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The Development Risk Manager is responsible for planning and monitoring the lifecycle of assets while analyzing performance, risks, and costs. They provide authoritative recommendations on technical and professional solutions to improve business performance and support research programs.
Conduct workers' compensation investigations and perform video surveillance to identify potential fraud. Prepare detailed investigative reports and collaborate with clients or law enforcement as necessary.
The Risk Manager leads quantitative risk analysis using Monte Carlo simulations and develops comprehensive risk management plans across multiple projects. They are responsible for driving risk identification, mitigation actions, and governance while ensuring cross-functional alignment with project management and stakeholders.
The Fraud Review Specialist processes member fraud and dispute claims while reviewing system-generated reports to detect suspicious activity. They also assist in preparing status reports, budget projections, and trend analysis to protect credit union assets.
The Risk Adjustment Coding Analyst provides operational and analytical support by developing dashboards, monitoring performance, and summarizing data trends for leadership. They partner with teams to resolve data issues, document processes, and ensure business continuity through accurate reporting.
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Conduct clinical risk assessments for senior living accounts to identify hazards and evaluate the effectiveness of controls. Partner with underwriting and clients to deliver customized risk management solutions that improve safety and operational resilience.
The role involves supporting catastrophe risk research, actuarial analysis, and the development of risk models to quantify physical property and weather-related exposures. You will collaborate with business partners to translate complex risk data into actionable insights and ensure model outputs are accurate and decision-useful.
The Director will define and execute the company-wide GRC strategy, roadmap, and operating model while building and leading a high-performing team. They will oversee compliance certifications, enterprise risk governance, and customer trust initiatives to ensure the organization scales securely.
The Lead Operational Risk Manager will lead complex analytical and risk oversight initiatives, including AI model validation and responsible AI adoption. They will also partner with cross-functional teams to identify risks, evaluate business safeguards, and provide clear recommendations to executive stakeholders.
The Risk Governance Program Manager oversees enterprise risk governance programs, coordinates cross-functional stakeholders, and manages strategic initiatives. This role supports executive and Board risk oversight while serving as the business owner for designated risk systems and programs.
The Director of Payments Risk will own the risk strategy, operating system, and team execution to ensure scalable and balanced risk management. They will partner with product, engineering, and finance teams to build risk requirements into the roadmap and drive automation in risk operations.
This role is responsible for managing risk adjustment vendor strategy, performance measurement, and analytics to optimize operational outcomes. The manager will lead contract negotiations, oversee vendor relationships, and ensure accurate KPI reporting across various health programs.
The analyst coordinates and delivers human risk program activities, including security training, simulated phishing campaigns, and awareness communications. They also manage workstreams, draft learner communications, and maintain audit-ready documentation to ensure compliance and risk mitigation.
You will investigate large datasets to identify fraud patterns and develop machine learning models for fraud detection across various risk areas. Additionally, you will write clean, efficient code to deploy these models into production environments and monitor their performance over time.
The manager leads the strategy and execution of provider-facing risk adjustment initiatives while managing cross-functional program delivery. They are responsible for establishing provider engagement models, analyzing performance data, and driving measurable improvements in documentation and coding outcomes.
You will explore complex datasets to identify fraud patterns and build machine learning models for fraud detection across various risk areas. Additionally, you will collaborate with senior team members to translate fraud questions into testable hypotheses and ensure models are production-ready.
The Director leads the end-to-end InvestorLine operations ecosystem, focusing on service resilience, risk management, and operational excellence. They drive continuous improvement through digital enablement and process optimization while ensuring frontline readiness and regulatory compliance.
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The AI Risk Engineer will lead the design and implementation of security controls, threat models, and incident response capabilities for AI and machine learning systems. This role involves securing LLM workflows, training pipelines, and AI-powered applications against threats like prompt injection and data exfiltration.
The VP, Cybersecurity, Risk & Compliance serves as Deputy CISO, leading enterprise security strategy, architecture, and operations while enabling rapid technology delivery. They are responsible for building security guardrails, managing AI governance, and overseeing risk management and compliance programs across the global organization.
The Sales Executive will drive the adoption of pharmacogenomic and hereditary cancer testing by educating healthcare providers in mental health and primary care settings. They are responsible for developing territory-specific business plans, building professional relationships, and delivering clinical presentations to meet sales targets.
The analyst will conduct cybersecurity risk assessments, compliance reviews, and continuous monitoring to ensure alignment with Federal security requirements. They will also collaborate with stakeholders to develop policies, track compliance issues, and support audit activities.
The Risk Operations Analyst will manage risk relationships with global financial partners and build operational controls to mitigate user and partner risk. They will also analyze trends, optimize due diligence strategies, and collaborate with cross-functional teams to enhance detection systems.
This role performs care management for high-risk members within commercially risk-adjusted populations to improve health outcomes and ensure appropriate care. The RN will develop individualized care plans, coordinate transitions across the continuum of care, and execute clinical outreach strategies based on analytical insights.
The associate provides support across claims, loss control, and risk analytics by assisting with client reporting, data management, and risk financing analysis. They work collaboratively with account teams to support client risk management programs and advise customers on improving their risk profiles.
Develop and maintain credit risk models, scorecards, and analytical frameworks to support underwriting and portfolio monitoring. Collaborate with cross-functional teams to productionize machine learning solutions and deliver actionable insights for credit strategy.
The Director provides enterprise-level leadership and governance oversight to develop and maintain the System-wide Enterprise Risk Management (ERM) program. They serve as a strategic advisor to executive leadership by monitoring the regulatory landscape and facilitating enterprise risk assessments to support informed decision-making.
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Lead comprehensive security risk assessments across engineering, IT, and business functions to maintain a clear risk posture. Partner with internal teams to drive remediation of identified risks and report metrics to leadership.
The associate provides support across claims, loss control, and risk analytics by assisting with client reporting, data management, and risk financing analysis. They work collaboratively with account teams to support client risk management programs and advise customers on improving their risk profiles.
The Coder I is responsible for conducting accurate and compliant diagnosis code abstraction for various risk-adjustment programs. They must communicate findings and improvement opportunities to team leadership while adhering to official coding guidelines.
The VP of Sales will drive revenue growth and manage key client relationships within the Risk Adjustment and Quality healthcare market. This role involves executing sales strategies, managing the sales pipeline, and collaborating cross-functionally to ensure client satisfaction and product alignment.
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