Risk Management/Insurance Analyst (Financial Analyst III)

Risk Management/Insurance Analyst (Financial Analyst III) Job no: 494118 Work type: Full Time Location: 505 City Parkway West Categories: Finance Join Us in this Amazing Opportunity We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Risk Management/Insurance Analyst (Financial Analyst III) and help shape the future of healthcare where you'll be an integral part of our FIN - Financial Compliance team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Full Office. If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum. The Financial Analyst III (Insurance Risk) will support the Director III of Financial Compliance in all aspects of the administration of CalOptima Health's corporate insurance programs. Under minimal supervision, you will interact directly with brokers, carriers and CalOptima Health business teams, including Legal, Human Resources, Contracting and Procurement and Vendor Management. You will serve as a subject matter expert on all facets of business insurance. You will support the procurement of insurance coverage, manage insurance claims and maintain relationships with third party service providers, including property management company, brokers and insurers. In collaboration with management, you will also identify exposures and recommend solutions, including new insurance coverages. You will be responsible for updating and monitoring compliance with insurance procedures. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 90% - Corporate Insurance Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with other departments to support short- and long-term goals/priorities for the department. Leads the annual renewals for all lines of insurance, including initiating application requests from insurance brokers, gathering coverage requirements from business units, compiling data for applications and submitting applications and supporting documents to brokers. Administers all aspects of CalOptima Health's insurance program, including monitoring receipt of and reviewing for accuracy all insurance binders, policies and endorsements; reviewing and processing premium payments; requesting certificates of insurance from brokers; maintaining policy files; reporting to state agencies as required; and responding to internal/external inquiries regarding insurance programs. Oversees the resolution of claims with brokers/carriers in accordance with department and company policies and procedures. Calculates the allocation of insurance premiums to tenants for property management company and the allocation of annual insurance premiums to each owned property for the Budget team. Evaluates and identifies opportunities to improve existing coverage and procure additional lines of insurance where risk exposure necessitates. Responds to Procurement and Vendor Management with contract and insurance questions for construction related projects and conducts discussions with brokers as appropriate. Collaborates with Procurement and Vendor Management and Contracting with reviews of insurance language and indemnification provisions in contracts, leases and agreements with medical and non-medical vendors, to protect the organization and ensure compliance with contractual requirements. Reviews and approves vendor Certificates of Insurance to ensure compliance with contractual requirements. Prepares annual Schedule of Insurance to capture details of all insurance programs and premiums. Prepares insurance program presentations for board of directors and sub-committees. Responds to requests from senior management pertaining to insurance programs as well as issues of interest to board of directors. 10% - Other Completes other projects and duties as assigned. Do You Have What the Role Requires? Bachelor's degree in business administration, finance, risk management and insurance or related field PLUS 5 years of experience in a corporate risk management department or with an insurance broker required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Have access to means of transportation for work away from the primary office approximately 5% of the time required. You’ll Stand Out More If You Possess the Following: Health care industry experience. Contractual experience. Legal experience. Chartered Property Casualty Underwriter (CPCU) and/or Associate in Risk Management (ARM) designation. Your Knowledge & Abilities to Bring to this Role: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Your Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Ways We Are Here For You You'll enjoy competitive compensation for this role. Our current hiring range is: Pay Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615). The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. This position is approved for Full Office (**If the position is Telework, it is eligible in California only**) A comprehensive benefits package CalPERS pension program and additional retirement packages. Additional benefits and perks including A generous PTO program A quality work life balance Various wellness programs Tuition Reimbursement Professional development opportunities Career development opportunities Flexible scheduling And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families. Our Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at View phone number on click.appcast.io if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. Advertised: 28 Jul 2026 Pacific Daylight Time Applications close: 27 Aug 2026 Pacific Daylight Time #J-18808-Ljbffr CalOptima Health