Job Title | Location | Description | Posted** |
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Senior Model Risk Analyst - Remote
Optum |
Draper, UT
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Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care pharmacy benefits data and resources they need to feel their best. Here you will find a culture guided by inclusion talented peers comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Optum Bank Model Risk Analyst Sr. will be responsible for planning and executing on model governance and model validations in alignment with the Bank’s Model Risk Management (“MRM”) governance framework. The Model Risk Analyst Sr. will work with model owners other MRM analysts and upper management to ensure model documentation and risk management processes are implemented appropriately to meet business needs/regulatory obligations and ensure appropriate governance processes are followed and documented in all phases of the model lifecycle: model development use calibration/validation and decommissioning. Responsibilities will also include stress testing back testing replication testing and effective challenge of the Bank’s models during internal validations including but not limited to fixed income fraud financial forecasting capital adequacy liquidity credit underwriting and credit loss models. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Ensure model owner compliance with MRM procedures and standards especially during model implementation and development phases Document model policies methodologies and processes when appropriate Maintain and recommend enhancements to the Model Inventory tracking and Model Risk Assessment for each model Validate that appropriate level of documentation is completed for each model or non-model tool Lead internal and external model validations Stress testing back testing replication testing and effective challenge of the Bank’s models during internal validations including but not limited to fixed income fraud financial forecasting capital adequacy liquidity credit underwriting and credit loss models Provide challenge to model implementation model performance and model validation processes ensuring adherence to appropriate MRM standards Prepare and present recommendations to the Bank’s Risk Review Council Assist the Bank in advancing its Model Risk governance framework and model risk program Prepare items for internal audits and regulatory exams You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor’s degree in Finance MIS Quantitative Finance Mathematics Statistics Economics Finance or a related field with a focus on financial modeling 5+ years of experience working in a bank or other financial institution with duties focused on documenting policies standards and procedures related to implementing sound risk management practices methods tools and processes 3+ years in developing and implementing quantitative models CECL and internal credit ratings within a financial institution or relevant industry 3+ years of experience with Microsoft Office PowerPoint (creating and executing presentations) and Excel (Pivot Tables VLOOKUP Advanced Formulas Formatting etc.) 2+ years of programming experience in high-level programming languages such as SQL with Python with experience in data manipulation and analysis Functional knowledge in meeting regulatory expectations and standards in all phases of the model development use and maintenance process Preferred Qualifications: Degree or professional certification in model risk management or related area CECL model development implementation or execution experience for Commercial Real Estate (CRE) and consumer lending portfolios Power BI experience Regulatory experience in assisting with regulatory examinations In-depth knowledge of statistical modeling techniques econometrics time-series analysis and risk management principles Proven to be assertive self-starter with solid verbal and written skills Proven ability to analyze manage and resolve complex issues with attention to detail Proven ability to interpret governmental regulations regulatory guidance and manuals and implement appropriate policies and procedures to ensure compliance All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets education work experience certifications etc. In addition to your salary we offer benefits such as a comprehensive benefits package incentive and recognition programs equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71200 to $127200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race gender sexuality age location and income–deserves the opportunity to live their healthiest life. Today however there are still far too many barriers to good health which are disproportionately experienced by people of color historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race national origin religion age color sex sexual orientation gender identity disability or protected veteran status or any other characteristic protected by local state or federal laws rules or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Senior Data Analyst - Remote - Risk Management - Full Time - Days
ProMedica |
Toledo, OH
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Job Description: The Senior Data Analyst is responsible for developing accurate and consistent methods of aggregating and reporting quality monitoring data. Provides support for the continuous quality improvement process which monitors clinical outcomes and resource management throughout the health care delivery system. Incorporates the philosophy and mission of ProMedica in all services provided. As an integral part of the core team continuously validates customer expectations by taking appropriate and timely actions. ACCOUNTABILITIES All duties listed below are essential unless noted otherwise 1. Responsible for the routine data management/maintenance of Quality and Safety data systems. Develops coordinates implement data collection integrity verification reporting and analysis for various data systems. Continuously evaluates databases for effectiveness. 2. Develops monitors and executes reports that support process improvement benchmarking core measures physician credentialing clinical protocols risk management infection prevention and all other quality initiatives. 3. Collaborates with associates across the continuum of care to provide accurate reports of data in statistical and graphic displays which monitor and evaluate quality related activities. 4. Maintains confidentiality of all data records reports and incidental information collected in the quality and risk management process in accordance with department and hospital policies. 5. Maintains data extract programs and provides timely submittal of data. 6. Serves as administrator and ProMedica liaison for various applications and vendors related to healthcare quality analysis and reimbursement including but not limited to Midas (Core Measures) Press Ganey (patient satisfaction) Ohio Hospital Association Michigan Hospital Association National Healthcare Safety Network (NHSN) and any other applicable software applications under the Quality and Safety purview. 7. Develops monitors and evaluates the design and implementation of both clinical and nonclinical databases. 8. Keeps associates informed and up to date. Serves as liaison to external suppliers’ customers of databases. 9. Performs all other duties as requested. This position is remote ideally within 120 miles from Toledo OH. Onsite training will be offered and some in office meetings will be required. Pay Range: $17.00 - $32.95 Education: Associate or Bachelor degree required or equal work experience. Skills: Must have good communication skills including verbal communication and in writing to all levels of hospital staff medical staff and community members. Must be able to operate a personal computer and equipment as needed with speed accuracy and attention to detail. Must be able to use Microsoft office products with previous experience with computer database software (i.e. Access). Must be proficient in Excel and able to develop dashboards graphs complex formulas and pivot tables. Must be able to navigate EPIC to perform chart reviews and harvest data. Must be able to create reports and extract data from WEBI and financial applications (i.e. Strata). Must be able to merge data from multiple data applications to meet reporting and/or regulatory needs. Must have initiative motivation and the ability to work independently with a minimum of supervision. Must have strong working knowledge of medical terminology medical records processing and basic statistical analysis. Must have knowledge of medical record process. Years of Experience: 3-5 years License: N/A Certification: N/A PREFERRED QUALIFICATIONS Skills: Computer database design capability and knowledge of ICD10 MS-DRG’s and CPT coding. Coding and development in SQL. Reporting and data visualization using software (i.e. Tableau). Certification: RHIA or RHIT WORKING CONDITIONS Personal Protective Equipment: N/A Physical Demands: Must be able to work under stress for limited periods of time. Must be able to travel to multiple locations. Significant sitting and standing to use computer telephone etc. Occasional pressure due to multiple calls and inquiries. ProMedica is a mission-driven not-for-profit health care organization headquartered in Toledo Ohio. It serves communities across nine states and provides a range of services including acute and ambulatory care a dental plan and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1300 health care providers through ProMedica Physicians and has more than 2300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica please visit promedica.org/aboutus.
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Security Data and Risk Analyst, Mid-Level (Remote)
Jobright.ai |
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Jobright is an AI-powered career platform that helps job seekers discover the top opportunities in the US. We are NOT a staffing agency. Jobright does not hire directly for these positions. We connect you with verified openings from employers you can trust. Job Summary: Ivanti is a global technology leader that focuses on automating IT asset management and security. The Security Data and Risk Analyst will be responsible for leading risk management functions creating awareness around security metrics and enabling effective reporting to support corporate objectives. Responsibilities: • Taking ownership of and creating awareness around security-relevant key performance and key risk indicators • Creating dynamic dashboards and presentations • Managing the Security Council workstreams including coordinating stakeholders updates • Tracking and reporting on key milestones/objectives • Supporting weekly briefs • Enabling multi-tiered risk and security reporting • Understand and speak to corporate and technology information/cyber security from experience in different environments • Articulate risk and risk management as realistic measurable harm • Develop and implement structured effective and data-driven reporting metrics and dashboards • Coordinate chair and/or present data to management leadership and C-suite stakeholders in their languages • Develop automation for data gathering analysis and presentation • Educate as well as inform audiences of a wide variety of security and risk expertise including building libraries of material to support understanding of benefits and costs of security management • Perform additional job duties as required • Evaluate information for honesty accuracy and relevance • Communicate complex information concepts or ideas in a confident and well-organized manner • Prepare and present briefings Produce technical documentation • Function effectively in a dynamic fast-paced environment • Think critically Work autonomously and manage time projects and tasks effectively • Understand the basic concepts and issues related to cyber and its organizational impacts Qualifications: Required: • A minimum of a bachelor’s degree preferably in information systems or data analytics with three years security experience or a degree in any field plus five years security experience. • Five years minimum (can overlap with security experience) conducting reporting operations such as presentations metrics dashboards KPIs KRIs OKRs. • Two years full time or aggregated over longer period executing/leading project management efforts in a technology-related arena. • Can show evidence has created effective KPIs KRIs and OKRs and a means to measure and report each. • Familiarity with the following: NIST ISO SOC2 FedRAMP Privacy GDPR and DORA principles. • Experience with cloud onprem corporate remote and transformative environments. Preferred: • Project Management information technology/security lead experience that included building own metrics and presentations. • Risk Management information security/cybersecurity lead experience including building own metrics presentations. • FAIR (Factor Analysis of Information Risk) modeling experience and expertise. • Security certifications (ex. CISSP) Project Management certifications (ex. PMP) Risk Management certifications (ex. COBIT CRISC) or Information Technology certifications (ex. ITIL) Company: Ivanti automates IT and Security Operations to discover manage secure and service from cloud to edge. Founded in 1985 the company is headquartered in South Jordan Utah USA with a team of 1001-5000 employees. The company is currently Late Stage. Ivanti has a track record of offering H1B sponsorships.
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AVP Enterprise Risk Management Analyst (Remote or Hybrid)
The Bancorp, Inc. |
Wilmington, DE
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Overview Work Arrangement: This position is available as fully remote or hybrid depending on the location to our Wilmington DE or Sioux Falls SD office. The Assistant Vice President (AVP) Enterprise Risk Management Analyst will be responsible for developing implementing and maintaining a comprehensive inventory of processes risks and controls within the financial institution. This role requires a strategic thinker with a deep understanding of regulatory requirements and risk management frameworks. The AVP will also ensure compliance with regulatory requirements and provide ongoing risk assessments and solutions to protect the institution's assets and reputation. This role is pivotal for ensuring the company’s long-term success and compliance with regulatory standards. The ideal candidate will possess a balance of strategic vision and hands-on experience in risk management. Responsibilities Essential Functions Develops and maintains an inventory of processes risks and controls to support the organization's risk management framework. Facilitates business working sessions and help with the collection and organization of inventory documentation and data. Assists in assessing risks associated controls and their effectiveness while adhering to policies and developing enterprise reporting and documentation. Ensures compliance with applicable laws rules and regulations. Ensures requirements of the Enterprise Risk Management Policy Process Risk and Control (PRC) Business Standard and Risk and Control Self-Assessment (RCSA) Business Standard are implemented. Provides second line effective debate and challenge of business inventories and risk assessments. Collaborates with cross-functional teams to drive consistent PRC documentation across the organization. Provides leadership and guidance on best practices for risk management and control processes. Prepares and presents reports on risk management activities and outcomes to senior management and stakeholders. Stays updated on industry trends regulatory changes and emerging risks to proactively adjust strategies and processes. Develops and maintains process maps to show end-to-end process flows of documented PRC processes. Identifies process deficiencies and escalates applicable issues to management. Assists in the transition of PRC documentation into the Governance Risk Compliance (GRC) system of record from business requirements to user acceptance testing and implementation. All other duties as assigned. Qualifications Education/Experience Requirements Bachelor's degree in Finance Business Administration Risk Management or a related field. A minimum of 3 years’ experience in risk management regulatory compliance and process improvement within a financial institution. Strong knowledge of financial regulations and industry standards. Excellent analytical problem-solving and decision-making skills. Ability to communicate complex information clearly and effectively to various stakeholders. Proven leadership and organizational skills. Preferred Requirements A Post Graduate Degree or Industry Qualification preferred. Moderate to strong working knowledge of the financial services industry products and services. Understanding of risk management concepts and principles including Enterprise Risk Management and Third-Party Risk. Strong analytical data problem-solving and decision-making skills with high attention to detail and accuracy. Excellent verbal written and interpersonal communication skills. Excellent organizational skills with the ability to prioritize and organize work to meet deadlines. Proficient in Microsoft Office suite e.g. Excel PowerPoint Word Outlook Visio and other programming skills. Position will require occasional travel. Background & EEO Statement This job will be open and accepting applications for a minimum of five days from the date it was posted. This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location. We offer competitive pay that varies based on individual experience qualifications and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more you are welcome to discuss with us as you move through the selection process. The Bancorp Bank N.A. is an EQUAL OPPORTUNITY EMPLOYER and will not discriminate on the basis of race color religion gender gender identity sexual orientation pregnancy citizenship national origin age disability genetic information veteran status or other protected category with respect to recruitment hiring training promotion and other terms and conditions of employment. Employment with The Bancorp Bank N.A. includes successfully passing a background check including credit criminal education employment OFAC and social media background history.
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Senior Business Analyst, Risk, Liability and Claims *Remote*
Providence Health & Services |
Washington, DC
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Description ReqID: 378892 Job Category: General Operations Shift: Day Schedule: Full time Work Location: Providence System Offices Discovery Park-Irvine Providence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused whole-person care built on understanding commitment and mutual respect. Your voice matters here because we know that to inspire and retain the best people we must empower them. Providence is calling a Senior Business Analyst - Risk Liability & Claims who will: Be responsible for providing required reports and analysis to stakeholders on scheduled basis. Serve as risk/claims data consultant/subject matter expert. Be an excellent communicator Synthesize complex risk data into understandable outputs Develop risk and claims based strategic insights tools resources and reports for leadership consumption. Gain actionable insights from internal tools and other claims data sources to provide thought leadership to department leaders. Engage in brainstorming sessions focused on innovating and improving risk data management and reporting. Providence welcomes 100% remote work for applicants who reside in one of the following States: Alaska Washington Oregon Montana California Texas Providence caregivers are not simply valued – they’re invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused whole-person care built on understanding commitment and mutual respect. Your voice matters here because we know that to inspire and retain the best people we must empower them. Required qualifications: Bachelor's Degree in Health Informatics BSE BBA Statistics Computer Science or a related field. or an equivalent combination of education and experience 4 years of experience communicating with healthcare leadership and front-line caregivers. 2 years of experience working with healthcare claims and/or Electronic Medical Record billing data. Preferred qualifications: 2 years of experience writing complex SQL queries. 2 years of Management consulting or technical consulting experience. Salary Range by Location: AK: Anchorage: Min: $40.11 Max: $62.27 AK: Kodiak Seward Valdez: Min:$41.81 Max: $64.91 California: Humboldt: Min:$41.81 Max: $64.91 California: All Northern California - Except Humboldt: Min: $46.91 Max: $72.82 California: All Southern California - Except Bakersfield: Min:$41.81 Max: $64.91 California: Bakersfield: Min: $40.11 Max: $62.27 Idaho: Min: $35.69 Max: $55.41 Montana: Except Great Falls: Min: $32.29 Max: $50.13 Montana: Great Falls: Min: $30.59 Max: $47.49 Oregon: Non-Portland Service Area: Min: $37.39 Max: $58.05 Oregon: Portland Service Area: Min: $40.11 Max: $62.27 Texas: Min: $30.59 Max: $47.49 Washington: Western - Except Tukwila: Min:$41.81 Max: $64.91 Washington: Southwest - Olympia Centralia & Below: Min: $40.11 Max: $62.27 Washington: Tukwila: Min:$41.81 Max: $64.91 Washington: Eastern: Min: $35.69 Max: $55.41 Washington: Southeastern: Min: $37.39 Max: $58.05 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well growing professionally and achieving financial security. We take care of you so you can focus on delivering our Mission of caring for everyone especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits including paid time-off happen for various reasons. These reasons can include changes of Legal Employer FTE Union location time-off plan policies availability of health and welfare benefit plan offerings and other various reasons. About Providence At Providence our strength lies in Our Promise of “Know me care for me ease my way.” Working at our family of organizations means that regardless of your role we’ll walk alongside you in your career supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued and everyone is essential heard and respected. Together our 120000 caregivers (all employees) serve in over 50 hospitals over 1000 clinics and a full range of health and social services across Alaska California Montana New Mexico Oregon Texas and Washington. As a comprehensive health care organization we are serving more people advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching health care benefits (medical dental vision) life insurance disability insurance time off benefits (paid parental leave vacations holidays health issues) voluntary benefits well-being resources and much more. Learn more at providence.jobs/benefits. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska California Montana New Mexico Oregon Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race color gender disability veteran military status religion age creed national origin sexual identity or expression sexual orientation marital status genetic information or any other basis prohibited by local state or federal law. We believe diversity makes us stronger so we are dedicated to shaping an inclusive workforce learning from each other and creating equal opportunities for advancement. Pay Range: $ see posting - $ see posting The amounts listed are the base pay range additional compensation may be available for this role such as shift differentials standby/on-call overtime premiums extra shift incentives or bonus opportunities.
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Senior Business Analyst, Risk, Liability and Claims *Remote*
Providence Health & Services |
Irvine, CA
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Description ReqID: 378892 Job Category: General Operations Shift: Day Schedule: Full time Work Location: Providence System Offices Discovery Park-Irvine Providence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused whole-person care built on understanding commitment and mutual respect. Your voice matters here because we know that to inspire and retain the best people we must empower them. Providence is calling a Senior Business Analyst - Risk Liability & Claims who will: Be responsible for providing required reports and analysis to stakeholders on scheduled basis. Serve as risk/claims data consultant/subject matter expert. Be an excellent communicator Synthesize complex risk data into understandable outputs Develop risk and claims based strategic insights tools resources and reports for leadership consumption. Gain actionable insights from internal tools and other claims data sources to provide thought leadership to department leaders. Engage in brainstorming sessions focused on innovating and improving risk data management and reporting. Providence welcomes 100% remote work for applicants who reside in one of the following States: Alaska Washington Oregon Montana California Texas Providence caregivers are not simply valued – they’re invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused whole-person care built on understanding commitment and mutual respect. Your voice matters here because we know that to inspire and retain the best people we must empower them. Required qualifications: Bachelor's Degree in Health Informatics BSE BBA Statistics Computer Science or a related field. or an equivalent combination of education and experience 4 years of experience communicating with healthcare leadership and front-line caregivers. 2 years of experience working with healthcare claims and/or Electronic Medical Record billing data. Preferred qualifications: 2 years of experience writing complex SQL queries. 2 years of Management consulting or technical consulting experience. Salary Range by Location: AK: Anchorage: Min: $40.11 Max: $62.27 AK: Kodiak Seward Valdez: Min:$41.81 Max: $64.91 California: Humboldt: Min:$41.81 Max: $64.91 California: All Northern California - Except Humboldt: Min: $46.91 Max: $72.82 California: All Southern California - Except Bakersfield: Min:$41.81 Max: $64.91 California: Bakersfield: Min: $40.11 Max: $62.27 Idaho: Min: $35.69 Max: $55.41 Montana: Except Great Falls: Min: $32.29 Max: $50.13 Montana: Great Falls: Min: $30.59 Max: $47.49 Oregon: Non-Portland Service Area: Min: $37.39 Max: $58.05 Oregon: Portland Service Area: Min: $40.11 Max: $62.27 Texas: Min: $30.59 Max: $47.49 Washington: Western - Except Tukwila: Min:$41.81 Max: $64.91 Washington: Southwest - Olympia Centralia & Below: Min: $40.11 Max: $62.27 Washington: Tukwila: Min:$41.81 Max: $64.91 Washington: Eastern: Min: $35.69 Max: $55.41 Washington: Southeastern: Min: $37.39 Max: $58.05 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well growing professionally and achieving financial security. We take care of you so you can focus on delivering our Mission of caring for everyone especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits including paid time-off happen for various reasons. These reasons can include changes of Legal Employer FTE Union location time-off plan policies availability of health and welfare benefit plan offerings and other various reasons. About Providence At Providence our strength lies in Our Promise of “Know me care for me ease my way.” Working at our family of organizations means that regardless of your role we’ll walk alongside you in your career supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued and everyone is essential heard and respected. Together our 120000 caregivers (all employees) serve in over 50 hospitals over 1000 clinics and a full range of health and social services across Alaska California Montana New Mexico Oregon Texas and Washington. As a comprehensive health care organization we are serving more people advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching health care benefits (medical dental vision) life insurance disability insurance time off benefits (paid parental leave vacations holidays health issues) voluntary benefits well-being resources and much more. Learn more at providence.jobs/benefits. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska California Montana New Mexico Oregon Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race color gender disability veteran military status religion age creed national origin sexual identity or expression sexual orientation marital status genetic information or any other basis prohibited by local state or federal law. We believe diversity makes us stronger so we are dedicated to shaping an inclusive workforce learning from each other and creating equal opportunities for advancement. Pay Range: $ see posting - $ see posting The amounts listed are the base pay range additional compensation may be available for this role such as shift differentials standby/on-call overtime premiums extra shift incentives or bonus opportunities.
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Senior Analyst, Risk Adjustment - Predictive Analytics - RADV Audits/Databricks/SQL/Python - Remote
Molina Healthcare |
Davenport, IA
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Molina Healthcare Davenport Iowa San Antonio Texas Madison Wisconsin Salt Lake City Utah Idaho Utah New York Kentucky Tampa Florida Rio Rancho New Mexico Des Moines Iowa Vancouver Washington Houston Texas Bellevue Nebraska St. Petersburg Florida Layton Utah Albuquerque New Mexico Dallas Texas Warren Michigan Louisville Kentucky Rochester New York Miami Florida Orlando Florida Caldwell Idaho West Valley City Utah Racine Wisconsin Dayton Ohio Chandler Arizona Ohio Nebraska Iowa Wisconsin Mesa Arizona Fort Worth Texas Detroit Michigan Scottsdale Arizona Iowa City Iowa Jacksonville Florida Orem Utah Santa Fe New Mexico Washington Kearney Nebraska Atlanta Georgia Provo Utah Sioux City Iowa Green Bay Wisconsin Omaha Nebraska Cleveland Ohio Lexington-Fayette Kentucky Meridian Idaho Florida Cincinnati Ohio Yonkers New York Grand Island Nebraska Everett Washington Albany New York Phoenix Arizona Grand Rapids Michigan Buffalo New York Michigan Columbus Ohio Tucson Arizona Augusta Georgia Idaho Falls Idaho Bellevue Washington Boise Idaho Savannah Georgia Lincoln Nebraska Nampa Idaho Tacoma Washington Georgia New Mexico Roswell New Mexico Cedar Rapids Iowa Macon Georgia Ann Arbor Michigan Akron Ohio Bowling Green Kentucky Syracuse New York Las Cruces New Mexico Sterling Heights Michigan Texas Kenosha Wisconsin Columbus Georgia Milwaukee Wisconsin Spokane Washington Austin Texas Owensboro Kentucky Covington Kentucky Job ID 2032933 Job Description Job Summary The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team contributing to the end-to-end data strategy and execution of CMS and internal audit activities. This position is responsible for supporting RADV audit cycles by identifying synthesizing and validating source data needed to build chart retrieval chase lists for medical record collection. Success in this role requires a blend of strong technical acumen business context and analytical curiosity. While data is primarily accessed through Databricks not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources with the support of experienced team members and cross-functional partners. This is a collaborative role well-suited for individuals who enjoy navigating ambiguity solving complex problems and contributing to initiatives that directly support regulatory and clinical compliance. Knowledge/Skills/Abilities Support RADV audit execution by identifying appropriate data sources validating CMS audit samples and generating chart retrieval chase lists in coordination with internal teams. Analyze structured and unstructured data sets using Databricks SQL and other tools to locate and confirm data elements required for audit response. Collaborate with internal stakeholders—including IT Risk Adjustment operations clinical teams and retrieval vendors—to ensure accurate data sourcing and alignment with audit requirements. Interpret CMS audit specifications and translate them into data logic and operational requirements. Document methodology assumptions and data sourcing logic to maintain audit traceability and facilitate knowledge sharing. Assist in preparing for internal simulations and proactive readiness assessments related to RADV audits. Investigate data inconsistencies and assist in performing root cause analysis offering insight into potential data gaps or operational improvements. Work iteratively and adaptively when data is incomplete or spread across multiple systems using sound judgment to build defensible audit datasets. Present findings and progress updates to project leads and stakeholders contributing to a collaborative informed audit response process. Job Qualifications Required Education Bachelor's Degree in Computer Science Finance Math or Economics or equivalent discipline Required Experience 3-5 Years of experience with healthcare-related data (claims/encounters provider CMS/EDGE response files etc. 3-5 Years of experience with advanced SQL-based analytics (procedures window functions dyanamic SQL ETC.) 3-5 years of experience in working with Databricks for analytics and workflows. 3-5 Years of experience in health plan Risk Adjustment analytics. Core database fundamentals (Primary/Foreign Keys Relational Databases Normalization Transactions etc.) 1-3 years of programming experience in python to support automated data validation / processing at scale (functions and objects) PHYSICAL DEMANDS Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77969 - $155508 / ANNUAL Actual compensation may vary from posting based on geographic location work experience education and/or skill level. ABOUT US Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. JOB TYPE Full Time POSTING DATE 08/01/2025
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Senior Analyst, Risk Adjustment - Predictive Analytics - RADV Audits/Databricks/SQL/Python - Remote
Molina Healthcare |
Davenport, IA
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Job Description Job Summary The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team contributing to the end-to-end data strategy and execution of CMS and internal audit activities. This position is responsible for supporting RADV audit cycles by identifying synthesizing and validating source data needed to build chart retrieval chase lists for medical record collection. Success in this role requires a blend of strong technical acumen business context and analytical curiosity. While data is primarily accessed through Databricks not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources with the support of experienced team members and cross-functional partners. This is a collaborative role well-suited for individuals who enjoy navigating ambiguity solving complex problems and contributing to initiatives that directly support regulatory and clinical compliance. Knowledge/Skills/Abilities Support RADV audit execution by identifying appropriate data sources validating CMS audit samples and generating chart retrieval chase lists in coordination with internal teams. Analyze structured and unstructured data sets using Databricks SQL and other tools to locate and confirm data elements required for audit response. Collaborate with internal stakeholders—including IT Risk Adjustment operations clinical teams and retrieval vendors—to ensure accurate data sourcing and alignment with audit requirements. Interpret CMS audit specifications and translate them into data logic and operational requirements. Document methodology assumptions and data sourcing logic to maintain audit traceability and facilitate knowledge sharing. Assist in preparing for internal simulations and proactive readiness assessments related to RADV audits. Investigate data inconsistencies and assist in performing root cause analysis offering insight into potential data gaps or operational improvements. Work iteratively and adaptively when data is incomplete or spread across multiple systems using sound judgment to build defensible audit datasets. Present findings and progress updates to project leads and stakeholders contributing to a collaborative informed audit response process. Job Qualifications Required Education Bachelor's Degree in Computer Science Finance Math or Economics or equivalent discipline Required Experience 3-5 Years of experience with healthcare-related data (claims/encounters provider CMS/EDGE response files etc. 3-5 Years of experience with advanced SQL-based analytics (procedures window functions dyanamic SQL ETC.) 3-5 years of experience in working with Databricks for analytics and workflows. 3-5 Years of experience in health plan Risk Adjustment analytics. Core database fundamentals (Primary/Foreign Keys Relational Databases Normalization Transactions etc.) 1-3 years of programming experience in python to support automated data validation / processing at scale (functions and objects) PHYSICAL DEMANDS Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77969 - $155508 / ANNUAL Actual compensation may vary from posting based on geographic location work experience education and/or skill level.
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Insider Risk Analyst, Personnel Security (Remote)
CrowdStrike |
United States
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As a global leader in cybersecurity CrowdStrike protects the people processes and technologies that drive modern organizations. Since 2011 our mission hasn’t changed — we’re here to stop breaches and we’ve redefined modern security with the world’s most advanced AI-native platform. Our customers span all industries and they count on CrowdStrike to keep their businesses running their communities safe and their lives moving forward. We’re also a mission-driven company. We cultivate a culture that gives every CrowdStriker both the flexibility and autonomy to own their careers. We’re always looking to add talented CrowdStrikers to the team who have limitless passion a relentless focus on innovation and a fanatical commitment to our customers our community and each other. Ready to join a mission that matters? The future of cybersecurity starts with you. About the Role: CrowdStrike’s Global Security team is seeking an innovative and creative Insider Risk Analyst to support the growth of our Insider Risk Program (IRP) with a focus on pre-hire candidate security. This new role at CrowdStrike will lead the development of advanced vetting protocols and collaborate closely with Talent Acquisition among other stakeholders to protect CrowdStrike against insider risks. The ideal candidate is a security-minded professional with expertise in risk assessment counterintelligence and background screening who is excited to work in a fast-paced mission-driven and collaborative environment. This position reports to the Manager Global Security - Risk & Facility Security Officer and will also support general IRP tasks on a regular basis. What You’ll Do: Candidate Security and Risk Assessments: + Review completed background checks on elevated risk candidates verifying education employment history criminal records and credit history ensuring alignment with company policies and legal standards - Prepare detailed reports on these candidates and make recommendations for further action escalating elevated-risk cases to the appropriate teams + Evaluate and interpret the results of background checks to identify discrepancies red flags or inconsistencies using both open and closed sources + Analyze candidate profiles for potential security risks including involvement with state-sponsored actors eCrime actors or past associations that may pose a threat to CrowdStrike + Identify signs of fraud deception or espionage by evaluating candidate behavior documents and interviews + Coordinate with internal security teams and third-party agencies to conduct enhanced vetting of high-risk candidates Program Maturation and Development: + Develop and refine CrowdStrike's candidate and employee screening security protocols to align with emerging threats especially related to state actors or foreign interference in close collaboration with stakeholders + Mature processes with an eye towards automation scalability and efficiency + Stay up to date with industry trends and geopolitical events that could impact CrowdStrike’s hiring security + Ensure that all screening and investigation processes comply with relevant legal and regulatory frameworks (e.g. GDPR FCRA CCPA) Analyze and brief identified risks and vulnerabilities to a variety of audiences Perform detailed and comprehensive investigations and summarize findings Develop and deploy mitigation strategies such as briefings eLearnings security awareness materials newsletters case studies and other communications Support general Insider Risk and Global Security operations such as high-priority initiatives and incident response efforts What You’ll Need: 2-5 years of experience in background investigations intelligence analysis risk assessment security or compliance preferably in a high-security or government-adjacent industry Exceptional written and oral communication skills to include conducting interviews and writing reports Knowledge of and experience with insider threat/risk and candidate security best practices Proficiency in open-source intelligence (OSINT) and threat intelligence tools Excellent problem solving critical thinking and analytical skills with the ability to communicate concepts to all audience including executive-level presentation skills Demonstrated ability to manage projects and establish rapport while building relationships with team members across all levels of an organization Proven ability to work independently as well in groups with motivation efficiency and flexibility as well as willingness to work occasional nights and weekends Strong attention to detail with a firm ethical grounding and discretion when handling sensitive information US Citizenship with the ability to obtain a US Government security clearance due to access requirements Education: Bachelor’s degree in Criminal Justice Security Studies Intelligence Human Resources or a related field Advanced degree (e.g. Master’s in National Security Intelligence or Security Policy) is a plus Relevant certifications or training courses Bonus Points: Knowledge of advanced screening tools data analytics and AI for fraud detection or risk management Familiarity with relevant regulations such as the Fair Credit Reporting Act (FCRA) General Data Protection Regulation (GDPR) and other privacy laws Experience in a remote-first environment #LI-Remote #LI-RC1 Benefits of Working at CrowdStrike: Remote-friendly and flexible work culture Market leader in compensation and equity awards Comprehensive physical and mental wellness programs Competitive vacation and holidays for recharge Paid parental and adoption leaves Professional development opportunities for all employees regardless of level or role Employee Networks geographic neighborhood groups and volunteer opportunities to build connections Vibrant office culture with world class amenities Great Place to Work Certified across the globe CrowdStrike is proud to be an equal opportunity employer. We are committed to fostering a culture of belonging where everyone is valued for who they are and empowered to succeed. We support veterans and individuals with disabilities through our affirmative action program. CrowdStrike is committed to providing equal employment opportunity for all employees and applicants for employment. The Company does not discriminate in employment opportunities or practices on the basis of race color creed ethnicity religion sex (including pregnancy or pregnancy-related medical conditions) sexual orientation gender identity marital or family status veteran status age national origin ancestry physical disability (including HIV and AIDS) mental disability medical condition genetic information membership or activity in a local human rights commission status with regard to public assistance or any other characteristic protected by law. We base all employment decisions-including recruitment selection training compensation benefits discipline promotions transfers lay-offs return from lay-off terminations and social/recreational programs-on valid job requirements. If you need assistance accessing or reviewing the information on this website or need help submitting an application for employment or requesting an accommodation please contact us at recruiting@crowdstrike.com for further assistance. Find out more about your rights as an applicant. CrowdStrike participates in the E-Verify program. Notice of E-Verify Participation Right to Work CrowdStrike Inc. is committed to equal pay for equal work in its compensation practices. The base salary range for this position in the U.S. is $65000 - $115000 per year + variable/incentive compensation + equity + benefits. A candidate's salary is determined by various factors including but not limited to relevant work experience skills certifications job level supervisory status and location. Expected Close Date of Job Posting is:09-28-2025
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Insider Risk Analyst, Personnel Security (Remote)
CrowdStrike |
Remote United States
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As a global leader in cybersecurity CrowdStrike protects the people processes and technologies that drive modern organizations. Since 2011 our mission hasn’t changed — we’re here to stop breaches and we’ve redefined modern security with the world’s most advanced AI-native platform. Our customers span all industries and they count on CrowdStrike to keep their businesses running their communities safe and their lives moving forward. We’re also a mission-driven company. We cultivate a culture that gives every CrowdStriker both the flexibility and autonomy to own their careers. We’re always looking to add talented CrowdStrikers to the team who have limitless passion a relentless focus on innovation and a fanatical commitment to our customers our community and each other. Ready to join a mission that matters? The future of cybersecurity starts with you. About the Role: CrowdStrike’s Global Security team is seeking an innovative and creative Insider Risk Analyst to support the growth of our Insider Risk Program (IRP) with a focus on pre-hire candidate security. This new role at CrowdStrike will lead the development of advanced vetting protocols and collaborate closely with Talent Acquisition among other stakeholders to protect CrowdStrike against insider risks. The ideal candidate is a security-minded professional with expertise in risk assessment counterintelligence and background screening who is excited to work in a fast-paced mission-driven and collaborative environment. This position reports to the Manager Global Security - Risk & Facility Security Officer and will also support general IRP tasks on a regular basis. What You’ll Do: Candidate Security and Risk Assessments: + Review completed background checks on elevated risk candidates verifying education employment history criminal records and credit history ensuring alignment with company policies and legal standards - Prepare detailed reports on these candidates and make recommendations for further action escalating elevated-risk cases to the appropriate teams + Evaluate and interpret the results of background checks to identify discrepancies red flags or inconsistencies using both open and closed sources + Analyze candidate profiles for potential security risks including involvement with state-sponsored actors eCrime actors or past associations that may pose a threat to CrowdStrike + Identify signs of fraud deception or espionage by evaluating candidate behavior documents and interviews + Coordinate with internal security teams and third-party agencies to conduct enhanced vetting of high-risk candidates Program Maturation and Development: + Develop and refine CrowdStrike's candidate and employee screening security protocols to align with emerging threats especially related to state actors or foreign interference in close collaboration with stakeholders + Mature processes with an eye towards automation scalability and efficiency + Stay up to date with industry trends and geopolitical events that could impact CrowdStrike’s hiring security + Ensure that all screening and investigation processes comply with relevant legal and regulatory frameworks (e.g. GDPR FCRA CCPA) Analyze and brief identified risks and vulnerabilities to a variety of audiences Perform detailed and comprehensive investigations and summarize findings Develop and deploy mitigation strategies such as briefings eLearnings security awareness materials newsletters case studies and other communications Support general Insider Risk and Global Security operations such as high-priority initiatives and incident response efforts What You’ll Need: 2-5 years of experience in background investigations intelligence analysis risk assessment security or compliance preferably in a high-security or government-adjacent industry Exceptional written and oral communication skills to include conducting interviews and writing reports Knowledge of and experience with insider threat/risk and candidate security best practices Proficiency in open-source intelligence (OSINT) and threat intelligence tools Excellent problem solving critical thinking and analytical skills with the ability to communicate concepts to all audience including executive-level presentation skills Demonstrated ability to manage projects and establish rapport while building relationships with team members across all levels of an organization Proven ability to work independently as well in groups with motivation efficiency and flexibility as well as willingness to work occasional nights and weekends Strong attention to detail with a firm ethical grounding and discretion when handling sensitive information US Citizenship with the ability to obtain a US Government security clearance due to access requirements Education: Bachelor’s degree in Criminal Justice Security Studies Intelligence Human Resources or a related field Advanced degree (e.g. Master’s in National Security Intelligence or Security Policy) is a plus Relevant certifications or training courses Bonus Points: Knowledge of advanced screening tools data analytics and AI for fraud detection or risk management Familiarity with relevant regulations such as the Fair Credit Reporting Act (FCRA) General Data Protection Regulation (GDPR) and other privacy laws Experience in a remote-first environment #LI-Remote #LI-RC1 Benefits of Working at CrowdStrike: Remote-friendly and flexible work culture Market leader in compensation and equity awards Comprehensive physical and mental wellness programs Competitive vacation and holidays for recharge Paid parental and adoption leaves Professional development opportunities for all employees regardless of level or role Employee Networks geographic neighborhood groups and volunteer opportunities to build connections Vibrant office culture with world class amenities Great Place to Work Certified across the globe CrowdStrike is proud to be an equal opportunity employer. We are committed to fostering a culture of belonging where everyone is valued for who they are and empowered to succeed. We support veterans and individuals with disabilities through our affirmative action program. CrowdStrike is committed to providing equal employment opportunity for all employees and applicants for employment. The Company does not discriminate in employment opportunities or practices on the basis of race color creed ethnicity religion sex (including pregnancy or pregnancy-related medical conditions) sexual orientation gender identity marital or family status veteran status age national origin ancestry physical disability (including HIV and AIDS) mental disability medical condition genetic information membership or activity in a local human rights commission status with regard to public assistance or any other characteristic protected by law. We base all employment decisions-including recruitment selection training compensation benefits discipline promotions transfers lay-offs return from lay-off terminations and social/recreational programs-on valid job requirements. If you need assistance accessing or reviewing the information on this website or need help submitting an application for employment or requesting an accommodation please contact us at recruiting@crowdstrike.com for further assistance. Find out more about your rights as an applicant. CrowdStrike participates in the E-Verify program. Notice of E-Verify Participation Right to Work CrowdStrike Inc. is committed to equal pay for equal work in its compensation practices. The base salary range for this position in the U.S. is $65000 - $115000 per year + variable/incentive compensation + equity + benefits. A candidate's salary is determined by various factors including but not limited to relevant work experience skills certifications job level supervisory status and location. Expected Close Date of Job Posting is:09-28-2025
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