Risk

• Evaluate health plan performance using advanced analytics to identify trends, gaps, and opportunities across Medicaid populations
• Design and execute complex analyses leveraging medical and pharmacy claims, encounter, provider, and membership data
• Translate analytical findings into clear, actionable insights to drive health plan strategies and decision-making
• Develop and maintain scalable reporting, dashboards, and performance monitoring tools
• Support development of data models, forecasting approaches, and performance measurement frameworks
• Ensure data accuracy, integrity, and governance across reporting and analytical outputs
• Identify and implement process improvements through automation and advanced analytics
• Communicate complex findings effectively to both technical and non-technical stakeholders
• Support compliance with CMS and state Medicaid requirements through accurate, timely reporting and analysis

Senior Informatics Manager, Risk Adjustment Analytics

• Develop and execute a comprehensive safety and risk management strategy for all corporate and franchise operations
• Establish safety standards, policies, procedures, and best practices that support operational excellence and risk reduction
• Create and manage company-wide safety scorecards, KPIs, dashboards, and reporting systems
• Lead initiatives designed to reduce workplace injuries, vehicle accidents, cargo claims, and insurance losses
• Foster a culture of accountability, leadership, and safety ownership across all levels of the organization
• Provide executive leadership with regular reporting and recommendations regarding safety trends, risks, and corrective actions
• Serve as the organization's primary authority on regulatory compliance and monitor regulatory changes
• Oversee the company's captive insurance programs and risk management initiatives
• Analyze workers' compensation, auto liability, general liability and cargo claims and implement proactive loss prevention strategies
• Develop and deliver safety certification programs for franchise owners and operational leaders
• Build and lead a high-performing safety and risk management function

Director of Safety and Risk Management

• Assist with and facilitate enterprise-wide Data Governance program activities and collaborates on strategic initiatives for data governance, data quality and metadata activities
• Supports Data Governance Council and Data Governance Committee, ensures execution of follow-up tasks assigned from the meetings, provides education and support for data governance across the organization
• Accountable for the analysis, development, and build of an Enterprise Data Catalog while also building related data lineage to directly support privacy, security, legal, and audit initiatives
• Designs and recommends data quality improvement opportunities
• Works with the business to develop and publish KPI’s as it relates to data quality and integrity for accessibility across all business areas
• Point of contact for and liaison between business Data Domain Owners, Data Stewards, and IT
• Work with Domain Owners to establish, maintain, and distribute definitions of data elements used by Analytics in conjunction with Domain Owners throughout the organization
• Leads analysis and remediation efforts for complex multi-domain data issues as identified by the business and Data Governance Committee
• Mentors junior team members
• Other duties as assigned.

Senior Analyst, Data Governance

• The Information Architecture Governance Advisor owns the design and implementation of an enterprise information model.
• Establishes and carries out enterprise data and information architecture policies, standards, and processes according to guidelines.
• Is responsible for structuring, organizing, and communicating information in a way that makes it easy for business users to find, navigate, and understand.
• Champions and facilitates the review of data-related changes across the organization.
• Works with business partners and Information Technology (IT) partners to drive consensus around how data should be structured.
• Define criteria and controls for an authoritative data source (ADS)
• Lead the design and implementation of information modeling practices for the enterprise
• Define data and information architecture related standards and guidelines
• Coordinate and facilitate the review of data-related changes from an enterprise perspective
• Organize data within domains and sub-domains to enhance the ability to find, govern, and utilize data across the enterprise
• Enhance the company’s data governance platform to include data and information architecture components, definitions, and relationships
• Support enterprise data strategy and data governance programs by providing a structured approach to architectural decision-making, ensuring changes are evaluated based on their impact across the enterprise
• Identify and mitigate risks associated with architectural decisions and implementations
• Establish guidelines and standards to minimize risks while ensuring compliance with regulations and policies
• Act as liaison between business and IT to translate business data requirements into logical data architecture design
• Engage in the development of policies, standards and procedures and coordinate with stakeholders through the approval process
• Ensure compliance with established standards for development and management of data
• Ensure compliance to data-related regulatory rules
• Perform regular peer review of information models used across the enterprise

Information Architecture Governance Advisor

• Support the Data Quality Program: You’ll support the delivery of BECU’s enterprise Data Quality Program by implementing scalable frameworks, advancing governance maturity, and driving continuous improvement across the organization as part of prioritized data initiatives.
• Drive Strategic Initiatives: You’ll lead large-scale, cross-functional data governance initiatives from concept through execution, ensuring measurable business impact and operational excellence.
• Lead and Develop High-Performing Teams: You’ll manage and mentor a team of approximately 20 employees, creating a culture rooted in accountability, ownership, collaboration, and high standards.
• Provide Strategic Direction: You’ll translate business priorities into clear team objectives, establish measurable goals, and empower teams to deliver meaningful outcomes.
• Coach and Influence: You’ll provide ongoing coaching, performance feedback, and development opportunities while fostering strong partnerships across stakeholder groups.
• Improve Enterprise Data Integrity: You’ll identify opportunities to strengthen data quality and governance processes, resolve root-cause issues, and implement scalable governance solutions.
• Drive Metrics and Reporting: You’ll establish and communicate meaningful KPIs, analytics, and governance reporting that demonstrate progress, effectiveness, and business value.
• Partner Across the Enterprise: You’ll collaborate closely with product managers, analytics teams, technology partners, project leadership, and business stakeholders to optimize data quality and governance outcomes.

Senior Manager, Data Governance

• Identify, assess, and mitigate risks arising from internal processes, systems, and external fraud events to prevent financial loss, reputational damage, and regulatory breaches
• Monitor key risk indicators (KRIs)
• Analyze internal reports
• Strengthen internal controls
• Conduct financial investigations
• Conduct trade reviews by analyzing data to identify suspicious patterns indicating fraud, identity theft, or money laundering
• Evaluate risk associated with newly onboarded AND existing clients/financial advisors
• Conduct various KYC checks as needed
• Monitor, detect, and resolve issues related to fraud and identify theft
• Work with cross-functional teams to facilitate financial transactions, embed a risk-aware culture, and provide training on best practices
• Testing as an end user for enhancements to processes

Operational Risk Analyst

• Learn to perform duties in Risk Management under general supervision.
• Support risk management activities related to risk assessments and practices.
• Conduct non-financial risk assessments and risk reviews.
• Support GRC software activities.
• Synthesize data into actionable insights from large amounts of data across multiple systems.
• Collaborate frequently with other areas of the credit union.

Risk Management Intern

• Responsible for vetting out the contractor's qualifications
• Review contractor background checks for risk factors
• Validate contractor’s license, insurance, OFAC status, SOS, and other qualifying information
• Use AI tools to research the contractor thoroughly to provide a risk score and recommendation
• Responsible for completing a collateral/project review
• Review construction-related documents for GSE program acceptance
• Research and review local jurisdiction/permitting requirements
• Evaluate construction contracts for industry best practices
• Review plans and specifications for accuracy
• Review plot plans/surveys for accuracy
• Review inspection/warranty requirements
• Review foundation/final survey requirements
• Analyze construction budgets and draw schedules for risk
• Review appraisal reports against project documents, such as the plans and specifications, and the budget.
• Use AI tools to assist with completing the project review

Construction Risk Analyst

• Function as a face of Revenue Integrity across internal market teams
• Develop and deliver executive level presentations highlighting key performance drivers, challenges, and solutions
• Investigates operational issues that impact market performance – work with business partners to implement solutions
• Track deliverables and identify barriers in market engagement in conjunction with implementing resolutions
• Assist with development of educational material to support market intelligence
• Engage with market clinical team, care management team, member services team; attend market level meetings as appropriate
• Apply project management skills to coordinate deliverables, track timelines, and manage competing priorities
• Work closely with the Informatics team to review requirements, dashboards, reports including any enhancements
• Utilize data analyses using national tools in conjunction with the corporate lead to identify areas of opportunity
• Produce and present market specific performance specific to Medicaid Revenue Integrity efforts at various governance, market, and executive leadership meetings
• Monitors program or programs that are jointly accountable for risk adjustment strategy, performance, and results within a designated market(s)
• Responsible for identifying and recommending nuanced market risk adjustment strategies and collaboratively executing tactics to focus, maximize and achieve market success, including market referrals
• Coordinate with local markets to drive correctness, completeness, accuracy, and timeliness of risk score performance
• Collaborate on market specific strategies that drive member engagement in risk adjustment programs
• Stay abreast of regulatory changes and leading risk adjustment practices and tools to maximize the effectiveness and efficiency of the team
• Partner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes

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