The vision of BPJS Kesehatan is to achieve universal coverage within 5 years (2014-2019). Because of this, BPJS Kesehatan needs to prepare itself in minimizing all risks that delay the achievement of the target; which of course comes in many forms. Risk Management in BPJS Kesehatan is based on the BPJS Kesehatan Director’s Regulation Number 46 of 2017 regarding BPJS Kesehatan Integrated Risk Management Guidelines in order to fulfill the international risk management standard ISO 31000. The ISSA Guidelines is an important reference for BPJS Kesehatan since it sets a specific guidelines for social service organizations. Risk management focuses on 4 areas of governance in the implementation of social services, namely: 1. Financial Sustainability 2. Good Investment 3. Coverage, members premium and service 4. Management of Human Resources & Information Technology For this, BPJS Kesehatan deems it necessary to align the BPJS Kesehatan Integrated Risk Management Guidelines with due observance of the factors set forth in the ISSA Guidelines.