Director of Risk & Analytics - Hybrid; Irvine, CA
Job in
Irvine, Orange County, California, 92713, USA
Listed on 2026-05-31
Listing for:
Digital Insurance LLC
Full Time
position Listed on 2026-05-31
Job specializations:
-
IT/Tech
Business Systems/ Tech Analyst, Data Science Manager
Job Description & How to Apply Below
We help over 100,000 employers give their employees peace of mind by providing health, pharmacy, and disability, vision, dental and other insurance solutions. At One Digital, the Director of Risk & Analytics for Southern California will lead the strategy, delivery, and evolution of risk, actuarial, and analytics capabilities for our Southern California Employee Benefits practice.
Essential Duties and Responsibilities Market Leadership & Strategy- 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, especially for complex renewals, high‑risk populations, funding strategy discussions, and growth opportunities.
- Provides clear, executive‑ready insights, supporting strategic client relationships and marquee presentations as needed.
- Leads and oversees advanced analytics delivery for SoCal clients, including health & welfare financial modeling, cost‑driver analysis, and plan design.
- Manages forecasting, funding strategy evaluation (self‑funded, level‑funded, alternative arrangements such as ICHRA, captives, reference‑based pricing), and comparative analyses to optimize cost, risk, and sustainability.
- Provides analytical guidance for renewal positioning, carrier discussions, and client decision‑making; supports block renewal negotiations with carriers.
- Leads the SoCal stop loss strategy in partnership with One Digital’s Stop Loss Center of Excellence.
- Ensures competitive, well‑structured stop loss placements aligned with client funding strategies, including captives, reference‑based pricing, and ICHRA‑compatible solutions.
- Guides on claims trends, market dynamics, carrier performance, and risk trade‑offs across alternative funding approaches.
- Builds 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 SoCal and national analytics teams.
- Drives adoption and effective use of analytics tools, services, and enterprise solutions across the SoCal Employee Benefits practice.
- Collects and synthesizes feedback from clients, consultants, and producers to continuously improve analytics offerings.
- Communicates analytics capabilities, updates, and best practices across the SoCal 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.
- Experience modeling and advising on alternative funding strategies: ICHRA, stop loss captives, reference‑based pricing, level‑funded and hybrid arrangements.
- Ability to articulate financial, operational, and employee experience trade‑offs across funding strategies.
- Strong operational mindset with the ability to scale delivery without sacrificing quality.
- Exceptional written and verbal communication skills; ability to present complex technical concepts to executive audiences.
- Strong consultative presence in client‑ and prospect‑facing settings; proven influence in a matrixed organization.
- Strong project management, problem‑solving, and…
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