prospect meetings, particularly for complex renewals, high-risk populations, funding strategy discussions, and growth opportunities.
- Serves as a trusted advisor to HR, finance, producers, and consultants by translating complex data into clear, executive-ready insights.
- Supports strategic client relationships, competitive pursuits, and marquee presentations as needed.
- Leads and oversees advanced analytics delivery for SoCal clients, including:
- Health & welfare financial modeling, projections, and cost-driver analysis
- Plan design and employee contribution modeling
- Benchmarking and multi-year financial forecasting
- Funding strategy evaluation, including self-funded, level-funded, and alternative funding arrangements (e.g., ICHRA, captives, reference-based pricing)
- Evaluates and compares traditional and alternative funding strategies to optimize cost, risk, and long-term sustainability.
- Provides analytical and financial guidance to support renewal positioning, carrier discussions, and client decision-making.
- Oversees and supports block renewal negotiations with carrier partners in alignment with each client's overall benefits strategy.
- Serves as the SoCal leader for stop loss strategy, in partnership with OneDigital's Stop Loss Center of Excellence.
- Ensures competitive, well-structured stop loss placements aligned with client funding strategies, including captives, reference-based pricing arrangements, and ICHRA-compatible solutions.
- Provides guidance on claims trends, market dynamics, carrier performance, and risk tradeoffs across alternative funding approaches.
- Leads and develops SoCal-based analytics and risk talent through direct leadership.
- Coaches team members on technical excellence, business acumen, and consultative delivery.
- Supports hiring, onboarding, performance management, and succession planning for market analytics roles.
- Designs and refines scalable analytics delivery models to support consistent, high-quality execution as the practice grows.
- Establishes capacity models, delivery standards, and workflow expectations for the SoCal market.
- Serves on internal national committees and working groups, acting as a liaison between the SoCal market and national analytics teams.
- Drives adoption and effective use of analytics tools, services, and enterprise solutions across the SoCal Employee Benefits practice.
- Gathers and synthesizes feedback from clients, consultants, and producers to continuously improve analytics offerings and delivery.
- Communicates analytics capabilities, updates, and best practices across the SoCal Employee Benefits practice.
- Partners with national teams to ensure alignment between enterprise solutions and evolving local market needs.
- Advanced analytical and financial modeling expertise, including multi-year projections, funding comparisons, and risk modeling.
- Deep knowledge of health insurance, self-funded plans, medical stop loss, and employee benefits.
- Demonstrated experience modeling and advising on alternative funding strategies, including:
- ICHRA and other account-based benefit models
- Medical stop loss captives
- Reference-based pricing and value-based reimbursement approaches
- Level-funded and hybrid funding arrangements
- Ability to clearly articulate financial, operational, and employee experience tradeoffs across funding strategies.
- Strong operational mindset with the ability to scale delivery without sacrificing quality.
- Exceptional written and verbal communication skills, with the ability to present complex technical concepts to executive audiences.
- Strong consultative presence in client- and prospect-facing settings.
- Proven ability to influence in a matrixed organization.
- Strong project management, problem-solving, and prioritization skills.
- Bachelor's degree or equivalent experience required
- 10+ years of related experience in health benefits, analytics, actuarial, or risk-related roles
- 5+ years leading people, projects, or complex client work
- Experience supporting large, sophisticated employer groups
- Operational or practice leadership experience strongly preferred
- Advanced proficiency in Microsoft Excel and PowerPoint required
- Life & Health insurance license preferred
$70k - $93.5k
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