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PacificSourceHood River, OR
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Senior Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services (CMS) for all risk adjustable populations. This position leverages available tools and knowledge of the applicable risk models to optimize data submission as it pertains to Hierarchical Condition Categories (HCCs), HEDIS and Quality performance as well as other data within a given system. The Senior RA Analyst will collaborate and coordinate with internal and external partners to minimize submission and response errors, provide thorough oversight of vendor partners, accumulate, and report out on pertinent data sets, develop and improve processes related to risk adjustment and quality improvement, maintain required documentation, and ensure compliance to all applicable laws, guidance, and regulations. Assume lead role on specified projects. Projects are completed with cross-functional teams of peers and business partners. This includes interaction with provider partners with the intent of informing them on performance and educating on best practices in risk adjustment. The Senior RA Analyst will provide mentorship to less experienced team members. In addition, this position influences decision making by leadership and provides recommendations regarding potential improvements to risk adjustment processes and outcomes. Essential Responsibilities: Recommend and guide process improvements that will optimize risk adjustment factor increases while minimizing inaccurate capture of disease burden. Identify, analyze, interpret and communicate risk adjustment trends to be consumed by provider partners and related entities. Responsible for maintenance of existing reports, development of new reports to help ensure company goals are met, as well as other ad hoc requests as needed. Develop and maintain reporting capabilities to measure and forecast risk scores & quality metrics, monitor suspecting model performance, and identify areas of improvement Maximize risk adjustment revenue and quality bonus payments by driving data integration and analytics to properly capture and improve the health status of PacificSource members. Validate data integrity and collaborate with technical teams to improve data pipelines and business logic for identified areas of opportunity Identify and lead internal subject matter experts in regular meetings to identify and rectify various data submission and adjudication errors related to risk adjustment and quality data submission. Develop and maintain data sets leveraging internal data, response data from regulatory entities (including but not limited to: EDGE files, MMR, MOR, RAPS Response, MAO-004, PSV, PLD, etc.), and ancillary data sources to be consumed across the enterprise. Demonstrate mastery in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, and others as needed. Maintain strict oversight of vendor partners through analytic reconciliations to ensure regulatory compliance, optimal data submission and error resolution, and general accuracy. Assist with all pertinent audits, including RADV, through preparation activities and documentation. Perform root cause analysis to maintain high integrity data and processes to minimize discrepancies and gaps. Maintain a high level of familiarity of current CMS regulations and announcements affecting risk adjustment and CMS Star Ratings. This includes review of regulatory announcements, attending educational sessions and opportunities provided by regulatory entities or within the industry. Develop, maintain, and report out on actionable metrics related to risk adjustment and HEDIS to incorporate quality/health outcome metrics where applicable. Prepare new and review existing specifications, project plans, and other internal procedural documents. Ensure users and partners understand nature of work being performed, as well as timeframes and milestones. Provide regular status updates to supervisors and stakeholders. Provide support as needed for projecting annual receivable amounts, preparing projections related to pricing efforts, and predicting cost utilization as it relates to risk adjustment. Work with changing data, file specifications, and internally coordinate releases and modifications through approved procedures. Collaborate with internal and external partners to resolve data issues related to member, claim, provider and pharmacy data and processes. Work with internal teams, provider partners, and vendor partners as needed to support risk adjustment activities. Provide mentorship, leadership, and training to less experienced risk adjustment analysts. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Participate in and support project teams led by other departments and provide necessary input to support the goals of colleagues. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Five years' experience in data analytics or software development required, to include at least three years' experience in Health Plan required. In depth risk adjustment and/or HEDIS experience required, including risk models, CMS guidelines, regulatory data submissions, retrospective and prospective programs, interpreting health care regulatory/accreditation requirements and data validation audits. Expertise in Microsoft Excel and SAS/SQL is required. Experience in leading projects and project teams required. Familiarity with Medicaid risk adjustment and CMS 5-Star required. Familiarity with Risk Adjustment Documentation, Coding practices and NCQA quality metric experience preferred. Equivalent work and education experience will be considered. Education, Certificates, Licenses: Bachelor's degree in Mathematics, Statistics, Health Informatics or similar research related field required. Advanced degrees preferred. Knowledge: Expert-level analytical and problem-solving abilities are required. Mastery of theories and applications of computer programming required. Ability to keep current with changing technologies, work independently under limited supervision, exercise initiative within established procedural guidelines, and prioritize work to meet established deadlines a must. Excellent communication skills, both verbal and written, particularly the ability to convey technical information in an accessible and understandable manner. The ability to establish and maintain effective work relationships, exercise good judgement, and demonstrate decisiveness and creativity. Read, understand, and interpret documents of complex subject matter. Competencies: Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time with some overnight travel. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
Posted 2 weeks ago
Clark InsuranceChicago, IL
Company: Mercer Description: We are seeking a talented individual to join our Portfolio Design, Analytics, & Risk Investment team at Mercer. This role can be based in Minneapolis, Phoenix, St. Louis, or Chicago and offers a hybrid work arrangement, requiring a minimum of three days per week in the office. As a Portfolio Design, Analytics, & Risk Associate, you will be instrumental in conducting comprehensive risk assessments, ESG analysis, and deep dives into fund performance, utilizing both external and proprietary modeling tools. You'll develop innovative asset allocation models, craft compelling reports and presentations and play a key role in advancing internal methodologies. Collaborating with top investment teams and clients, you'll help drive smarter decisions and showcase Mercer's investment expertise. We will count on you to: Be responsible for risk analysis, fund deep dives, ESG analytics & report generation Model single and multi-asset portfolios using external and proprietary tools Craft commentary and presentations, and compile analytics to support investment decision making process Contribute to action-oriented portfolio research using statistical & factor modeling Lead efforts to maintain, enhance, and develop internal methodologies to ensure continuous improvement and accuracy Design strategic asset allocation models, risk, and return calibration and portfolio analytics for institutional investors Develop marketing materials to effectively position investment performance and products in support of sales and client retention and respond to sales professionals' requests for analysis related to competitive investment performance and/or portfolio characteristics. Participate in due diligence meetings with investment managers at Mercer's offices and contribute to the investment team's research effort What you need to have: An undergraduate degree in Accounting, Actuarial Studies, Business, Economics, Engineering, Mathematics, Science or similar discipline is desirable or relevant post graduate experience 3-5 years of experience in portfolio management, construction and advanced econometrics, statistical modelling, and programming skills (e.g., Python) Strong financial instruments knowledge, covering but not limited to fixed income, equities, ETF's, investment funds, derivatives and market indices Understanding of macro (fixed income/ rates) and systematic factors affecting a portfolio Multi-asset class exposure with experience in attribution analysis Excellent analytical and investment skills Self-motivated with ability to work independently as well as lead the process to achieve targets in timely order Evidence of expertise in statistical tools What makes you stand out? An Advanced degree in Accounting, Actuarial Studies, Business, Economics, Engineering, Mathematics, or Science Self-starter with energy, proactivity and ability to deliver outcomes meeting Solutions driven - ability to see the bigger picture and be proactive in identifying areas for enhancement Strong communication skills Strong organizational and time management skills Why join our team: We help you be your best through professional development opportunities, interesting work and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact on colleagues, clients, and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $90,000 to $180,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
Posted 2 weeks ago
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BRP Group, Inc.Jacksonville, FL
The Advisor, Commercial Risk sells new accounts and renews existing accounts in keeping with firm and individual goals. Advisors build and maintain relationships with clients, prospects, the service team, insurance company partners, and centers of influence while identifying and soliciting sales prospects. POSITION SUMMARY: The Advisor, Commercial Risk sells new accounts and renews existing accounts in keeping with firm and individual goals. Advisors build and maintain relationships with clients, prospects, the service team, insurance company partners, and centers of influence while identifying and soliciting sales prospects. PRIMARY RESPONSIBILITIES: Presents proposals in a professional manner, reviewing coverages in detail to ensure understanding. Communicates with clients, prospects, insurance company partners, and service team in an articulate and effective manner. Finalizes the sale and collects necessary documents, applications, etc., and briefs the service team on the policy sale. Develops prospects by becoming involved in community affiliations, attending insurance company partner hosted seminars, building and maintaining relationships with industry contacts, engaging in networking events and through referrals from current accounts. Develops information and recommendations for prospective accounts, presents proposals and adheres to firm policies and procedures for writing a new account. Maintains a concern for accuracy, timeliness and completion when interacting with current and prospective clients, the Firm, and Insurance Company Partners, to minimize potential for errors and omissions claims while demonstrating strong organizational skills with a high attention to detail. Maintains understanding and knowledge of the insurance industry and underwriting criteria for insurance company partners represented by the firm to effectively communicate to all involved. Positively represents the firm in the community and with our insurance company partners. Performs other functions as assigned by leadership. Looks for opportunities to improve the firm, business segment, and processes. Brings issues and discrepancies to the attention of appropriate leadership. Is expected to meet monthly new business goals. EDUCATION AND EXPERIENCE REQUIREMENTS: Certification(s): None required; None preferred License(s): Maintains a Property & Casualty license as required by the State Department of Insurance to provide service, consultation, and financial risk transfer solutions in states where the firm functions or be willing and able to obtain all required licenses within the first 90 days of employment required; Maintains all licenses as required by the State Department of Insurance to provide service, consultation, and financial risk transfer solutions in states where the firm functions or be willing and able to obtain all required licenses within the first 90 days of employment preferred KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: Demonstrates the organization's core values, exuding behavior that is aligned with the firm's culture TECHNICAL, COMPUTER, AND SYSTEM-SPECIFIC SKILLS REQUIRED: Intermediate to advanced knowledge of Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) Ability to learn any other appropriate program or software system used by the firm as necessary OTHER REQUIREMENTS: None SPECIAL WORKING CONDITIONS: Fast paced multi-tasking environment IMPORTANT NOTICE: This position description is intended to describe the level of work required of the person performing in the role and is not a contract. The essential responsibilities are outlined; other duties may be assigned as needs arise or as required to support the organization. All requirements may be subject to reasonable accommodations to applicants and colleagues who need them for medical or religious reasons. EEOC (STATEMENT): BRP is an equal employment opportunity firm and strives to comply with all laws prohibiting discrimination based on race, color, religion, age, sex (including sexual orientation and gender identity), national origin or ancestry, disability, military status, marital status, and any other category protected by federal, state, or local laws. All such discrimination is unlawful, and all persons involved in the operations of the firm are prohibited from engaging in this conduct. #LI-JG1 Click here for some insight into our culture! The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.
Posted 30+ days ago
Keybank National AssociationCleveland, OH
Location: 127 Public Square - Cleveland, Ohio 44114 Location: Cleveland, OH , highly preferred. Position requires 3 days in office Open to remote when not located by Key Commercial offices MUST work East coast hours, aligned to regulatory risk committee. Job Summary The Sr. Risk Analyst within the Commercial Bank Risk Governance team plays a key role in managing and optimizing risk while enabling sound growth for the business. This role involves developing and implementing risk frameworks, maintaining oversight and reporting, and understanding regulatory and industry impacts. The ideal candidate is a self-starter with strong analytical, communication, and project management skills, capable of producing executive-level presentations and managing workstreams effectively. Essential Functions The Sr. Analyst: Commercial Risk Governance is responsible for creating high-quality presentations, conducting analysis that supports risk functions and business, facilitating various initiatives that may include product, lending or client functions and conducting industry research as needed. Primary job functions include: Produce executive-level materials, including board and risk committee presentations. Manage and obtain partner data and updates for reporting materials. Support outreach to leadership teams for governance processes. Document committee business takeaways and follow-ups.Lead or manage governance processes and tasks as needed. Collaborate with internal and external partners to refine payments risk strategies. Build knowledge and network across the organization. Support peers with building dashboards and reports as required Manage the internal Commercial Bank Risk intranet page with updated documentation, updates, etc. Collect and submit Commercial Bank Risk updates into weekly org announcements as required May be asked to manage and/or lead various governance processes and tasks as needed Understanding regulatory impacts, industry perspective and Key's own risk policies Education Bachelor's degree in Business Administration, Finance, Economics, or Business Analytics. Work Experience Minimum of 2 years of experience in business, specifically supporting executive leader reporting and materials. Certifications & Licenses Preferred: Any Risk or Microsoft Certifications. Skills PowerPoint Expertise: Ability to create and communicate complex topics through executive-level presentations. Excel Proficiency: Skilled in managing large datasets, using pivot tables, and creating data visualizations. Tableau Experience: Capable of building dashboards and reports for data analysis and presentation. Strategic Thinking: Able to approach problems with a long-term, high-level perspective. Data Analysis: Competent in pulling, interpreting, and synthesizing data to support risk functions. Project Management: Experience managing and tracking workstreams and governance processes. Communication and Presentation Skills: Strong verbal and written abilities for clear and effective messaging, with demonstrated the ability to influence others, through meaningful relationships across the organization. Collaboration: Works well with peers and cross-functional teams to achieve shared goals. Attention to Detail: Maintains high standards for accuracy, quality, and completeness. Adaptability: Comfortable navigating change and adjusting to evolving priorities. Initiative: Self-starter who takes ownership and drives tasks forward independently, with a sense of urgency. Problem Solving: Capable of identifying issues and developing effective solutions. Relationship Building: Skilled at developing meaningful connections across the organization. Time Management: Able to multitask and perform under pressure while meeting deadlines. Intellectual Curiosity: Eager to learn and grow professionally through continuous development. Influence & Policy Awareness: Ability to influence others and navigate organizational relationships while understanding regulatory and industry frameworks. Physical Demands General office environment: Prolonged sitting, ability to communicate face-to-face in person or on the phone with teammates and clients, Frequent use of PC/laptop, occasional lifting/pushing/pulling of backpacks, computer bags up to 10 lbs. Travel/Driving Requirements May need to travel to corporate office or for industry conferences Key has implemented a role-based Mobile by Design approach to our employee workspaces, dedicating space to those whose roles require specific workspaces, while providing flexible options for roles which are less dependent on assigned workspaces and can be performed effectively in a mobile environment. As a result, this role may be mobile or home based, which means you may work either at a home office or in a Key facility to perform your job duties. COMPENSATION AND BENEFITS This position is eligible to earn a base salary in the range of $90,000 to $100,000 annually depending on location and job-related factors such as level of experience. Compensation for this role also includes eligibility for short-term incentive compensation and deferred incentive compensation subject to individual and company performance. Please click here for a list of benefits for which this position is eligible. Job Posting Expiration Date: 09/03/2025 KeyCorp is an Equal Opportunity Employer committed to sustaining an inclusive culture. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Qualified individuals with disabilities or disabled veterans who are unable or limited in their ability to apply on this site may request reasonable accommodations by emailing HR_Compliance@keybank.com.
Posted 1 week ago
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First Horizon Corp.New Orleans, LA
Location: On site in New Orleans,LA; Jacksonville, FL; Memphis, TN; Raleigh, NC; Charlotte, NC Job Purpose: The Strategic Platforms Risk Specialist is responsible for ensuring the security, integrity, and operational efficiency of several key commercial systems by overseeing risk mitigation strategies and managing user access protocols. This role plays a crucial part in safeguarding sensitive financial data and maintaining compliance with industry regulations. Key Responsibilities: Risk Management: Conduct regular risk assessments to identify threats and vulnerabilities within the origination and risk grading systems Collaborate with Enterprise Technology and Information Security teams to ensure all data and access security protocols are up-to-date and effective Complete regular control verification and certification processes and reporting Develop and maintain control processes and documentation in partnership with compliance and reporting teams Access Management: Review system access requests to ensure appropriateness Conduct regular audits of system users to verify proper provisioning and deprovisioning processes Work with the access technology team to design and test enhanced access provisioning Compliance and Audit Collaboration: Work with compliance and audit teams to ensure all procedures and controls are documented and updated appropriately Regularly audit authority limits to ensure proper alignment with credit policy System Monitoring and Reporting: Monitor system and user activity regularly to identify anomalies or potential gaps Generate reports detailing risk assessments, access incidents, and compliance status Provide actionable insights based on data analysis to enhance security measures and risk management policies Basic Skills: Undergraduate degree in Business, Finance, Computer Science, Information Security, or related field 3-5 years of relevant experience in risk management or security roles Proficient in advanced Excel functions, Word, PowerPoint Strong communication and analytical skills with the ability to collect, analyze, and disseminate significant amounts of information with attention to detail and accuracy Preferred Skills: Knowledge of PowerBI and SQL Experience with Salesforce and/or nCino Experience with Moody's CreditLens About Us First Horizon Corporation is a leading regional financial services company, dedicated to helping our clients, communities and associates unlock their full potential with capital and counsel. Headquartered in Memphis, TN, the banking subsidiary First Horizon Bank operates in 12 states across the southern U.S. The Company and its subsidiaries offer commercial, private banking, consumer, small business, wealth and trust management, retail brokerage, capital markets, fixed income, and mortgage banking services. First Horizon has been recognized as one of the nation's best employers by Fortune and Forbes magazines and a Top 10 Most Reputable U.S. Bank. More information is available at www.FirstHorizon.com. Benefit Highlights Medical with wellness incentives, dental, and vision HSA with company match Maternity and parental leave Tuition reimbursement Mentor program 401(k) with 6% match More -- FirstHorizon.com/First-Horizon-National-Corporation/Careers/Our-Benefits Follow Us Facebook X formerly Twitter LinkedIn Instagram YouTube
Posted 30+ days ago
Cross RiverFort Lee, NJ
Who We Are Cross River is a highly profitable, fast-growing financial technology company powering the future of financial services. Our comprehensive suite of innovative and scalable embedded payments, cards, and lending products deliver financial services for millions of businesses and consumers around the globe. Cross River is backed by leading investors and serves the world's most essential fintech and technology companies. Together with its partners, Cross River is reshaping global finance and financial inclusion. We are on a mission to build the infrastructure that propels access, inclusion, and the democratization of financial services. While our company has tripled in size over the last three years, our strong sense of purpose led Cross River to be named to American Banker's list of Best Places to Work in Fintech for the last 6 years. The reason for this success is simple - our nimble and collaborative family culture lives in every member of our growing team. Together we are at the forefront of technology and innovation, and we invite passionate, collaborative, and motivated high performers to join our expanding team. What We're Looking For The Credit Risk Associate Vice President is responsible for effectively analyzing, monitoring and reporting risks of fintech payment counterparties and the related portfolio exposure across Cross River. He/she will be involved in implementation and enhancing the current processes for Payments and Banking as a Service product offering including calculation of related settlement exposure as well as ensuring the accuracy of reporting materials. This candidate will also contribute to the day-to-day portfolio management and coordinate the periodic /annual reviews. Responsibilities: Conducts analysis, monitors metrics, and provides information to Senior Management and the Board of Directors to properly manage the fintech and payments portfolios of the Bank. Review program and flow of funds activity for Fintech Payments and Banking as a Service teams which include payment processing, merchant acquiring, crypto on/off ramps activities related to the Bank's fintech efforts as well as credit, debit and prepaid card offerings. Support development/implementation of scorecards and approaches that analyze credit risks for the bank's prioritized customers. Measures and monitors the Bank's credit risk exposures, provide rating change recommendations for existing exposures and new exposure originations. Process the Management Credit Committee (MCC) reporting and offer process improvements to ensure the accuracy of the MCC committee materials. Enhance the governance structure and end state operating model for the future MCC and other committees. Document payments methods/systems/tools to ensure compliance with internal model governance. Support development of credit policy and underwriting standards as offer modifications where warranted. Qualifications: Bachelor's Degree. Master's Degree or higher preferred. 7+ years directly related payments experience required. Strong Accounting or mathematical and statistical skills. Strong analytical, technical and writing skills. Ability to understand work on diverse issues, complex models and perform analysis in support of business goals and objectives. Commercial banking knowledge and experience is required with knowledge of payments processing, blockchain and crypto a plus. Excellent written and oral presentation skills are required. Broad general financial analysis and planning experience is desired. Ability to assimilate complex business information in order to structure relationships in processes and data. Ability to communicate highly technical information to inform others in practical business-based terms. Ability to work across cross functional teams in high degrees of technical knowledge and translate high-level goals into actionable plans. #LI-JJ1 #LI-Hybrid #LI-Onsite Salary Range: $150,000.00 - $180,000.00 Cross River is an Equal Opportunity Employer. Cross River does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need. By submitting your application, you give Cross River permission to email, call, or text you using the contact details provided. We will only contact you with job related information.
Posted 30+ days ago
G
GE Healthcare Technologies Inc.Chicago, IL
Job Description Summary The Insurance & Corporate Risk Manager plays a key role in executing GE HealthCare's global risk management strategy. This position is responsible for managing insurance program operations, claims oversight, and compliance activities. Operating with autonomy within established frameworks, the Risk Manager utilizes in-depth knowledge of insurance and risk management disciplines and applies analytical thinking to support program execution, risk mitigation, and regulatory adherence. The role collaborates across functions to ensure functional continuity, financial accuracy, and operational excellence. This position will be reporting to the Associate Director, Global Risk Management & Insurance and work closely with the Risk Management Team. GE HealthCare is a leading global medical technology and digital solutions innovator. With over 100 years of healthcare industry experience and around 50,000 employees globally, the company operates at the center of an ecosystem working toward precision health, digitizing healthcare helping drive productivity and improving outcomes for patients, providers, health systems and researchers around the world. Job Description Insurance & Risk Management is responsible for protecting GE HealthCare and its shareholders from unforeseen loss. The Risk Management & Insurance function coordinates global insurance coverages, sets the strategy and guidelines for risk management efforts and insurance procurement at the subsidiary level as well as partners with business functions to identify, assess and manage risks. Responsibilities Insurance Program Operations, Risk Analytics & Reporting, Compliance & Documentation, Systems & Tools Maintenance, Communications and Stakeholder engagement and Project and Process Support Execute insurance renewal processes including data collection, underwriting coordination, and strategy implementation Conduct exposure analysis, support actuarial reviews, and manage dashboards and KPIs Oversee Casualty claims processes, including high-frequency and complex claims, and support Casualty loss prevention initiatives Coordinate with Finance on budget forecasts, monthly accruals and support TCOR uploads Manage post-bind deliverables, policy issuance, and insurer/broker relationships for various processes Responsible for end-to-end management of global Surety program, including day to day management of brokers, primary contact for internal stakeholders and invoicing process Create and manage content for the Risk Management website and internal communication platforms Ensure compliance with AML/KYC, SOX, and regulatory requirements, working closely with internal partners Support M&A integration Administer insurance systems and ensure data integrity across platforms Support contract review inquiries process Track and report on KPIs, operations metrics, and compliance with internal/external standards Maintain accurate records in Origami and TeamSite; support audit readiness and documentation standards Create and maintain workplans, SOPs, job aids, and compliance documentation Origami system report creation, training, and implementation documentation for accountable processes Upload and maintain renewal materials and documentation in collaboration platforms (e.g., TeamSite, Origami) Support internal communications related to insurance renewals and risk initiatives Leads or supports small-scale projects with low risk and resource requirements, including audits, SOP development, and stakeholder training Document procedures and build a knowledge base of repeatable solutions Qualifications Bachelor's degree in Finance, Business, Risk Management or related field 6+ years of experience in corporate risk or insurance operations Strong understanding of insurance placement, claims, and compliance Proficiency in data analysis and risk reporting tools Experience with insurance systems (e.g., Origami) and document management platforms (SharePoint) Strong communication, judgment, problem-solving, and organizational skills Ability to operate with autonomy, prioritize effectively, and navigate ambiguity Desired Characteristics Experience in a global or highly regulated corporate environment, preferably for a large similar industry Experience with LEAN methodologies and a strong understanding of continuous improvement principles Proven ability to develop, track, and analyze Key Performance Indicators (KPIs) to drive performance and operational efficiency Applied knowledge of insurance and risk management principles and accounting Professional certifications such as ARM, CPCU, or equivalent Experience with insurance systems (e.g., Origami, Riskonnect) We expect all employees to live and breathe our behaviors: to act with humility and build trust; lead with transparency; deliver with focus, and drive ownership -always with unyielding integrity. Our total rewards are designed to unlock your ambition by giving you the boost and flexibility you need to turn your ideas into world-changing realities. Our salary and benefits are everything you'd expect from an organization with global strength and scale, and you'll be surrounded by career opportunities in a culture that fosters care, collaboration, and support. #LI-BR3 #LI-Onsite/Hybrid For U.S. based positions only, the pay range for this position is $110,880.00-$166,320.00 Annual. It is not typical for an individual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location. In addition, this position may also be eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). GE HealthCare offers a competitive benefits package, including not but limited to medical, dental, vision, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, and tuition reimbursement. GE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable). While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees. Relocation Assistance Provided: Yes
Posted 2 weeks ago
Holiday Inn Club VacationsOrlando, FL
At Holiday Inn Club Vacations, we believe in strengthening families. And we look for people who exhibit the courage, caring and creativity to help us become the most loved brand in family travel. We're committed to growing our people, memberships, resorts and guest love. That's why we need individuals who are passionate in life and bring those qualities to work every day. Do you instill confidence, trust and respect in those around you? Do you encourage success and build relationships? If so, we're looking for you. Holiday Inn Club Vacations seeking a highly motivated and detail-oriented Manager of Governance, Risk and Compliance to lead the development, implementation, and maturation of our enterprise GRC program. Reporting to Information Security leadership, you will oversee a team of GRC specialists and drive strategic initiatives across Third-Party Risk Management (TPRM), PCI DSS 4.0 compliance, NIST Cybersecurity Framework adoption, IT General Controls (ITGC), Vulnerability Management, and Risk Assessment. Ideal candidate is a proven GRC leader with experience in regulated environments, Expert in PCI DSS 4.0, NIST and TPRM lifecycle management, Strong people manager with strategic vision and operations execution skills. ESSENTIAL DUTIES: Program Leadership & Strategy Develop and execute the GRC roadmap aligned with business objectives. Lead, mentor, and manage a team of GRC specialists (direct reports). Oversee GRC budget, tooling (e.g., ServiceNow GRC), and vendor relationships. Team & Operational Management Assign tasks, conduct performance reviews, and develop GRC staff. Drive GRC projects (e.g., tool implementation, framework adoption). Provide training to technology/business teams on GRC processes. Governance & Compliance: Own PCI DSS 4.0 compliance, including audits, evidence collection, and remediation. Maintain policies/standards for NIST CSF, NIST 800-53, IT General Controls (ITGC), and data privacy. Coordinate internal/external audits (SOX, ISO 27001) and regulatory examinations Third-Party Risk Management (TPRM): Oversee end-to-end vendor risk lifecycle: due diligence, contracts, assessments, and remediation. Collaborate with Legal, Procurement, and business units on high-risk vendor management. Risk Management & Assessments: Direct enterprise risk assessments and threat modeling. Manage the risk register, KRIs, and executive risk reporting. Integrate vulnerability data (e.g. Rapid 7, Qualys, Tenable,) into risk prioritization Cross-Functional Collaboration & Leadership: Serve as a liaison between Cybersecurity, Technology, Legal, Risk, and business units to support security and compliance goals. Oversee and Lead GRC-related projects and initiatives, ensuring on-time delivery and alignment with organizational objectives. Provide guidance, training, and mentorship to GRC Specialist and other technology staff. REQUIREMENTS: Bachelor's degree in Cybersecurity, Risk Management, Business, or related field experience. 5-7 years in GRC, IT audit, or information security roles. 2+ years managing direct reports. Hands-on experience with PCI DSS, NIST CSF, NIST 800-53, and ITGC Experience in hospitality, timeshare, or financial services. PROFESSIONAL SKILLSET QUALIFICATIONS: Expertise in GRC platforms (e.g. ServiceNow GRC, Audit Board, Archer). Proficiency in vulnerability management (Qualys, Tenable, Rapid7). Knowledge of cloud security (AWS/Azure), data privacy laws (CCPA, GDPR), PCI DSS 4.0, and SOX. Certifications: Certified Information Systems Auditor (CISA) Certified Information Security Manager (CISM) Certified in Risk and Information Systems Control (CRISC) PCI Professional (PCIP) or ISA CISSP or equivalent Ability to build high-performing teams Strategic thinker about to align GRC initiatives with business goals Excellent verbal and written communication skills. Ability to manage multiple projects and priorities. Collaborative mindset with the ability to influence cross-functional teams. Strong attention to detail and a commitment to continuous improvement. Direct management of 2-4 GRC Specialists/Analysts. Responsibilities include hiring, training, performance management, and workload allocation
Posted 30+ days ago
SofiJacksonville, FL
Employee Applicant Privacy Notice Who we are: Shape a brighter financial future with us. Together with our members, we're changing the way people think about and interact with personal finance. We're a next-generation financial services company and national bank using innovative, mobile-first technology to help our millions of members reach their goals. The industry is going through an unprecedented transformation, and we're at the forefront. We're proud to come to work every day knowing that what we do has a direct impact on people's lives, with our core values guiding us every step of the way. Join us to invest in yourself, your career, and the financial world. The Role: Technology Risk Management (TRM) and Banking Engineering teams collaborate to manage and support risk mitigation and execution of controls in the first line of defense (1LOD). This unique opportunity will allow you to work with talented teams and stakeholders across the organization's lines of defense to drive the improvement of SoFi Bank's overall risk posture. The Bank Technology Supplier Risk Manager role will partner closely with Technology/Engineering, Supplier Relationship Owners (SROs) and second line of defense (2LOD) Risk Management groups to provide 1LOD risk management subject matter expertise (SME) and to execute a high quality Third Party Risk Management program. This role will help Technology/Engineering leadership manage risks, and related enhancements, to core bank technology programs and identify and manage third party risk. Responsibilities: Provide risk management subject matter expertise for the Bank Technology Engineering and Product teams to continuously improve and enhance the overall technology risk posture Partner closely with 2LOD Risk Management and cross functional teams to execute and implement an effective Third Party Risk Management program Partner with Supplier Relationship Owners (SRO's) and cross-functional partners to manage Bank Technology suppliers, including inventory management and execution of supplier risk lifecycle activities such as: onboarding, monitoring (review SOC reports and/or control activities), and termination Establish a regular communication channel with suppliers and Supplier Relationship Owners to manage relationships, execute tasks, address issues, and oversee product road map, production support, and/or development activities Assist Bank Technology Engineering and Product teams in developing, reviewing, and monitoring of Service Level Agreements (SLAs) For issues identified, support root cause analysis, assist with developing remediation plans, and tracking to closure Lead Bank Compliance Technology Working Group focused on discussing ongoing program and roadmap prioritization related to regulatory and compliance initiatives Support current compliance requirements including but not limited to SOX, PCI, compliance with specific regulatory requirements, Business Controls Testing and other risk controls and assessments. Collaborate with Technology Engineering and Product teams to rationalize, document, track, and drive risk-related outcomes for core initiatives Support regulatory, audit, and examinations requests Contribute to management updates, reporting, and metrics Qualifications: Bachelor's degree in Technology/Systems, Risk Management, and/or Program/Project Management related areas Minimum of 8 years of experience in Technology/Systems Program/Project Management related areas, and/or Risk Management areas (TPRM, GRC, Technology Risk) areas in the financial services industry Comprehensive knowledge of Third Party Risk Management methodologies, risk mitigation principles and outsourced risk governance best practices Experience with managing relationships and projects with Technology suppliers Experience with Third Party Risk Management programs lifecycle activities, including: risk assessment / due diligence related to onboarding and monitoring of suppliers Demonstrated experience in building out programs and/or processes Ability to provide subject matter expertise related to risk management within the Technology ecosystem Demonstrated ability to support technical project management, process improvement, change management, and related governance Excellent communication and stakeholder management skills, including the ability to effectively interact with and influence cross functional partners, management, and suppliers Knowledge of key regulations applicable to the financial services industry Compensation and Benefits The base pay range for this role is listed below. Final base pay offer will be determined based on individual factors such as the candidate's experience, skills, and location. To view all of our comprehensive and competitive benefits, visit our Benefits at SoFi page! Pay range: $134,400.00 - $231,000.00 Payment frequency: Annual This role is also eligible for a bonus, long term incentives and competitive benefits. More information about our employee benefits can be found in the link above. SoFi provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion (including religious dress and grooming practices), sex (including pregnancy, childbirth and related medical conditions, breastfeeding, and conditions related to breastfeeding), gender, gender identity, gender expression, national origin, ancestry, age (40 or over), physical or medical disability, medical condition, marital status, registered domestic partner status, sexual orientation, genetic information, military and/or veteran status, or any other basis prohibited by applicable state or federal law. The Company hires the best qualified candidate for the job, without regard to protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. New York applicants: Notice of Employee Rights SoFi is committed to embracing diversity. As part of this commitment, SoFi offers reasonable accommodations to candidates with physical or mental disabilities. If you need accommodations to participate in the job application or interview process, please let your recruiter know or email accommodations@sofi.com. Due to insurance coverage issues, we are unable to accommodate remote work from Hawaii or Alaska at this time. Internal Employees If you are a current employee, do not apply here - please navigate to our Internal Job Board in Greenhouse to apply to our open roles.
Posted 1 week ago
G ResearchStamford, CT
Do you want to tackle the biggest questions in finance with near infinite compute power at your fingertips? G-Research is a leading quantitative research and technology firm, with offices in London and Dallas. We are proud to employ some of the best people in their field and to nurture their talent in a dynamic, flexible and highly stimulating culture where world-beating ideas are cultivated and rewarded. This role is based in Stamford, Connecticut. The role We are committed to finding the world's best Engineers and take the hiring of this type of talent very seriously. As a Risk Software Engineer you will support the build, implementation and ongoing development of the organizations in-house portfolio risk platform. Working closely with other teams from across the business, including Market Risk Management, Quantitative Research and Financial Operations, the risk platform provides the organization with the capability to assess performance and risk. It is vital to continue those close relationships in order to understand the business context, challenges and help get the most out of the portfolio risk platform. This role will suit an engineer who is looking to contribute to the operational success of a leading quantitative finance research firm by developing software to compute and visualize portfolio behavior to inform risk management. Key responsibilities of the role include: Enabling a cloud-first architectural strategy for the Market Risk platform Creating batch data and real-time pipelines computing a wide variety of position and portfolio metrics Building microservices to expose large datasets in intuitive ways Diagnosing and resolving issues impacting a live automated trading environment Who are we looking for? The ideal candidate will have the following skills and experience: Proficiency in cloud platforms and containerization Experience of successfully implementing cloud re-architecture and migration projects Experience with at least one OO programming language, ideally C#, Scala or Java An appreciation of good software architecture, computer science fundamentals, data structures and CI/CD Experience building large scale equity, multi-asset risk management systems, with proven track record from inception to delivery. Beneficial experience would include: Experience working within quantitative finance Experience with third-party quantitative and integration platform vendors, such as Barra, Axioma, Beacon, or Numerix Experience with front-end development such as Angular or React Why should you apply? Market-leading compensation plus annual discretionary bonus Excellent paid time off allowance of 25 days Generous 401(k) plan Medical, Dental and Vision insurance Informal dress code and excellent work/life balance Parental leave Life and Accidental Death & Dismemberment (AD&D) insurance Substantial relocation allowance and support Great selection of office snacks, and hot and cold drinks G-Research is committed to cultivating and preserving an inclusive work environment. We are an ideas-driven business and we place great value on diversity of experience and opinions. We want to ensure that applicants receive a recruitment experience that enables them to perform at their best. If you have a disability or special need that requires accommodation please let us know in the relevant section
Posted 30+ days ago
National Financial Partners Corp.Orleans, VT
Who We Are: NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com . Summary: The Personal Risk Account Manager I is responsible for working with Advisors/Client Executives and Account Executives to service client accounts. The position requires supporting them in the day to day account management for a specific set of clients and entails a great deal of verbal, electronic and other written communications. The Account Manager I will work with senior team members to manage the renewal and marketing process and prepare materials for presentations and communications. While in this role, this person will begin to learn to manage a book of business under senior team member direction. Begin to develop relationships with clients and carrier contacts and work proactively to effectively and efficiently deliver services to clients. In this role, the Account Manager I is learning to manage the clients from start to finish, but require a great deal of supervision and direction from more senior team members. This is a full-time opportunity working a hybrid schedule from any of our Vermont or New Hampshire offices. Essential Duties and Responsibilities: Begins to develop relationships; attend meetings and may contribute. Work with senior team members to prepare and send the request for proposals to applicable insurance carriers and spreadsheets results as they come in. Begin to participate in reviewing proposals and carrier source documents for accuracy under the direction of the Account Executive or Advisor. Creates and maintains client files in accordance with office procedures. May be responsible for keeping client policy records in the agency management system. Assists on some billing questions from clients and insurance company personnel with assistance from Accounting Dept. when necessary. Knowledge, Skills, and/or Abilities: Highly organized with excellent verbal and written communication skills. Self-confident to make sound independent decisions Ability to successfully interact with a variety of people and function well both in a team environment and autonomously. Ability to handle situations in a calm, courteous and professional manner Customer focused to establish and maintain effective relationships Intermediate level of experience in Microsoft Office products, specifically Word, Excel and Outlook Ability to prioritize multiple tasks to meet deadlines Must be able to read, analyze and reconcile financial reports Possess strong analytical and problem solving skills Sharp attention to detail, decision making skills, and problem resolution Flexibility and adaptability to changing priorities, deadlines and technology. Education and/or Experience: Associates degree (or equivalent) and BA/BS preferred More than 2 years' client service and/or industry and product line experience. Certificates, Licenses, Registration: P&C License What We Offer: We're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others. The base salary range for this position is $38,000- $50,000. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. NFP and You... Better Together! NFP is an inclusive Equal Employment Opportunity employer.
Posted 1 week ago
B
BMO (Bank of Montreal)Chicago, IL
Application Deadline: Address: 320 S Canal Street Job Family Group: Audit, Risk & Compliance Provides market risk oversight, monitoring, and reporting for a designated portfolio. Develops and monitors the market risk management framework that includes the governance framework and practices leveraged across BMO to manage market risk. Provides policies and standards, methodologies, and controls to increase transparency, accuracy and consistency across groups. Works with stakeholders to implement the methodology, metrics, and program standards for the assigned portfolio to ensure compliance and effective monitoring, timely reporting and identification of action plans. Assists with the interpretation of new or changing regulations and assessing impacts to the governance frameworks. Supports development and execution of strategic initiatives in collaboration with internal and external stakeholders. Breaks down strategic problems, and analyses data and information to provide insights and recommendations. Manages databases and provides support for analysis, forecasting and/or data visualization, ensuring adherence with data governance standards. Supports change management of varying scope and type; tasks typically focused on execution and sustainment activities. Leads or participates in defining the communication plan designed to positively influence or change behaviour; develops tailored messaging; and identifies appropriate distribution channels. Leads or assists in the execution of oversight/governance activities. Leads or assists with the maintenance, monitoring, measurement & reporting on the status of the market risk governance program to various internal & external stakeholder audiences. Supports the management of governance meetings (e.g. committee, management, board meetings, etc.) as required; facilitates development and approval of agendas, gathering and distribution of documentation related to agendas, and creation of meeting minutes/output. Administers and maintains the market risk monitoring and control program activities in adherence to all policies, procedures and established processes. Reviews new business initiatives and monitors existing initiatives to identify potential risk situations/ impacts; makes recommendations or escalates to the manager, as per guidelines. Monitors the financial market environment and market risk model performance impacts for optimal execution of risk strategies. Independently administers and evaluates models, model assumptions, and key metrics used for the measurement of market risk for adherence to all policies and procedures applicable to the transaction based on established processes; documents and reports results of evaluations on an individual and summary basis. Identifies where corrective actions are required and escalates per guidelines; ensures corrective action is taken as necessary. Provides advice and guidance to assigned business/group on implementation of the risk framework, including effective challenge. Coordinates and participates in the execution of oversight/governance activities including reporting; assessment of education & training needs, development/delivery of training; development and execution of regulatory administration processes & procedures. Consults with stakeholders to improve consistency and transparency of risk measurement, metrics and reporting. Supports the development and maintenance of the governance system and framework including supporting policy/standard/operating procedures lifecycle management, education and training assessments. Develops and maintains in-depth knowledge of business and related risk management requirements and legislative/ regulatory directives and guidance. Builds effective relationships with internal/external stakeholders. Ensures alignment between stakeholders. Analyzes data and information to provide insights and recommendations. Monitors and tracks performance; addresses any issues. Coordinates and monitors the review and sign-off of regulatory reporting and attestations. Focus is primarily on business/group within BMO; may have broader, enterprise-wide focus. Exercises judgment to identify, diagnose, and solve problems within given rules. Works independently on a range of complex tasks, which may include unique situations. Broader work or accountabilities may be assigned as needed. Qualifications: Typically between 4 - 6 years of relevant experience and post-secondary degree in related field of study or an equivalent combination of education and experience. Knowledge and understanding of market risk management practices. Knowledge of financial modelling including understanding of statistics, risk or other quantitative metrics In-depth knowledge & experience with risk policy frameworks; quality control / testing frameworks. Technical proficiency gained through education and/or business experience. Verbal & written communication skills- In-depth. Collaboration & team skills- In-depth. Analytical and problem solving skills- In-depth. Influence skills- In-depth. Data driven decision making- In-depth. Salary: $74,800.00 - $138,500.00 Pay Type: Salaried The above represents BMO Financial Group's pay range and type. Salaries will vary based on factors such as location, skills, experience, education, and qualifications for the role, and may include a commission structure. Salaries for part-time roles will be pro-rated based on number of hours regularly worked. For commission roles, the salary listed above represents BMO Financial Group's expected target for the first year in this position. BMO Financial Group's total compensation package will vary based on the pay type of the position and may include performance-based incentives, discretionary bonuses, as well as other perks and rewards. BMO also offers health insurance, tuition reimbursement, accident and life insurance, and retirement savings plans. To view more details of our benefits, please visit: https://jobs.bmo.com/global/en/Total-Rewards About Us At BMO we are driven by a shared Purpose: Boldly Grow the Good in business and life. It calls on us to create lasting, positive change for our customers, our communities and our people. By working together, innovating and pushing boundaries, we transform lives and businesses, and power economic growth around the world. As a member of the BMO team you are valued, respected and heard, and you have more ways to grow and make an impact. We strive to help you make an impact from day one - for yourself and our customers. We'll support you with the tools and resources you need to reach new milestones, as you help our customers reach theirs. From in-depth training and coaching, to manager support and network-building opportunities, we'll help you gain valuable experience, and broaden your skillset. To find out more visit us at http://jobs.bmo.com/us/en BMO is proud to be an equal employment opportunity employer. We evaluate applicants without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or any other legally protected characteristics. We also consider applicants with criminal histories, consistent with applicable federal, state and local law. BMO is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process, please send an e-mail to BMOCareers.Support@bmo.com and let us know the nature of your request and your contact information. Note to Recruiters: BMO does not accept unsolicited resumes from any source other than directly from a candidate. Any unsolicited resumes sent to BMO, directly or indirectly, will be considered BMO property. BMO will not pay a fee for any placement resulting from the receipt of an unsolicited resume. A recruiting agency must first have a valid, written and fully executed agency agreement contract for service to submit resumes.
Posted 1 week ago
Morgan StanleyPurchase, NY
Morgan Stanley is a global financial services firm that conducts its business through three principal business segments-Institutional Securities, Wealth Management (WM), and Asset Management (IM). Morgan Stanley provides comprehensive financial advice and services to its clients including brokerage, investment advisory, financial and wealth planning, credit and lending, deposits and cash management, annuities, insurance, retirement, and trust services. As a market leader, the talent and passion of our people is critical to our success. Together, we share a common set of values rooted in doing the right thing, putting clients first, leading with exceptional ideas and a commitment to diversity and inclusion. Morgan Stanley can provide a superior foundation for building a professional career - a place for people to learn, achieve, and grow. Department Profile: The WM Financial Crimes Risk Team is embedded within the Firm's business line. It is responsible for identifying, assessing, and escalating potential money laundering, economic sanctions, tax-evasion, bribery, corruption, and reputational risk issues associated with higher risk client types. The WM Financial Crimes Risk Team is considered the first line of defense and supports the onboarding, enhanced due diligence, negative news processes, among others, for Morgan Stanley. Responsibilities: The Assistant Vice President, Operational Risk Officer is responsible for assisting in the execution of the firm's first line Financial Crimes program for WM. The role will be responsible for assisting in the execution of the strategic direction of the Financial Crimes programs, performing oversight responsibilities and escalating potential gaps and risks. This position will work closely with the business, the second- and third-line stakeholders to ensure the business is compliant with all relevant Financial Crimes laws and regulations through the proper implementation an execution of applicable MS' policies, standards, and procedures. The AVP, Operational Risk officer will: Lead end to end risk identification and assessment for 1L owned Financial Crimes Risks and controls by collaborating with various 1L teams for Wealth Management, Banks and IM to assess the impact of financial crimes risks Plan and perform internal reviews of procedures and controls residing to ensure that controls are adequately designed and are operating effectively. Proactively engage appropriate stakeholders and partners to lead the implementation of enhanced processes and controls build-out for any identified control gaps or opportunities for enhancement. Develop reporting and effectively and timely communicate risk management issues and internal control deficiencies with properly vetted and proposed solutions. Lead implementation for project deliverables for Risk and Control assessments under the firm-wide Non-Financial Risk Assessment (NFRA) program including creation of risk records under NFRA, mapping of controls and completion of assessment for 1L owned Financial Crimes risks Review end to end process for creation of missing controls, refresh control ratings, descriptions and issue linkages across 1L FCR risks Drive consistency and standardization of Risk & Control programs across and within WM and IM Effectively address second line feedback and challenges to the risk and controls strategy implementation Create control testing/ monitoring scripts and perform and support control reviews as required Assist in the remediation of control gaps and deficiencies identified from Annual Risk Assessments and resolution of investigations as recommended by second line Assist with the design and development of comprehensive action plans as required (e.g. regulatory, strategic, transformation initiatives or policy implementations.) Collaborate with internal stakeholders including Business Leaders, Second Line, Technology, and Internal Audit. Provide with advisory, guidance and training to the first line teams Required Experience: 5+ years of relevant experience with BSA/AML Regulations within the financial services industry, or at a financial services regulator (e.g., FINRA, Securities and Exchange Commission, Office of the Comptroller of the Currency, Federal Reserve Bank, etc.) Working knowledge of operational risk management and relevant experience with risk and controls assessments and control testing Have an undergraduate degree in Business, Finance, or other related fields Strong leadership qualities with the ability to manage teams and evidence a strong work ethic as well as a high degree of integrity Implementation and execution of Financial Crimes Programs requirements Knowledge of Financial Crimes laws and regulations and familiarity with best practice first line procedures and processes Ability to: Analyze, summarize, and communicate effectively Operate with confidence and comfort in high-paced and high-profile environments with minimum supervision Multitask effectively and execute actions promptly Identify issues, investigate root causes, and escalate promptly Handle highly confidential information professionally and with appropriate discretion Additional Skills Desired: Knowledge of Financial Crimes regulatory requirements and expectations Working knowledge of MS Office (Microsoft Excel/PowerPoint/Word/Access) Strong time management and planning skills Strong interpersonal skills and ability to communicate effectively both verbally and in writing WHAT YOU CAN EXPECT FROM MORGAN STANLEY: We are committed to maintaining the first-class service and high standard of excellence that have defined Morgan Stanley for over 89 years. Our values - putting clients first, doing the right thing, leading with exceptional ideas, committing to diversity and inclusion, and giving back - aren't just beliefs, they guide the decisions we make every day to do what's best for our clients, communities and more than 80,000 employees in 1,200 offices across 42 countries. At Morgan Stanley, you'll find an opportunity to work alongside the best and the brightest, in an environment where you are supported and empowered. Our teams are relentless collaborators and creative thinkers, fueled by their diverse backgrounds and experiences. We are proud to support our employees and their families at every point along their work-life journey, offering some of the most attractive and comprehensive employee benefits and perks in the industry. There's also ample opportunity to move about the business for those who show passion and grit in their work. To learn more about our offices across the globe, please copy and paste https://www.morganstanley.com/about-us/global-offices into your browser. Expected base pay rates for the role will be between $100,000 and $135,000 per year at the commencement of employment. However, base pay if hired will be determined on an individualized basis and is only part of the total compensation package, which, depending on the position, may also include commission earnings, incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Morgan Stanley sponsored benefit programs. Morgan Stanley's goal is to build and maintain a workforce that is diverse in experience and background but uniform in reflecting our standards of integrity and excellence. Consequently, our recruiting efforts reflect our desire to attract and retain the best and brightest from all talent pools. We want to be the first choice for prospective employees. It is the policy of the Firm to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, creed, age, sex, sex stereotype, gender, gender identity or expression, transgender, sexual orientation, national origin, citizenship, disability, marital and civil partnership/union status, pregnancy, veteran or military service status, genetic information, or any other characteristic protected by law. Morgan Stanley is an equal opportunity employer committed to diversifying its workforce (M/F/Disability/Vet).
Posted 1 week ago
P
Point32Health, IncCanton, MA
Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health. Job Summary The Manager, Cyber & Information Security, will report into the Director, Cyber & Information Security and is responsible for leading a team of staff and analyzing the information security environment for Point32Health and developing security measures to safeguard the confidentiality, integrity, and availability of information. The manager will work closely with other managers/directors across Cyber & Information Security, as well as partners across IT, and the broader Point32Health business. Will be responsible for having expertise and leading adoption of cyber-security systems Job Description DUTIES/RESPONSIBILITIES - what you will be doing (top five): Manage staff including supervision, assigning work, professional development, performance evaluation, recruitment, and coaching/mentoring. Provide coaching, constructive feedback and direction to staff to ensure successful achievement of projects and initiatives. Monitor staff workloads to assist in resource allocation and ensure deliverable dates are met Develop procedures and guidelines to support consistent delivery of services Consult with other Cyber & Information Security colleagues to continuously evaluate and implement security solutions Communicate potential security concerns/exposures to appropriate leadership Will be responsible for having expertise and leading adoption of cyber-security systems. Coordinate and collaborate with business organizations and other IT groups to ensure quality solutions are delivered within project timelines. Engage in ongoing communications with peers in the IT groups as well as the various business groups to ensure enterprise wide understanding of security goals, to solicit feedback and to foster cooperation. Maintain up-to-date knowledge of the cyber and information security industry including awareness of new or revised security solutions, improved security processes, and the development of new attacks and threat vectors. Oversee the deployment, integration and configuration of all new security solutions and of any enhancements to existing security solutions in accordance with industry-leading practices generically and the enterprise's security documents specifically. Ensures adequate and effective technical and non-technical controls exist to meet current and future security compliance requirements found in local, state, and federal laws and regulations. Identify/recommend tools, processes, software, and hardware to improve or replace current security infrastructure practices, services, or technologies to meet future requirements. Other duties and projects as assigned. QUALIFICATIONS - what you need to perform the job Certification and Licensure Education Required (minimum): Bachelor's degree in cyber security, Computer Science, Risk Management, or related field preferred or equivalent experience Preferred: Master's degree Experience Required (minimum): 5-7 years of professional experience Preferred: 5-7 years' experience in cyber security initiatives which may include some or a combination of roles in IT Security, cyber security, risk, compliance, audit, threat detection, data privacy, etc. Understanding of cyber-security and IT systems that may include web access management, vulnerability and scanning management, security design, operating system environments, etc. Experience managing a team and/or coaching team members Experience developing policies/procedures for security processes Skill Requirements Ability to lead a team including mentoring, coaching, and motivating, providing an opportunity to learn and grow at Point32Health Proven track record of successfully managing projects, with a particular emphasis on handling complex assignments Demonstrated history of achieving customer satisfaction by effectively managing both internal and external stakeholders Strong relationship building skills; Must be able to work collaboratively and cooperatively as a team member and as a people manager Ability to influence peers and business stakeholders Ability to effectively lead discussions and initiatives associated with Cyber & Information Security and to actively participate in technical discussions. WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.g., lifting, travel): Must be able to work under normal office conditions and work from home as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. May be required to work additional hours beyond standard work schedule. DISCLAIMER The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time. Compensation & Total Rewards Overview As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additional buy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/ We welcome all All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org
Posted 3 weeks ago
CopperPointPhoenix, AZ
CopperPoint has an exciting opportunity for an Assigned Risk Rating Technician. This role supports the issuance of quotes, policies, and endorsements for Assigned Risk business by entering data into the rating system and ensuring accuracy in all documentation. The technician works within defined guidelines to meet Assigned Risk Performance Standards and aligns output with the specifications provided by the Assigned Risk Representative. This position handles routine tasks and issues, escalating complex matters to senior staff as needed. Ideal candidates will have entry-level to developing knowledge of rating processes and strong attention to detail. Job Responsibilities: Provide renewal quotes and issue new and renewal policies requested by Assigned Risk Rep Rate, mock-up forms, and invoice policy changes Manual billing when needed Process Broker of Record (BOR) changes (rating portion only) Communicates with Assigned Risk Rep to verify information Ensures high quality work product Promotes a team approach to the handling of all Assigned Risk policies Qualifications/Competencies: High school diploma or equivalent Prefer 1+ year experience in a professional office environment Typing proficiency Computer literate Prefer insurance related experience Ability to learn and comprehend subject matter Basic typing skills Ability to work independently and handle a large volume of work Basic math skills: Addition, Subtraction, Multiplication, and Division Excellent organizational skills and ability to prioritize work. Ability to manage multiple tasks and meet established deadlines. Analytical and problem-solving skills. Ability to proofread data and forms for accuracy and completeness. Detail oriented Benefits: Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistance Plan). Employees will accrue 0.0692 hours of Paid Time Off (PTO) per paid hour, which may total 18 days a year. In addition, employees will also receive 10 paid holidays throughout the calendar year. Founded in 1925, CopperPoint Insurance Companies is a leading provider of workers' compensation and commercial insurance solutions. With an expanded Line of insurance products and a growing ten-state footprint in the western United States, CopperPoint embodies stability for policyholders in Alaska, Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, and Washington. CopperPoint Mutual Insurance Holding Company is the corporate parent of Arizona-based CopperPoint Insurance Companies, Alaska National Insurance Company, and other CopperPoint Insurance Entities. CopperPoint's culture of compassion extends to the community through employee volunteerism, corporate matching, Board service, program sponsorships, and in-kind contributions. We empower employees by providing 12 hours of paid volunteer time annually and matching their personal contributions to the charities of their choice up to $500 per year. In 2020, CopperPoint employees reported 3,500 volunteer hours. CopperPoint offers a competitive compensation package and comprehensive benefits package including major medical, dental, and vision, and a wide range of competitive benefits programs, generous matching contributions to your 401(k) plan, generous paid time off, tuition reimbursement, and other education benefits, and business casual dress. CopperPoint is an equal employment opportunity employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status, or any other characteristic protected by state, federal or local law. CopperPoint maintains a drug-free workplace. #LI-Hybrid
Posted 2 weeks ago
Morgan StanleyNew York, NY
POSITION SUMMARY: The Risk Officer is responsible for a wide variety of supervisory, compliance, and risk functions. In conjunction with the Senior Risk Officer, the Risk Officer has accountability for maintaining a consistent controlled environment through adherence of business ethics and practices and adherence to all applicable Federal, State and Local laws, Morgan Stanley Wealth Management policies, and other regulations. Then the Risk Officer keeps the Senior Risk Officer informed of significant matters. The Risk Officer role is a non-revenue sharing position that reports to the Senior Risk Officer. DUTIES and RESPONSIBILITIES: Surveillance and Supervision Primary responsibility for all risk, supervisory, and compliance function for respective branch location(s) Facilitates any supervisory inquiry or process that requires escalation from the Senior Risk Officer and/or the Regional Risk Officer Focuses on business ethics and regulatory and compliance practices Provides coaching and guidance on policies and procedures in order to promote risk awareness and a compliant environment Ensure proper procedures are in place to ensure that approvals are handled appropriately and timely Risk Management/Compliance/Legal Monitors and implements procedures to manage all facets of risk, including data security Facilitates regular and consistent communication of Morgan Stanley Wealth Management policies and other regulations Liaises with the Legal and Compliance Division with customer complaints and litigation Together with the Market Manager and Senior Risk Officer, ensures appropriate supervisory coverage is maintained at all times Oversees responsibilities outlined in the Branch Supervisory Manual, as well as new policies to ensure the Complex has procedures in place Supports in the preparation for and response to audits, and ensures that any audit findings are appropriately responded to and remediated Works with Market Manager and Senior Risk Officer to monitor people risk, and ensures appropriate action is taken Responsible for proactive client contact in determining suitability and managing risk Active involvement with the region regarding matters presented to the Credit Committee Primary source for intelligence on risk in regard to clients and FAs Administrative Works closely with Special Investigation Unit on any Human Resources issues as related to risk and compliance. Together with the Senior Risk Officer facilitates the training on Morgan Stanley Wealth Management compliance policies and procedures. Assists in the review and on boarding of FA recruits Qualifications - External Education and/or Experience Bachelor's degree required or equivalent education or experience Previous industry experience Active Series 7, 8 (or 9 and 10), and 63, 65 (or 66) Other licenses as required for role or by management Knowledge/Skills Knowledge of SEC, FINRA and Firm Compliance Policies and Procedures Effective written and verbal communication skills Strong attention to detail Ability to prioritize and resolve complex problems and escalate as necessary Ability to identify issues and trends in order to anticipate change and provide recommended comprehensive solutions and remedies Evidence of strong leadership capabilities or previous supervisory experience Ability to organize and prioritize workflow and assignments in a deadline oriented environment Ability to interact with Financial Advisors and clients Excellent judgment and the ability to be discreet in all matters Strong work ethic Reports to: Complex Risk Officer Morgan Stanley's goal is to build and maintain a workforce that is diverse in experience and background but uniform in reflecting our standards of integrity and excellence. Consequently, our recruiting efforts reflect our desire to attract and retain the best and brightest from all talent pools. We want to be the first choice for prospective employees. It is the policy of the Firm to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, creed, age, sex, sex stereotype, gender, gender identity or expression, transgender, sexual orientation, national origin, citizenship, disability, marital and civil partnership/union status, pregnancy, veteran or military service status, genetic information, or any other characteristic protected by law. Morgan Stanley is an equal opportunity employer committed to diversifying its workforce (M/F/Disability/Vet). Expected base pay rates for the role will be between $120000 to $160000 per year at the commencement of employment. However, base pay if hired will be determined on an individualized basis and is only part of the total compensation package, which, depending on the position, may also include commission earnings, incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Morgan Stanley sponsored benefit programs. WHAT YOU CAN EXPECT FROM MORGAN STANLEY: We are committed to maintaining the first-class service and high standard of excellence that have defined Morgan Stanley for over 89 years. Our values - putting clients first, doing the right thing, leading with exceptional ideas, committing to diversity and inclusion, and giving back - aren't just beliefs, they guide the decisions we make every day to do what's best for our clients, communities and more than 80,000 employees in 1,200 offices across 42 countries. At Morgan Stanley, you'll find an opportunity to work alongside the best and the brightest, in an environment where you are supported and empowered. Our teams are relentless collaborators and creative thinkers, fueled by their diverse backgrounds and experiences. We are proud to support our employees and their families at every point along their work-life journey, offering some of the most attractive and comprehensive employee benefits and perks in the industry. There's also ample opportunity to move about the business for those who show passion and grit in their work. To learn more about our offices across the globe, please copy and paste https://www.morganstanley.com/about-us/global-offices into your browser. Morgan Stanley's goal is to build and maintain a workforce that is diverse in experience and background but uniform in reflecting our standards of integrity and excellence. Consequently, our recruiting efforts reflect our desire to attract and retain the best and brightest from all talent pools. We want to be the first choice for prospective employees. It is the policy of the Firm to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, creed, age, sex, sex stereotype, gender, gender identity or expression, transgender, sexual orientation, national origin, citizenship, disability, marital and civil partnership/union status, pregnancy, veteran or military service status, genetic information, or any other characteristic protected by law. Morgan Stanley is an equal opportunity employer committed to diversifying its workforce (M/F/Disability/Vet).
Posted 1 week ago
AritziaMiami, FL
THE DEPARTMENT Our Enterprise Risk Management department is responsible for minimizing loss while respecting people, brand and operations. THE OPPORTUNITY With a special focus on merchandise security, our Risk Associate supports the Boutique team in delivering an outstanding customer experience while encouraging a safe and secure store environment. THE JOB As the Risk Associate, you will: Support a safe and secure working environment Minimize the loss of merchandise from all internal and external avenues Champion and coach the store team on the importance of inventory accuracy Safeguard the loss of financial, information and physical assets QUALIFICATIONS As the Risk Associate, you have: 1+ year experience in Loss Prevention / Risk Retail experience is an asset Post-secondary education in a related field THE PERKS Some of the industry-leading benefits you will receive working at Aritzia: Employee Assistance Program- 24/7 support, resources, and information available to you and your family Aspirational Workspace- Every detail is considered to connect to the energy of the culture Talent Mobility Program- From out of town? no problem - we offer a highly supportive relocation program Competitive Pay Packages- A commitment to performance based pay increases and career progression Product Discount- Our famous product discount, online and in store Health Benefits- Comprehensive health, vision and dental packages for eligible employees Extras- A multitude of other perks like dry-cleaning, hotel and restaurant discounts, self-care promos, on-site medical care and more. Health & Safety- Industry-leading health and safety precautions, including on-site screenings, mask and distancing protocols, and cleaning supplies/ ARITZIA Aritzia is an Equal Employment Opportunity employer. Our goal is to be inclusive, diverse, and representative of the communities where we work while creating an environment where every person can enjoy a successful career. This commitment applies to all candidates and employees regardless of race, ethnicity, citizenship, creed, place of origin, religion, sex, gender identity, gender expression, sexual orientation, family status, marital status, disability, age, and any other protected characteristic. Requests for accommodation due to a disability or any other protected characteristic can be made at any stage of the recruitment process and during employment by contacting our People & Culture Team.
Posted 30+ days ago
B
BRP Group, Inc.Sarasota, FL
The Advisor, Commercial Risk sells new accounts and renews existing accounts in keeping with firm and individual goals. Advisors build and maintain relationships with clients, prospects, the service team, insurance company partners, and centers of influence while identifying and soliciting sales prospects. POSITION SUMMARY: The Advisor, Commercial Risk sells new accounts and renews existing accounts in keeping with firm and individual goals. Advisors build and maintain relationships with clients, prospects, the service team, insurance company partners, and centers of influence while identifying and soliciting sales prospects. PRIMARY RESPONSIBILITIES: Presents proposals in a professional manner, reviewing coverages in detail to ensure understanding. Communicates with clients, prospects, insurance company partners, and service team in an articulate and effective manner. Finalizes the sale and collects necessary documents, applications, etc., and briefs the service team on the policy sale. Develops prospects by becoming involved in community affiliations, attending insurance company partner hosted seminars, building and maintaining relationships with industry contacts, engaging in networking events and through referrals from current accounts. Develops information and recommendations for prospective accounts, presents proposals and adheres to firm policies and procedures for writing a new account. Maintains a concern for accuracy, timeliness and completion when interacting with current and prospective clients, the Firm, and Insurance Company Partners, to minimize potential for errors and omissions claims while demonstrating strong organizational skills with a high attention to detail. Maintains understanding and knowledge of the insurance industry and underwriting criteria for insurance company partners represented by the firm to effectively communicate to all involved. Positively represents the firm in the community and with our insurance company partners. Performs other functions as assigned by leadership. Looks for opportunities to improve the firm, business segment, and processes. Brings issues and discrepancies to the attention of appropriate leadership. Is expected to meet monthly new business goals. EDUCATION AND EXPERIENCE REQUIREMENTS: Certification(s): None required; None preferred License(s): Maintains a Property & Casualty license as required by the State Department of Insurance to provide service, consultation, and financial risk transfer solutions in states where the firm functions or be willing and able to obtain all required licenses within the first 90 days of employment required; Maintains all licenses as required by the State Department of Insurance to provide service, consultation, and financial risk transfer solutions in states where the firm functions or be willing and able to obtain all required licenses within the first 90 days of employment preferred KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: Demonstrates the organization's core values, exuding behavior that is aligned with the firm's culture TECHNICAL, COMPUTER, AND SYSTEM-SPECIFIC SKILLS REQUIRED: Intermediate to advanced knowledge of Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) Ability to learn any other appropriate program or software system used by the firm as necessary OTHER REQUIREMENTS: None SPECIAL WORKING CONDITIONS: Fast paced multi-tasking environment IMPORTANT NOTICE: This position description is intended to describe the level of work required of the person performing in the role and is not a contract. The essential responsibilities are outlined; other duties may be assigned as needs arise or as required to support the organization. All requirements may be subject to reasonable accommodations to applicants and colleagues who need them for medical or religious reasons. EEOC (STATEMENT): BRP is an equal employment opportunity firm and strives to comply with all laws prohibiting discrimination based on race, color, religion, age, sex (including sexual orientation and gender identity), national origin or ancestry, disability, military status, marital status, and any other category protected by federal, state, or local laws. All such discrimination is unlawful, and all persons involved in the operations of the firm are prohibited from engaging in this conduct. #LI-JG1 Click here for some insight into our culture! The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.
Posted 30+ days ago
S
Stryker CorporationAtlanta, GA
Work Flexibility: Remote Why ARA at Stryker? Our team is growing, and we are seeking someone with financial and audit expertise and acumen. Are you interested in improving risk management, controls, and governance processes? As a member of our Assurance and Risk Advisory (ARA) function, you will play a key role in delivering value to the business and supporting strategic objectives. You'll join a dynamic, global team that drives impact through customer focus and innovation. As a Senior Risk Analyst, you are responsible for executing audits and testing internal controls. This role requires knowledge of technical accounting, audit concepts, and key business processes that impact financial reporting. This role can be remote or hybrid. Candidates living within 50 miles of our Flower Mound, TX; Portage, MI; or Mahwah, NJ locations will be required to work in the office one day per week. The ideal candidate will reside within the Eastern, Central, or Mountain time zones. Who we want Dedicated achievers. People who thrive in a fast-paced environment and will stop at nothing to ensure business goals and objective are met Collaborative partners. Demonstrated ability to build strong relationships, influence and partner with business leaders in multiple functional areas Effective communicators. Can analyze and synthesize data/information for insights and communicate them in a consumable way for decision making What You Will Do Execute audit projects, including SOX testing, with a focus on internal controls over financial reporting. Identify and assess risks, evaluating controls for compliance with industry standards and regulations. Provide insights on financial assurance standards, regulations, and emerging risks. Recommend improvements to enhance financial and operational processes and control effectiveness. Collaborate with cross-functional teams on audits and team initiatives. Leverage digital tools to improve audit execution and continuously develop technical skills. Draft clear, concise reports outlining findings, remediation actions, and project outcomes. What you need Required: Bachelor's degree in accounting, finance, or related field 2+ years of relevant experience, ideally in public accounting or a finance/audit role at a large company Experience with internal audit methodologies and practices Preferred: CPA, CIA, or similar certifications $69,100 - $139,600 salary plus bonus eligible + benefits. Travel Percentage: 30% Stryker Corporation is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. Stryker is an EO employer - M/F/Veteran/Disability. Stryker Corporation will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
Posted 2 weeks ago
U
University Physicians' Association, Inc.Knoxville, TN
Apply Job Type Full-time Description University Physicians' Association, Inc. is seeking a qualified full-time Certified Medical Assistant (CMA) or Licensed Practical Nurse (LPN) candidate for HIGH-RISK OB CONSULTANTS, a fast paced, high-risk obstetrical practice in Knoxville. Responsibilities include, but are not limited to: Provide complete patient assessment, including vital signs, review of medications and patient history. Prepare paper charts for both new and established patient visits by reviewing referring provider medical records and/or previous office notes. Provide explanation to patients to ensure an understanding of plan of care. Triage patient phone calls. Scheduling deliveries. Calling in prescriptions. Referrals to other specialists. Assist both Doctors and Nurse Practitioners with in-office procedures. Appropriate documentation of data and assessments in the patient's paper chart. Filing of medical charts. Effective communication with providers, other team members, and patients. Adherence to all policies and procedures including but not limited to standards for safety, attendance, punctuality and personal appearance. Obtaining prior authorizations and/or pre-certifications. Blood draws. Monitoring and ordering of medical supplies. Must have a high level of professionalism, an attention to detail and strong patient service skills. Ability to complete non-stress tests. Competitive Pay in the 90th Percentile! Full benefit package available, including PTO, Sick Leave, Medical, Dental, Vision, STD, LTD, 401k with company match and immediate vesting, Life Insurance, Critical Illness, and more! Requirements Bilingual in Spanish a plus Certification through an accredited Medical Assistant program or valid TN LPN license At least 1-year medical office experience with OB/GYN experience a plus Experience in phlebotomy Travel to satellite locations Position requires candidate to be on their feet, standing and walking, for majority of shift Comfortable with paper charts
Posted 1 week ago
Senior Risk Adjustment Analyst
PacificSourceHood River, OR
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Job Description
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Senior Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services (CMS) for all risk adjustable populations. This position leverages available tools and knowledge of the applicable risk models to optimize data submission as it pertains to Hierarchical Condition Categories (HCCs), HEDIS and Quality performance as well as other data within a given system. The Senior RA Analyst will collaborate and coordinate with internal and external partners to minimize submission and response errors, provide thorough oversight of vendor partners, accumulate, and report out on pertinent data sets, develop and improve processes related to risk adjustment and quality improvement, maintain required documentation, and ensure compliance to all applicable laws, guidance, and regulations. Assume lead role on specified projects. Projects are completed with cross-functional teams of peers and business partners. This includes interaction with provider partners with the intent of informing them on performance and educating on best practices in risk adjustment. The Senior RA Analyst will provide mentorship to less experienced team members. In addition, this position influences decision making by leadership and provides recommendations regarding potential improvements to risk adjustment processes and outcomes.
Essential Responsibilities:
- Recommend and guide process improvements that will optimize risk adjustment factor increases while minimizing inaccurate capture of disease burden.
- Identify, analyze, interpret and communicate risk adjustment trends to be consumed by provider partners and related entities.
- Responsible for maintenance of existing reports, development of new reports to help ensure company goals are met, as well as other ad hoc requests as needed.
- Develop and maintain reporting capabilities to measure and forecast risk scores & quality metrics, monitor suspecting model performance, and identify areas of improvement
- Maximize risk adjustment revenue and quality bonus payments by driving data integration and analytics to properly capture and improve the health status of PacificSource members.
- Validate data integrity and collaborate with technical teams to improve data pipelines and business logic for identified areas of opportunity
- Identify and lead internal subject matter experts in regular meetings to identify and rectify various data submission and adjudication errors related to risk adjustment and quality data submission.
- Develop and maintain data sets leveraging internal data, response data from regulatory entities (including but not limited to: EDGE files, MMR, MOR, RAPS Response, MAO-004, PSV, PLD, etc.), and ancillary data sources to be consumed across the enterprise.
- Demonstrate mastery in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, and others as needed.
- Maintain strict oversight of vendor partners through analytic reconciliations to ensure regulatory compliance, optimal data submission and error resolution, and general accuracy.
- Assist with all pertinent audits, including RADV, through preparation activities and documentation. Perform root cause analysis to maintain high integrity data and processes to minimize discrepancies and gaps.
- Maintain a high level of familiarity of current CMS regulations and announcements affecting risk adjustment and CMS Star Ratings. This includes review of regulatory announcements, attending educational sessions and opportunities provided by regulatory entities or within the industry.
- Develop, maintain, and report out on actionable metrics related to risk adjustment and HEDIS to incorporate quality/health outcome metrics where applicable.
- Prepare new and review existing specifications, project plans, and other internal procedural documents. Ensure users and partners understand nature of work being performed, as well as timeframes and milestones. Provide regular status updates to supervisors and stakeholders.
- Provide support as needed for projecting annual receivable amounts, preparing projections related to pricing efforts, and predicting cost utilization as it relates to risk adjustment.
- Work with changing data, file specifications, and internally coordinate releases and modifications through approved procedures.
- Collaborate with internal and external partners to resolve data issues related to member, claim, provider and pharmacy data and processes.
- Work with internal teams, provider partners, and vendor partners as needed to support risk adjustment activities.
- Provide mentorship, leadership, and training to less experienced risk adjustment analysts.
Supporting Responsibilities:
- Meet department and company performance and attendance expectations.
- Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
- Participate in and support project teams led by other departments and provide necessary input to support the goals of colleagues.
- Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Five years' experience in data analytics or software development required, to include at least three years' experience in Health Plan required. In depth risk adjustment and/or HEDIS experience required, including risk models, CMS guidelines, regulatory data submissions, retrospective and prospective programs, interpreting health care regulatory/accreditation requirements and data validation audits. Expertise in Microsoft Excel and SAS/SQL is required. Experience in leading projects and project teams required. Familiarity with Medicaid risk adjustment and CMS 5-Star required. Familiarity with Risk Adjustment Documentation, Coding practices and NCQA quality metric experience preferred. Equivalent work and education experience will be considered.
Education, Certificates, Licenses: Bachelor's degree in Mathematics, Statistics, Health Informatics or similar research related field required. Advanced degrees preferred.
Knowledge: Expert-level analytical and problem-solving abilities are required. Mastery of theories and applications of computer programming required. Ability to keep current with changing technologies, work independently under limited supervision, exercise initiative within established procedural guidelines, and prioritize work to meet established deadlines a must. Excellent communication skills, both verbal and written, particularly the ability to convey technical information in an accessible and understandable manner. The ability to establish and maintain effective work relationships, exercise good judgement, and demonstrate decisiveness and creativity. Read, understand, and interpret documents of complex subject matter.
Competencies:
Building Trust
Building a Successful Team
Aligning Performance for Success
Building Customer Loyalty
Building Strategic Work Relationships
Continuous Improvement
Decision Making
Facilitating Change
Leveraging Diversity
Driving for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time with some overnight travel.
Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
- We are committed to doing the right thing.
- We are one team working toward a common goal.
- We are each responsible for customer service.
- We practice open communication at all levels of the company to foster individual, team and company growth.
- We actively participate in efforts to improve our many communities-internally and externally.
- We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
- We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
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