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Medicare Risk Adjustment Advanced Analytics Consultant-logo
CareBridgeChicago, IL
Medicare Risk Adjustment Advanced Analytics Consultant On-Site Requirement: Hybrid 1; This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Medicare Risk Adjustment Advanced Analytics Consultant is responsible for employing advanced analytics to gain critical insights into Medicare and ACA risk adjustment performance, retrospective and prospective risk adjustment initiatives, operational effectiveness and efficiencies, provider performance, and population health. This role will consult with business leaders and internal partners to apply the insights to drive risk adjustment program innovation and enhancement, to target the right members for the right service, to measure program outcomes, and to support information-based strategic decision making. How You Will Make an Impact Primary duties may include, but are not limited to: Provides analytical insights to support business solution development for Medicare and ACA risk adjustment initiatives. Analyzes and develops SAS and SQL programming to support Medicare and ACA risk adjustment programs Performs data mining and data-driven analyses to evaluate historical program performance and to inform current operating decisions. Participates in peer-to-peer review process to reduce report writing errors and rework. Assists in training of actuarial trainees, analysts, and specialists. Consults on all considerations related to designing and executing tests or pilot programs. Contributes to the design of new program/initiative based on test/pilot outcomes. Develops targeting criteria or customer segmentation based on analytical insights, clinical inputs, product design and operations considerations. Develops predictive models and other tools that help target the right members. Develops methodology to measure clinical, utilization and financial outcomes of a program/initiative. Conducts in-depth research to address challenging issues in measuring outcomes. Minimum Requirements: Requires MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research and a minimum of 5 years' experience in related health care analytics; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, & Experiences: Advanced expertise with SAS or equivalent analytical tools and comprehensive experience with Teradata, SQL, or equivalent database tools strongly preferred. 5+ years of risk adjustment analytics experience for government programs. Proven written and verbal communication skills in a collaborative environment. Comfortable with sharing complex ideas or findings with senior leaders. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $103,664 to $196,416 annually. Locations: Colorado, Illinois, New Jersey, Maryland, Minnesota, and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 3 weeks ago

Power & Gas Trading Risk Manager-logo
Point72Stamford, NY
Point72 Asset Management is seeking a Risk Manager specialized in Gas and Power Trading to join our Risk Management & Quantitative Research (RQR) team. The RQR team plays a vital role in the firm's investment process, building a deeply rooted culture of efficient risk management and factful performance attribution. Risk managers will lead research efforts to identify opportunities for improved risk management, investment behavior, and portfolio construction, with the goal of helping the firm deliver superior risk-adjusted performance. The paramount mission of the team is to protect the firm from excessive levels of exposure and ensure that risk-taking is efficient and deliberate. The Risk Manager will: Focus on the risk and activities of all Gas and Power Trading PMs as well as overall such risk across the Global Macro and Cubist Macro businesses. More specifically, this includes: Identifying, capturing, and communicating material risks of the business, including credit, tail risk, liquidity, and convexity. Ensuring that risk-taking at the individual portfolio level and at the firm level is efficient and deliberate, by setting appropriate risk guidelines and limits. Developing and advancing stress testing and VaR frameworks. Developing and maintaining a framework for capital allocation to maximize risk-adjusted returns and profitability at the various business levels and at the firm level. Actively managing the firm's risk exposures through regular meetings, analysis and insights. Leading research efforts to develop innovative risk management approaches, tools and analytics by leveraging the collective knowledge of the platform. The goal is to enhance the quality of performance and improve the firm's risk-adjusted return. Enhancing management's understanding of investment performance by developing intuitive and efficient frameworks for performance attribution and educating all internal constituencies on those frameworks. Provide additional support with other risk managers in managing the market risk across the Macro business. Manage and mentor Quantitative Analysts on the team. We seek candidates with: Five or more years of experience as a risk manager or a portfolio manager, directly related to US and European power & gas products. Solid energy product knowledge and analytical rigor in terms of pricing models, risk sensitivities and the best practice for risk aggregation in a portfolio context Detailed understanding of risk management, portfolio construction, and trading. High level of proficiency in SQL and quantitative programming (e.g. Python, MATLAB, R); experienced in dealing with large data sets. Strong communication skills and prior experience interacting with portfolio managers. The ability to manage multiple tasks independently and deadlines in a fast-paced environment. Ability to proactively seek new ideas and solution to improve the status quo. Ability to work cooperatively with all levels of staff as part of a team. Excellent interpersonal skills and "emotional intelligence" - we seek a demonstrated ability to build relationships both internally and externally. Strong communication skills - an ability to clearly and concisely articulate complex ideas to senior management and portfolio managers is critical. A commitment to the highest ethical standards and to act with professionalism and integrity. Point72 offers substantial career opportunities: We are a workplace where performance and integrity go hand in hand We are committed to personal and professional development We expect and reward innovation and creativity We create opportunities for long-term careers We measure success by the merits of the work, its quality and the results obtained Point72 is a leading global alternative investment firm led by Steven A. Cohen. Building on more than 30 years of investing experience, Point72 seeks to deliver superior returns for its investors through fundamental and systematic investing strategies across asset classes and geographies. We aim to attract and retain the industry's brightest talent by cultivating an investor-led culture and committing to our people's long-term growth.

Posted 30+ days ago

Underwriter - Technical Risk Property-logo
Starr CompaniesHouston, TX
Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world. Cornelius Vander Starr established his first insurance company in Shanghai, China in 1919. Today, we are one of the world's fastest growing insurance organizations, capable of writing in 128 countries on 6 continents. Essential Job Functions Analyze and underwrite technical risk exposures on new and renewal business Maintain an existing account renewal book Travel to and conduct client and broker meetings on all major renewals Develop new business account production. Travel to and complete marketing/sales meeting in assigned territories Ensure underwriting and service standards are met on assigned accounts Develop insurance proposals, prepare policies and endorsements, obtain Home Office underwriting approvals where needed. Purchase reinsurance (only with approval) when needed, review reinsurance certificates and complete reinsurance documentation Arrange account engineering service Requirements College degree 2-3 years Property underwriting experience involving heavy industrial/technical risks including oil, petrochemical, chemical, steel and power generation Excellent oral and written communication Strong math skills Good organization and effective time management Self motivated and independent work traits #LI-SB1 Starr is an equal opportunity employer, which means we'll consider all suitably qualified applicants regardless of gender identity or expression, ethnic origin, nationality, religion or beliefs, age, sexual orientation, disability status or any other protected characteristic. We recruit and develop our people based on merit and we're committed to creating an inclusive environment for all employees. We offer first class training and development opportunities to all employees. Our aim is to grow our own talent and bring out the best in people.

Posted 30+ days ago

Spring 2027 IT Audit (Risk Assurance and Advisory) Internship-logo
Maxwell Locke & RitterAustin, TX
Spring 2027 IT Audit (Risk Assurance and Advisory) Internship Location: Downtown Austin, TX Approx. Start/End Dates: 01/11/2027 – 05/14/2027 Hours Requirement: 15-40 hours per week Who We Are Maxwell Locke & Ritter LLP  is the largest locally owned accounting firm in the Greater Austin area. We’re known for offering exceptional work-life balance and for our dedication to our people, our clients, and our community. We are proud to have been included in  Accounting Today’s  "Best Accounting Firms to Work For" list for 13 consecutive years. In the past six years, we’ve earned the  No. 1 ranking  three times. What You'll Be Doing As an IT audit intern, you will be a key member of our Risk Assurance and Advisory team, assisting with testing of IT and security controls. You will work closely with the service line partner to help compile client reports and deliverables. You’ll be able to apply your education in a hands-on, fast-paced learning environment, collaborate with associates and partners, and connect with a dedicated mentor throughout your internship. What We're Looking For: Must have completed a Management Information Systems, Information Security, Information Technology Accounting and Controls, or equivalent course Must have a 3.0 Cumulative GPA Prior internship experience is preferred Strong analytical skills Strong communication skills (verbal and written) Strong interpersonal skills What Sets Us Apart We’re redefining what it means to work in public accounting by: Instilling the belief that  “No success at work is worth failure at home,”  while recognizing everyone’s version of “home” is unique to them Leaning on our  core values  and showing genuine care and concern for one another Empowering our people to do what’s best for them, while providing exceptional client service Cultivating an environment  that allows our people to thrive personally Investing in the professional growth of our people Want to see it for yourself? Check out our  Instagram  (@maxlocrit) and  watch this video  to learn about the employee experience at ML&R. Maxwell Locke & Ritter LLP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. How You Can Grow You will learn about a wide range of technical concepts based on the unique tech stacks of each of our technology clients. You’ll gain exposure to a range of compliance frameworks, including SOC 2, HIPAA, and HITRUST. You will attend and contribute to weekly team meetings and meet regularly with your mentor in monthly feedback meetings. All interns also have the opportunity to participate in both firmwide and departmental professional development and social offerings. The learning curve is steep, but you will quickly improve your technical skills and professional communication skills to position you for future career success. Powered by JazzHR

Posted 5 days ago

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Tetrad Digital Integrity LLCFalls Chuch, VA
Tetrad Digital Integrity (TDI) is a leading-edge cybersecurity firm with a mission to safeguard and protect our customers from increasing threats and vulnerabilities in this digital age. We are looking for a Senior level Insider Risk Analyst to help develop and implement Insider Risk Management (IRM) strategies. This involves creating policies, procedures, and frameworks to proactively address insider risk. RESPONSIBILITIES: Leverage Artificial Intelligence (AI), focused on designing, implementing, and managing programs that proactively identify, assess, and mitigate insider threats using AI-powered tools and techniques to analyze user activity and behavior. Build strong relationships across business lines and with technical partners to develop and implement AI-driven insider risk solutions and effectively communicate findings and risks to senior leadership.  Initiate, supervise, and/or develop requirements from a project’s inception to conclusion for complex to extremely complex programs; and provide strategic and expert advice and technical guidance, to program and project staff.  Conduct risk assessments, identifying critical assets, evaluating potential vulnerabilities, and prioritizing risks based on their potential impact and likelihood. Lead and coordinate cross-functional team operations, including analysts, engineers, and other team members, to ensure cohesive execution of the insider risk mission. Serve as the primary escalation point for complex or high-risk insider cases in the absence of other team leads, triaging events, and briefing leadership on threat posture, findings, and recommended actions. Oversee the development and refinement of insider threat detection frameworks, ensuring alignment with organizational risk tolerance, policies, and evolving threats. Provides detailed analysis, evaluation and recommendations for improvements, optimization development, and/or maintenance efforts for client-specific or mission critical challenges/issues; and consults with client to define needs or challenges. Represent the IRO team in meetings, working groups, and leadership briefings, translating operational findings into executive-level insights. Program Manager must be specific to the Insider Risk program and cannot manage programs in any other USPS program. QUALIFICATIONS: Bachelors Degree in IT, CS or related field with 7-10+ years of experience with a strong understanding of cybersecurity fundamentals, network and endpoint security, and various security tools and technologies. Insider Risk expertise Utilize AI-powered platforms like User and Entity Behavior Analytics (UEBA) to identify anomalous activities and patterns indicative of insider threats. Develop and optimize AI models to refine detection capabilities by leading the creation and tuning rules, alerts, and risk scoring models to enhance efficiency and accuracy. Proven leadership ability to direct multidisciplinary teams and coordinate investigative, analytical, and technical workflows under pressure. Knowledge of cyber telemetry and insider risk indicators, including behavioral analysis, digital forensics, UEBA, DLP, and SIEM. Excellent communication and executive briefing skills, with the ability to synthesize complex data into actionable insights for senior leadership. Familiarity with legal, ethical, and privacy considerations in insider monitoring and response, including how to manage cases involving personnel and protected data. Experience in developing operational playbooks, escalation protocols, and incident handling processes insider threat or equivalent environments. Ensure compliance and promote awareness for AI/ML. Develop and deliver training to educate employees about security policies and best practices Graduate certificates, specifically in Insider Risk Management and Mitigation to provide in-depth expertise in understanding, investigating, and managing insider threats. Knowledge of AI/ML concepts, algorithms, and applications in insider threat detection, including supervised and unsupervised learning, deep learning, and anomaly detection. Need a blend of technical and leadership expertise, analytical capabilities, and hard skills to navigate the complex world of AI-driven insider threat detection and prevention. Hands-on experience in insider threat analysis.   TDI does business with the federal government, which restricts employment to individuals who are either US citizens or lawful permanent residents of the United States. “TDI is an Equal Opportunity Employer. Employment decisions are made based on individual qualifications, merit, and business needs. We do not discriminate in employment opportunities or practices based on race, color, religion, sex, or national origin, in accordance with applicable federal laws.” Powered by JazzHR

Posted 4 days ago

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Team Nexa Insurance SolutionsBaltimore, MD
APPLICANTS MUST HOLD A VALID LIFE INSURANCE PRODUCER'S LICENSE This Is for High Risk Clients with Health Issues Day 1 Coverage for Many APPLICANTS MUST BE IN THE UNITED STATES This is both an English and/or Spanish Speaking Opportunity 💬 Tired of Buying Overpriced Leads and Getting Underpaid? We get it. You didn’t get into life insurance to go broke on leads. At Team Nexa Insurance Solutions , we’re flipping the script on what it means to be a life insurance agent. No fluff. No hype. Just a proven system , real mentorship, and top-tier commissions . If you're an agent who's been burned, overwhelmed, or simply wants a better way to build income , this is your wake-up call. Here’s What You’ll Actually Get: 🔥 High Commissions – Like, really high. We pay what you’re worth. 📦 Lead System That Works – No $50 Facebook leads. Our postcard-based program keeps your costs near zero. 🧠 Live Training Every Day – Not some boring recordings. Real leaders. Real coaching. 🫶 Team Culture – You won’t be left on an island. We win together. 🏥 Carriers That Say YES – Even to clients with COPD, cancer history, or kidney failure. This Isn’t for Everyone If you want shortcuts, excuses, or to “see how it goes,” this probably isn’t for you. But if you’re licensed (or willing to get licensed) and ready to build a real business with real people who care, we’d love to talk. 👉 Click Apply. Let's talk.   No games. No pressure. Just an opportunity that works — if you do. Powered by JazzHR

Posted 3 weeks ago

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WBP Development, LLCChappaqua, NY
Summary of Position: Join our dynamic organization as Insurance Risk Manager and take charge of a diverse set of responsibilities working with development, construction and property management. The Risk Manager will be an ambitious self-starter with a sharp attention to detail and the ability to work in a fast-paced culture. You will be involved in a wide range of responsibilities and risk management, engaging with colleagues throughout the company in their day-to-day work and on special projects and initiatives. Essential Duties and Responsibilities  (Other duties may be assigned): Responsible for managing corporate insurance programs, including the negotiation of insurance placement structure and pricing, annual insurance renewals, and interaction between insurance brokers and insurers.  Serve as risk management contact for insurance brokers and insurance carriers. Prepare insurance applications and renewal market submission documentation for all lines of coverage; Review policy terms & conditions and quotes; Make recommendations on appropriate coverage, insurance limits and retention levels. Prepare insurance applications for new construction projects for Builders Risk and Liability insurance.  Review all quotes, confirming compliance with lender and investor requirements, and provide recommendations to management.  Obtain insurance quotes for new development and property operating budgets. Review all binders and policies for accuracy and work with brokers to resolve any issues. Manage and oversee all claim related activities; Liaise with legal on all claim related matters; Resolve claim disputes with carriers; Communicates and escalates insurance claims and risks quickly and efficiently across the organization to maximize recoveries. Support day-to-day operations of corporate risk management, including policy administration and certificates of insurance for contractual compliance. Process invoices and issue certificates of insurance as requested. Prepare loss analyses, identifying exposures, recommending solutions and implementing approved programs. Review contractual insurance requirements and make recommendations on appropriate insurance language to various business units.  Prepare presentations to internal business units on insurance programs and exposures.  Participate in contract preparation and review. Manage all efforts relating to the collection, review, and approval of subcontractors, subconsultant, and vendor certificates of insurance and full insurance policies as it relates to development and construction. Evaluate issues relating to insurance for subcontractors, subconsultants, and vendors.  Understand when issues must be elevated and have the ability to clearly communicate and provide a recommendation. Manage relationships with Insurance brokers and carriers Requirements & Competencies: Extremely detail-oriented with exceptional organizational skills Ability to work under pressure, often in a deadline driven and fast paced environment Ability to perform several tasks concurrently Work independently as well as collaboratively in a team environment Excellent communication skills, written and verbal Effective interpersonal skills with the ability to work cross-functionally and establish strong relationships Strong curiosity and willingness to learn and improve processes.  Stays current with industry news and players to anticipate changes in coverage and premium Prior work experience in a Corporate Risk Management environment desired Education Qualifications: Bachelor’s degree required; ARM/CRM designation or advanced degree preferred Minimum 5 years Insurance Risk Management experience High degree of computer literacy and systems-oriented approach to problem solving Schedule:  Monday to Friday 8:30am – 5:00pm Salary:  $120,000 - $140,000 per year (commensurate with experience)   Powered by JazzHR

Posted 3 weeks ago

Risk & Claims Consultant-logo
The Strickland GroupAugusta, GA
Now Hiring: Risk & Claims Consultant – Lead, Dominate, and Create Unlimited Success! Are you ready to take charge, seize opportunities, and lead others to financial and professional success ? We are looking for driven individuals to join our team as Risk & Claims Consultant , where you’ll strategize, mentor, and empower individuals to unlock their full potential while building your own path to wealth and leadership. Who We’re Looking For: ✅ Bold leaders who thrive on creating and maximizing opportunities ✅ Entrepreneurs and professionals eager to scale success for themselves and others ✅ Licensed & aspiring Life & Health Insurance Agents (We’ll guide you through licensing!) ✅ Individuals ready to command their future, build a business, and leave a lasting impact As a  Risk & Claims Consultant , you will mentor teams, execute winning strategies, and create expansion opportunities that drive massive growth and success. Is This You? ✔ Passionate about mentorship, leadership, and driving results ? ✔ A natural leader who thrives on building and executing winning strategies ? ✔ Self-driven, disciplined, and committed to leading others to success ? ✔ Open to mentorship, leadership development, and scaling business growth ? ✔ Looking for a recession-proof career with unlimited potential ? If you answered YES, keep reading! Why Become a Risk & Claims Consultant? 🚀 Work from anywhere – Build a career on your own terms. 💰 Uncapped earning potential – Part-time: $40,000-$60,000+/year | Full-time: $70,000-$150,000+++/year. 📈 No cold calling – Work with individuals who have already requested guidance. ❌ No sales quotas, no pressure, no pushy tactics. 🏆 Leadership & Ownership Opportunities – Build and scale your own team. 🎯 Daily pay & performance-based bonuses – Direct commissions from top carriers. 🎁 Incentives & rewards – Earn commissions starting at 80% (most carriers) + salary. 🏥 Health benefits available for qualified participants. This isn’t just a job—it’s a commanding opportunity to take control, lead teams, and build a legacy of success. 👉 Apply today and step into your role as a Risk & Claims Consultant! (Results may vary. Your success depends on effort, skill, and commitment to learning and execution.) Powered by JazzHR

Posted 3 weeks ago

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HanwhaHouston, TX
JOB DESCRIPTION Job Summary: We are seeking a highly skilled Compliance and Risk Manager to oversee and manage the organization’s compliance programs and risk management framework. This role is critical in ensuring that the company adheres to legal and regulatory requirements while identifying, assessing, and mitigating potential risks. The Compliance and Risk Manager will work closely with internal teams and external regulators to promote a culture of integrity and operational resilience. KEY RESPONSIBILITIES   - Develop, implement, and maintain compliance policies and procedures to ensure adherence to regulatory requirements and company standards. - Monitor and assess the organization’s compliance with applicable laws, regulations, and industry best practices. - Identify, evaluate, and mitigate operational, financial, and reputational risks. - Conduct regular compliance risk assessments and audits to identify gaps and recommend corrective actions. - Collaborate with internal departments to develop and implement risk management strategies. - Provide training and guidance to employees on compliance-related topics, including regulatory updates and ethical practices. - Act as the primary point of contact for regulatory bodies and manage communications during audits or inquiries. - Oversee reporting and documentation of compliance activities, risk assessments, and incident management. - Monitor changes in laws and regulations that could impact the organization and update policies accordingly. - Lead investigations of compliance breaches or risk-related incidents and recommend preventive measures. - Manage documents to ensure accuracy and manage project timelines including deliverables - Communicate with counterparties effectively QUALIFICATIONS Basic Qualifications and Skills: - Bachelor’s degree in Law, Finance, Business Administration, or a related field. - 5+ years of experience in compliance, risk management, or a related role. - Strong knowledge of regulatory frameworks and risk management principles. - Excellent analytical, problem-solving, and decision-making skills. - Exceptional written and verbal communication skills. - Ability to manage multiple priorities and work effectively under pressure. - Proficiency in compliance and risk management tools and software. Preferred Qualifications and Skills: - Master’s degree or professional certifications such as CRMP (Certified Risk Management Professional), CRCM (Certified Regulatory Compliance Manager), or similar. - Experience in a multinational or regulated industry. - Proven ability to lead cross-functional teams and implement organizational change. - Familiarity with data privacy regulations (e.g., GDPR, CCPA) and cybersecurity risk management. - Track record of successfully managing compliance investigations and regulatory audits. Diversity and Inclusion: Hanwha believes that diversity and inclusion are vital to our success. We believe that by embracing different ideas and approaches, we enhance our ability to deliver the best results for our employees, our environment, and ultimately our business partners and customers. We foster a culture where all colleagues are able to share their passions and ideas in order that we may collectively embrace and overcome the challenges in our industry, and work toward a brighter future. Hanwha is an Equal Opportunity / Affirmative Action Employer. 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, age, or any other federally protected class. Powered by JazzHR

Posted 3 weeks ago

Director of Quality and Risk - Behavioral Hospital-logo
Perimeter HealthcareForrest City, AR
Perimeter Behavioral Hospital of Forrest City has a great opportunity for a full-time Director of Quality and Risk Management. We are seeking individuals who are committed to improving our patient’s lives by using a patient centered, collaborative approach to providing high quality of care. Perimeter Behavioral Hospital of Forrest City is conveniently located in Forrest City, Arkansas and is a psychiatric residential facility providing residential programming for young men. We are committed to providing hope and transforming the lives of children in our community. If you would like to join our professional team, then apply today. The Director of Quality/Risk is responsible for ensuring coordinated delivery of patient care in accordance with the established standards of care, mental health practice and hospital policy, goals, and objectives. This position assists in contributing to the hospital’s philosophy, objectives, educational and Performance and Improvement efforts. The Director of Quality/Risk will also ensure TJC/CMS/Arkansas Code compliance and act as liaison with said entities. Director of Quality/Risk responsibilities include the following: Ensure that all staff members deliver care in accordance with the Standards of Care and Practice. ​​​​ Implement the unit policies and procedures and act as a resource to the staff. Responsible for unit compliance with Joint Commission, HCFA, state and regulatory standards and patient rights standards. Evaluate program effectiveness and formulates plans for improvement. Coordinate the process for determining and maintaining accurate legal processes for patients. Ensure Safety and Risk Management policies are consistently implemented on the unit. Process unusual occurrence reports, conduct investigations and corrective plans when needed. ​​​​​​ Participate in performance improvement activities and is responsible for the effectiveness of the unit quality improvement program. Collaborate with case management to ensure patients receive timely quality care. Participate in the Nurse Staffing Committee meeting to help improve the safety of the hospital and ensure accurate recording and recordkeeping of meeting minutes. Attend and actively participate in the monthly Nurse Managers meeting. Report monthly PI and NPS Goals data to the DON and CEO. Effectively complete assigned rotation as the Administrator on Call (AOC). REQUIREMENTS: Qualifications and Education Bachelor’s degree from an accredited school of nursing; Master’s degree in psychiatric nursing or related field preferred. Experience Minimum one (1) year experience Nursing administration and/or dedicated leadership experience in psychiatric setting preferred. Thorough knowledge of Joint Commission, Medicare, OSHA regulations and all other state and federal regulatory standards strongly preferred. Certifications/Licensure CPR and Handle with Care certification. At least one-year previous experience in an acute behavioral health hospital preferred. Our benefits include the following: Service excellence and fulfilling work environment. 401(k) plan and company match Health Insurance Dental Insurance Vision Insurance Life Insurance Paid Time Off Supplemental Insurance Plans Available If you would like to learn more visit our website at https://perimeterhealthcare.com/careers. Perimeter Healthcare is one of the leading mental and behavioral health care providers in the country. We deliver hope to our patients through the delivery of comprehensive and dedicated treatment programs. Our focus and commitment on service excellence is available across several states and different care settings. Our team ensures you receive the required care that you or your loved one needs. We offer several settings for our patients including inpatient psychiatric hospitals, residential treatment centers as well as outpatient counseling and therapies. EEO We are committed to providing an environment of diversity and inclusion where equal opportunities are available to all applicants and fellow employees. Perimeter Behavioral Health is an equal opportunity employer regarding all recruitment, training, and selection process within the company regarding race, color, religion, age, sex, sexual orientation, pregnancy, and gender identity, genetic information, national origin, disability status, protected veteran status, or any other characteristic protected by federal, state, or local laws. Powered by JazzHR

Posted 5 days ago

Senior Risk Adjustment Analyst-logo
PacificSourceSpringfield, 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

Risk Advisory Internal Audit Senior Associate (Banking Operations)-logo
Cherry, Bekaert & Holland, L.L.P.Jeffersonville, IN
Ranked among the largest accounting and consulting firms in the country and consistently recognized as a Great Place to Work, Cherry Bekaert delivers innovative advisory, assurance and tax services to our clients. At Cherry Bekaert we create shared success through teamwork, energy, and expertise. We approach today's toughest business challenges with a client-first mindset, working together to create exceptional value. We are all committed to making a difference for our people, our clients, our community, and our professions. To meet this commitment, Cherry Bekaert will provide you with the space to pursue growth and development opportunities that will guide and support you at each stage of your personal and professional journey. In support of our growing Risk Advisory Services practice, we have an excellent opportunity for a Senior Associate (Financial/Operations) to join our team providing internal audit, regulatory compliance and risk management services to banks and financial institutions. As the level of regulatory and business complexity continues to increase, so has the need for specialized knowledge and focus. We have organized our firm to achieve that goal, providing our clients with deep knowledge, expertise and approaches in Regulatory Compliance, Internal Audit, Enterprise Risk Management, Technology Risk Management, and Operations and Process Improvement. While this role will require occasional travel to support the onsite needs of our clients, it provides hybrid flexibility to candidates in proximity to multiple offices within our footprint. If you are a current public accounting professional or internal bank auditor seeking an opportunity for career growth within a firm committed to investing in the power of the individual, keep reading. As a Senior Associate, you will: Work individually or as part of a team on executing client engagements with the support of a strong leadership team and professional peers committed to providing high-quality client service. Day-to-day tasks will include assessing the design and effectiveness of internal controls and performing risk reviews and assessments across key finance and operational areas, while actively monitoring assignments to ensure that they are progressing according to the allotted budget and timeframes. Professionals at this level will be entrusted to maintain ongoing client relationships, ensuring client satisfaction with engagements by providing value and encouraging and promoting additional services as needed. Typical engagements will be conducted for key areas including, but not limited to: FDICIA/SOX Credit Administration Trust Operations Asset Liability Management (ALM)/Interest Rate Risk (IRR) and Liquidity Investment and Borrowings Allowance for Credit Losses (ACL) Loan Review Accounting and Reporting (Finance) Lending Deposits What you bring to the role: Bachelor's degree in accounting, finance or related business field of study Willingness to pursue relevant professional certifications (i.e. CIA, CFSA, CBA, CPA, CFE) Minimum of 2+ years of related professional services or internal audit experience within a community bank/credit union (typical asset size $500M - $20B) Familiarity with applicable federal and state regulations Demonstrated analytical and time management skills as well as the ability to thrive within an entrepreneurial environment Outstanding relationship management, written and verbal communication, as well as presentation skills Strong working knowledge of Microsoft PC software and applications Ability to travel to client sites as needed, expected up to 20-25% What we offer you: Our shared values that foster inclusion and belonging include uncompromising integrity, collaboration, trust, and mutual respect The opportunity to innovate and do work that motivates and engages you A collaborative environment focused on enabling you to further your career growth and continuous professional development Competitive compensation and a total rewards package that focuses on all aspects of your wellbeing Flexibility to do impactful work and the time to enjoy your life outside of work Opportunities to connect and learn from professionals from different backgrounds and with different cultures Pay Range: $78,012 to $116,200 About Cherry Bekaert Cherry Bekaert, ranked among the largest assurance, tax and advisory firms in the U.S., serves clients across industries in all 50 U.S. states and internationally. For more details, visit https://www.cbh.com/disclosure/ Cherry Bekaert provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, citizenship status, protected veteran status, disability status, or any other category protected by applicable federal, state or local laws. https://careers.cbh.com/legal-disclosures/ contains further information regarding the firm's compliance with federal, state and local recruitment and hiring laws. This role is expected to accept applications for at least five calendar days and may continue to be posted until a qualified applicant is selected or the position has been cancelled. Candidates must demonstrate eligibility to work in the United States. Cherry Bekaert will not provide work sponsorship for this position. Cherry Bekaert LLP and Cherry Bekaert Advisory LLC are members of Allinial Global, an accountancy and business advisory global association. Visit us at https://careers.cbh.com/ and follow us on LinkedIn, Glassdoor, Instagram, Twitter and Facebook. 2025 Cherry Bekaert. All Rights Reserved. No Agency Candidates Please #LI-SG1 #LI-Hybrid

Posted 1 week ago

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First Horizon Corp.morrison, TN
Location:On site at any office location within the company's footprint. Summary At First Horizon, the Senior Model Risk Analyst validates statistical models developed for use by the Bank, including Stress Testing, Fraud, Generative AI, CECL, Economic Capital, Risk Ratings, econometric, and other statistical models. Primary Responsibilities Validates CECL, Stress Testing, Credit Scorecard, Fraud, Artificial Intelligence, and other economic and statistical models used by the Bank techniques. Critically evaluates the conceptual soundness of models and evaluates alternative theories. Extracts, evaluates, and assesses data from various source systems including the completeness, accuracy, and efficacy of the data for use in development and production environments. Designs and executes appropriate tests to determine whether models work as designed and monitors existing models for adequate performance. Evaluates model performance by analyzing model outputs, thresholds, and back-testing results. Work collaboratively with other model risk analysts as well as model owners, developers, and users. Effectively and succinctly documents test work and conclusions in reports that are shared with various stakeholders in the Bank as well as external parties such as external auditors and regulatory examiners. Assists and guides more junior analysts in testing approaches and report writing. Requirements M.S. degree in Mathematics, Computational Finance, Econometrics, Statistics, or related field. 7+ years' experience in model validation or development including statistical, econometric, Large Language Models, Machine Learning, or fraud models. Preferences 7+ years' experience validating Statistical, Econometric, Large Language models, Maching Learning, or Fraud models. Ph.D. preferred. Skills and Competencies Strong ability and training in various type of regression modeling, Generative AI and Machine Learning, Proficiency in R, Python, SAS, and Microsoft Office Ability to learn additional systems as needed. Ability to research, analyze data, and derive conclusions. Ability to work under pressure and meet deadlines. Strong verbal and written communication skills Strong organizational skills Ability to work within a collaborative team. About Us First Horizon Corp. (NYSE: FHN), with $82.6 billion in assets as of September 30, 2024, 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 Corporate Access Commitment: At First Horizon, we focus on what matters most to our associates, clients and the communities we serve. As we continue to evolve, we remain committed to an open and supportive workplace and providing opportunity and access to capital and counsel for all. Follow Us Facebook X formerly Twitter LinkedIn Instagram YouTube

Posted 30+ days ago

Sr. Credit Risk Review Analyst - Commercial Lending-logo
KnowhirematchCharlotte, NC
Sr. Credit Risk Review Analyst - Commercial Lending Charlotte, NC Join our highly skilled Credit Risk Review (CRR) team as a Senior Credit Risk Review Analyst specializing in Commercial Lending. CRR's primary objective is to provide timely and independent assessments of credit exposures and credit risk, with results reported directly to senior management and the Risk Committee of the Board of Directors. In this hybrid role (3 days in-office, 2 days remote), you'll provide independent, expert assessments of Commercial credit exposures. You may also take on the responsibility of  Reviewer in Charge , leading review engagements, managing reviewers, conducting portfolio analysis, and summarizing findings from credit file samples. Your deep understanding of commercial lending and credit risk practices will be crucial in providing valuable insights and recommendations to enhance our credit risk management. Responsibilities Execute Complex Reviews:  Independently assess complex credit and credit-related transactions, including facility structures and underwriting processes, leveraging your expert knowledge of credit policies and procedures. Understand inherent risk and the materiality of risk for credit transactions. Validate and Ensure Accuracy:  Validate scorecard risk ratings and borrower credit administration. Ensure a thorough understanding of portfolio issues, trends, and root causes to effectively manage credit portfolios. Independent Reporting & Communication:  Independently complete work papers, track issues, compile supporting documentation, and follow up on exam findings with business leaders. Act as a Second Level Reviewer and effectively communicate credit risk review objectives, outcomes, and recommendations for issue remediation. Risk Analysis & Monitoring:  Analyze risk in assigned credit portfolios by reviewing relevant reports and assessing trends. Provide expert analytical insights, identify risk concentrations, systemic trends, or issues, and participate in continuous monitoring for assigned portfolios. Leadership & Expertise:  Oversee file review activities of other reviewers as the Reviewer in Charge for assigned business segment(s). Perform assessments of file review results and findings to determine final ratings and draft review reports. Serve as an expert resource to the team. Market Acumen:  Demonstrate an expert understanding of the credit cycle and the impact of economic indicators on key driving metrics. Possess expert knowledge of how and where to leverage industry and economic research tools into the review process. Requirements Qualifications Extensive Credit Expertise:  Robust credit knowledge and strong experience in Commercial credit extension and management. Experience with Complex Transactions:  10+ years of Credit Risk or Credit Underwriting experience, specifically with larger, more complex transactions in Commercial, CRE, Corporate Banking, Leveraged Lending, Middle Market, etc. Communication Skills:  Strong verbal and written communication skills, with the ability to navigate and handle difficult conversations effectively with stakeholders. Banking Experience:  Experience at larger banks (asset size $80B+). Deal Size Exposure:  Experience with average deal sizes of $50MM. Underwriting Background:  Experience in underwriting for ABL, Business Banking, Corporate Banking/Mid-Market, or Lower Mid-Market commercial segments.   Benefits $125,000 to $175,000+ Full benefits package Bonus + Paid Relocation Assistance

Posted 30+ days ago

Manager/Sr. Manager - Consumer Credit Risk-logo
Tiger AnalyticsJersey City, NJ
Tiger Analytics is an advanced analytics consulting firm. We are the trusted analytics partner for several Fortune 100 companies, enabling them to generate business value from data. Our consultants bring deep expertise in Data Science, Machine Learning, and AI. Various market research firms, including Forrester and Gartner, have recognized our business value and leadership. We are seeking someone with a good blend of business consulting skills and a data analytics background. If you are passionate about working on unstructured business problems that can be solved using data, we would like to talk to you. Responsibilities • Develops Consumer Credit Review plan using a risk-based approach and executes the Consumer Credit Reviews across all consumer lending products covering credit cards, personal loans, and home equity loans), including performing a risk assessment on the overall portfolio. Collaborates with credit strategy teams to mitigate any identified credit risk concerns. Reports finding through the appropriate, established governance processes. • Interacts with business partners, senior management, governance committees, and regulators to present (both orally and written) Consumer Credit Review assessment results and analytic findings in a clear, complete, and concise manner. • Develops, manages, and maintains reporting and oversight of consumer credit risk appetite, tolerance, and thresholds. This includes the awareness of consumer credit strategies and the implications of changes in strategy to the profitability of the enterprise. • Develops and maintains credit-risk oversight processes, policies, and procedures in accordance with the overall Corporate Risk Management framework and system. • Implements and maintains independent credit risk portfolio reporting across all consumer lending products. Requirements  8+ years of experience in Statistics, Economics, Engineering, related quantitative field, equivalent internship, or research experience in lieu of a degree, 15+ years of experience in credit card, or related financial services industry Prior experience working in the credit Risk domain. Master's Degree in Statistics, Economics, Engineering, Finance, or related quantitative field.  Ph.D. in Statistics, Economics, Engineering, Finance, or related quantitative field. 10+ years of experience in Statistics, Economics, Engineering, related quantitative field, equivalent internship, or research experience. 10 + years of experience in credit review, credit risk management, or internal audit credit risk coverage function at a large financial institution. Knowledge and use of statistical packages such as SQL, SAS, Python, or other tools to mine,and extract complex consumer and transaction level data on big data and/or cloud computing platforms. Benefits Significant career development opportunities exist as the company grows. The position offers a unique opportunity to be part of a small, fast-growing, challenging, and entrepreneurial environment, with a high degree of individual responsibility.

Posted 30+ days ago

Sr. Credit Risk Review Analyst - Commercial Lending-logo
KnowhirematchCleveland, OH
Sr. Credit Risk Review Analyst - Commercial Lending Cleveland, OH Join our highly skilled Credit Risk Review (CRR) team as a Senior Credit Risk Review Analyst specializing in Commercial Lending. CRR's primary objective is to provide timely and independent assessments of credit exposures and credit risk, with results reported directly to senior management and the Risk Committee of the Board of Directors. In this hybrid role (3 days in-office, 2 days remote), you'll provide independent, expert assessments of Commercial credit exposures. You may also take on the responsibility of  Reviewer in Charge , leading review engagements, managing reviewers, conducting portfolio analysis, and summarizing findings from credit file samples. Your deep understanding of commercial lending and credit risk practices will be crucial in providing valuable insights and recommendations to enhance our credit risk management. Responsibilities Execute Complex Reviews:  Independently assess complex credit and credit-related transactions, including facility structures and underwriting processes, leveraging your expert knowledge of credit policies and procedures. Understand inherent risk and the materiality of risk for credit transactions. Validate and Ensure Accuracy:  Validate scorecard risk ratings and borrower credit administration. Ensure a thorough understanding of portfolio issues, trends, and root causes to effectively manage credit portfolios. Independent Reporting & Communication:  Independently complete work papers, track issues, compile supporting documentation, and follow up on exam findings with business leaders. Act as a Second Level Reviewer and effectively communicate credit risk review objectives, outcomes, and recommendations for issue remediation. Risk Analysis & Monitoring:  Analyze risk in assigned credit portfolios by reviewing relevant reports and assessing trends. Provide expert analytical insights, identify risk concentrations, systemic trends, or issues, and participate in continuous monitoring for assigned portfolios. Leadership & Expertise:  Oversee file review activities of other reviewers as the Reviewer in Charge for assigned business segment(s). Perform assessments of file review results and findings to determine final ratings and draft review reports. Serve as an expert resource to the team. Market Acumen:  Demonstrate an expert understanding of the credit cycle and the impact of economic indicators on key driving metrics. Possess expert knowledge of how and where to leverage industry and economic research tools into the review process. Requirements Qualifications Extensive Credit Expertise:  Robust credit knowledge and strong experience in Commercial credit extension and management. Experience with Complex Transactions:  10+ years of Credit Risk or Credit Underwriting experience, specifically with larger, more complex transactions in Commercial, CRE, Corporate Banking, Leveraged Lending, Middle Market, etc. Communication Skills:  Strong verbal and written communication skills, with the ability to navigate and handle difficult conversations effectively with stakeholders. Banking Experience:  Experience at larger banks (asset size $80B+). Deal Size Exposure:  Experience with average deal sizes of $50MM. Underwriting Background:  Experience in underwriting for ABL, Business Banking, Corporate Banking/Mid-Market, or Lower Mid-Market commercial segments.   Benefits $125,000 to $175,000+ Full benefits package Bonus + Paid Relocation Assistance

Posted 30+ days ago

A
Ash & Harris Executive SearchAtlanta, GA
Ash & Harris Executive Search is looking for an IT Audit Manager (Risk Advisory) Overview: Join a top-ranked public accounting firm’s award-winning Risk Advisory team as an IT Audit Manager. Lead high-impact engagements in SOX compliance, SOC readiness, and IT risk consulting while shaping client control environments. This role offers leadership growth, cross-industry exposure, and a dynamic hybrid work environment. Key Responsibilities: Lead IT audit, SOX, SOC, and cybersecurity engagements. Manage project scope, budgets, timelines, and deliverables. Oversee teams, review workpapers, and present findings to stakeholders. Guide clients through SOC readiness assessments and IT risk evaluations. Mentor staff and contribute to recruiting/training initiatives. Drive organizational change through clear communication of audit results. Requirements: Education: Bachelor’s degree in Accounting, Computer Science, MIS, or related field. Experiences: 5–10 years in IT audit, SOX, SOC, ISO, or cybersecurity. Hands-on experience with cloud/networks (AWS, Azure, Active Directory). Strong knowledge of IT General Controls. Other: Certifications: CISA, CISSP, CPA, CITP, or CIA required. Proven project/team management skills. Excellent communication and client service skills. Willingness to travel (<15%). Compensation and Benefits: Salary:  $100,000–$140,000 Benefits: 5 weeks PTO + wellness days. Competitive bonus + 401(k) match. Medical/dental/vision coverage. Tuition/certification reimbursement. Professional development and social events. Schedule: Full-time Work arrangement:  Hybrid

Posted 1 week ago

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Two95 International Inc.Oklahoma City, OK
Title: Information Security Risk Analyst Location: Oklahoma City, OK Type: Full-time Salary: DOE Requirement: Under senior staff supervision, assist in information security policy development, maintenance and auditing; security policy education, training, and awareness activities; monitor compliance with security policy and applicable law. Participate in risk assessment reviews, and assist with audit/compliance activities. Requirements RESPONSIBILITIES: Review policies and procedures related to Information Security and regulatory compliance. Engage in IT SOX, ISO 27001/2, and other compliance activities. Assist in implementation of SANS 20 Critical Security Controls. Participate in risk assessments for projects. Engage in process review and improvement, document as required. Be prepared to deliver security awareness and policy training. Actively seek to expand individual skills through research, training, and collaboration with peers. Monitor information security news for emerging threats, technologies, and regulations that could have an impact on the security of Client’s processes, systems, and applications. Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations. Work flexible hours, including weekends and evenings. Availability to respond to emergency situations. Perform additional duties and assignments as requested. Education/Certification: Bachelor’s Degree required, CS, MIS or related field preferred Industry Certification (ISACA, ISC2, GIAC) highly preferred Experience with SOX/SOC/ISO/Privacy Shield/GDPR compliance highly preferred Experience Required: 3 years of IT risk management, IT audit or regulatory compliance, business continuity, and/or policy and procedure experience Knowledge/Skills/Abilities: Information security standards such as ISO 27001/2, SANS 20 Critical Controls Strong analytical and problem solving skills Excellent written and verbal communication skills Note: If interested please send your updated resume and include your rate requirement along with your contact details with a suitable time when we can reach you. If you know of anyone in your sphere of contacts, who would be a perfect match for this job then, we would appreciate if you can forward this posting to them with a copy to us. We look forward to hearing from you at the earliest!

Posted 30+ days ago

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Ramp Business CorporationNew York City, NY
About Ramp At Ramp, we're rethinking how modern finance teams function in the age of AI. We believe AI isn't just the next big wave. It's the new foundation for how business gets done. We're investing in that future - and in the people bold enough to build it. Ramp is a financial operations platform designed to save companies time and money. Our all-in-one solution combines payments, corporate cards, vendor management, procurement, travel booking, and automated bookkeeping with built-in intelligence to maximize the impact of every dollar and hour spent. But we're not just building features powered by AI. We're building a platform where agents can chase receipts, close books, flag risks, and surface insights. This enables teams to reclaim their time and reinvest in what matters. More than 40,000 businesses, from family-owned farms to space startups, have saved $10B and 27.5M hours with Ramp. Founded in 2019, Ramp powers the fastest-growing corporate card and bill payment platform in America, and enables over $80 billion in purchases each year. Ramp's investors include Thrive Capital, Sands Capital, General Catalyst, Founders Fund, Khosla Ventures, Sequoia Capital, Greylock, and Redpoint, among others, in addition to 100+ angel investors who have been founders or executives of leading companies. Ramp has been named to Fast Company's Most Innovative Companies list and LinkedIn's Top U.S. Startups for more than 3 years, as well as the Forbes Cloud 100, CNBC Disruptor 50, and TIME Magazine's 100 Most Influential Companies. About the Role As an early member of Ramp's Risk Strategy & Operations, you will drive operational initiatives related to underwriting, customer risk management, and fraud. This role requires an understanding of underwriting processes, fluency with data, and the ability to analyze risk vectors such as credit and fraud risks. We take our responsibility to serve our customers' commitment to their financial health seriously, and our approach is anchored in data-driven and systematic decisions to delight our customers. Weekend work is required for this role, with the flexibility to choose either Saturday or Sunday each week to support underwriting operations. What You'll Do Develop and execute Ramp's risk underwriting policy used to onboard new business to the Ramp platform across corporate credit card and bill pay products Build and maintain monitoring dashboards for underwriting outcomes, processes and losses Partner with product and engineering to build best in class risk tooling to increase operations efficiency Research emerging underwriting and fraud trends to innovate on Ramp's decisioning systems and policies Provide best in class customer experience, while managing credit and fraud risk, by effectively managing customer support requests on their application over phone and email Have the ability to grow, develop and learn in a fast-paced, start-up environment What You Need Minimum 1-2 years of experience in Underwriting, Credit Risk Management or Fraud Risk Management Experience within consumer/corporate/small business cards, payments, invoices, lending, or related industries Excellent written and verbal communication skills Strong background in customer support via email Investigative and critical thinking skills BA/BS from an accredited university Nice-to-Haves Experience in high growth startups Experience building complex financial products Knowledge of SQL or Python Strong background in customer support via phone Compensation For candidates located in NYC or SF, the pay range for this role is $80,800 - $140,700. For candidates located in all other locations, the pay range for this role is $72,700 - $126,600. Benefits (for U.S.-based full-time employees) 100% medical, dental & vision insurance coverage for you Partially covered for your dependents One Medical annual membership 401k (including employer match on contributions made while employed by Ramp) Flexible PTO Fertility HRA (up to $5,000 per year) WFH stipend to support your home office needs Wellness stipend Parental Leave Relocation support to NYC or SF (as needed) Pet insurance Referral Instructions If you are being referred for the role, please contact that person to apply on your behalf. Other notices Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Ramp Applicant Privacy Notice

Posted 30+ days ago

Governance, Risk, And Compliance Manager Or Senior Manager - Public Sector With State Government And Higher Ed. Focus-logo
WeaverAustin, TX
The Weaver Experience Weaver is a full-service national accounting, advisory and consulting firm with opportunities for professionals in many different fields. We seek to bring a human element to the world of accounting, which includes creating a diverse, collaborative and entrepreneurial workplace culture. Our leaders truly care about the well-being of all our employees and encourage them to pursue their ambitions. While our business is based in numbers, our success is truly based on people. It's why we commit to supporting our people not just in their professional growth, but also in their ability to lead balanced, integrated lives. At the foundation of that commitment are our core values. Weaver's core values were created specifically to empower our people to deliver extraordinary service and be their best selves. Our goal is to balance high development with high performance in order to meet the long-term goals of each individual, team and our firm. Learn more about our services, industry experience and culture at weaver.com. Position Profile Weaver's Governance, Risk and Compliance (GRC) team is looking for a dynamic, experienced Manager or Senior Manager to join our growing Public Sector practice. The ideal candidate will have depth in providing internal audit, compliance and consulting to state agencies, regional governmental organizations, public healthcare and/or higher education institutions. This position will focus on serving clients in the Austin, TX market as wells as supporting growth of our Public Sector practice nationally. Client projects will include: Risk assessments designed to identify critical client risks, processes and areas for in-depth internal audits Risk based, value-oriented internal and compliance audits Consultative engagements to reengineer client processes to mitigate risks and increase efficiency and effectiveness of operations Performance audits or organizational operations In additional to technical expertise, the ideal candidate will be skilled at building and maintaining client relationships, will have experience in meeting with executive management, and delivering audit reports to audit committees and boards. Candidates should have experience in fostering relationships within the local team and have experience supporting direct reports in career and professional development. They work closely with department leadership and play a key role in business development, engagement economics, presentations to key stakeholders, and meeting client expectations. This individual will be provided opportunities to represent Weaver in the local and national public sector market and helping develop new business opportunities. To be successful in this role, the following qualifications are required: Bachelor's degree in Accounting, Finance, Business Management, Public Administration, or a related field CPA, CIA or other relevant certification 5-7+ years serving in a client service role, organizational experience in internal audit or compliance, or consulting experience Advanced understanding of governmental business environments at the state, public healthcare, and/or higher education levels and the associated compliance and risk requirements Advanced understanding of compliance, internal audit, risk, COSO internal control framework, IIA Global Audit standards, and GAGAS yellow-book related requirements Advanced ability to perform government related research and interpret statutes and regulations for federal, state, and local entities Advanced professional writing skills and executive presence and communication ability to the Executive and Board level Strong project management, independent thinking, and decision-making skills Strong relationship management and practice development skills Strong experience with building and providing presentations and briefings to senior management and boards is preferred Experience in managing, mentoring and developing staff Additionally, the following qualifications are preferred: Master's degree in Accounting, Finance, Public Policy, Public Administration or a related field is preferred, relevant industry experience will be taken into consideration Experience supervising 2 to 5 or more individuals and proven ability to manage and develop staff Extensive internal audit or consulting experience with a variety of industries and types of audits for government agencies and entities Ability to attract and service new clients and expand services to existing clients Involvement in professional organizations, such as IIA, AHIA, ALGA, AICPA, etc. Weaver Benefits At Weaver, our most valuable resource is our people. We take the time to evaluate our employees' wants and needs and invest our resources accordingly. Weaver offers competitive health benefits, such as medical, dental, vision, disability, life insurance, and a 401(k) plan. Further, we support our employees by offering flexible scheduled time off (STO), a minimum of 56 hours of sick and safe leave, 11 holidays, and 2 scheduled recharge days! Learn more here - Weaver benefits. We also offer in-house CPE and learning opportunities through our internal L&D department. Our multi-faceted internal learning program including technical improvement, practice development, management/leadership training, and whole-life growth. Our goal is to balance both high development with high performance to meet the long-term goals of each individual, team, and our firm. WeaverLEAD We are committed to investing in the strength of our team. That is why we have created an internal leadership coaching program to train leaders to support other leaders at every level of the organization. The goal of WeaverLEAD is to inspire the growth and development of our leaders by: Leaning into the experience of exploring new ideas for each individual's growth as a leader. Engaging the coaching mindset at work with new ways of thinking about challenges and opportunities. Adapting to the transformation that takes place as a result of participating in the program. Developing yourself and others with coaching competencies to create a firm-wide culture of coaching. People are our formula! At Weaver, we recognize that everyone brings different strengths, backgrounds, and working styles to our team. We cultivate a safe and inclusive work environment that celebrates each individual's unique qualities through visibility, progression, advocacy, and support. We are proudly an equal opportunity employer. What's next? Interested applicants should apply directly to the job posting. You may apply to multiple roles. Be sure to upload your most recent resume and ensure that it is attached to your application. By registering, you are only activating an account and creating a presence. Please apply directly to a position of interest. You will receive a confirmation email after completing an application for a role. After reviewing your application, a friendly Weaver Recruiter will contact you soon and walk you through the hiring process. Thank you for exploring a career with us. We look forward to meeting you! Currently, we are not accepting resume submissions from third-party staffing agencies for this role. This role is Employee Referral Program eligible. #LI-Hybrid

Posted 30+ days ago

CareBridge logo

Medicare Risk Adjustment Advanced Analytics Consultant

CareBridgeChicago, IL

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Job Description

Medicare Risk Adjustment Advanced Analytics Consultant

On-Site Requirement: Hybrid 1; This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Medicare Risk Adjustment Advanced Analytics Consultant is responsible for employing advanced analytics to gain critical insights into Medicare and ACA risk adjustment performance, retrospective and prospective risk adjustment initiatives, operational effectiveness and efficiencies, provider performance, and population health. This role will consult with business leaders and internal partners to apply the insights to drive risk adjustment program innovation and enhancement, to target the right members for the right service, to measure program outcomes, and to support information-based strategic decision making.

How You Will Make an Impact

Primary duties may include, but are not limited to:

  • Provides analytical insights to support business solution development for Medicare and ACA risk adjustment initiatives.

  • Analyzes and develops SAS and SQL programming to support Medicare and ACA risk adjustment programs

  • Performs data mining and data-driven analyses to evaluate historical program performance and to inform current operating decisions.

  • Participates in peer-to-peer review process to reduce report writing errors and rework.

  • Assists in training of actuarial trainees, analysts, and specialists.

  • Consults on all considerations related to designing and executing tests or pilot programs.

  • Contributes to the design of new program/initiative based on test/pilot outcomes.

  • Develops targeting criteria or customer segmentation based on analytical insights, clinical inputs, product design and operations considerations.

  • Develops predictive models and other tools that help target the right members.

  • Develops methodology to measure clinical, utilization and financial outcomes of a program/initiative.

  • Conducts in-depth research to address challenging issues in measuring outcomes.

Minimum Requirements:

  • Requires MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research and a minimum of 5 years' experience in related health care analytics; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, & Experiences:

  • Advanced expertise with SAS or equivalent analytical tools and comprehensive experience with Teradata, SQL, or equivalent database tools strongly preferred.

  • 5+ years of risk adjustment analytics experience for government programs.

  • Proven written and verbal communication skills in a collaborative environment.

  • Comfortable with sharing complex ideas or findings with senior leaders.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $103,664 to $196,416 annually.

Locations: Colorado, Illinois, New Jersey, Maryland, Minnesota, and New York

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee

remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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