Risk

• Conduct detailed analysis of catastrophe risks, including earthquakes, hurricanes, floods, and other natural disasters
• Utilize catastrophe modeling software to assess potential losses and develop risk scenarios
• Collaborate with underwriters, actuaries, and other stakeholders to evaluate risk exposure and pricing strategies
• Monitor industry trends and regulatory changes related to catastrophe risk management
• Prepare reports and presentations for senior management, highlighting risk exposure and mitigation strategies
• Develop and maintain catastrophe risk models, ensuring accuracy and reliability
• Participate in cross-functional teams to enhance risk assessment processes and improve risk management practices

Catastrophe Risk Analyst

• Collaborate with Sr Product Manager to create specific and succinct requirements for delivering data-driven tools to Risk Managers
• Participate in Agile ceremonies with a goal of helping manage Development teams
• Analyze and fill gaps in requirements that arise during development to reduce developer downtime
• Manage projects that require multiple teams to cross the finish line together for products to be delivered
• Evaluate and help groom the product backlog to ensure that asks are still relevant, organized, and prioritized according to user needs
• Drive cross-functional collaboration to design and implement system/process improvements that enhance claims adjudication accuracy and regulatory alignment

Risk Manager

• Assess organizational, process, system, vendor, and initiative‑related changes for impacts to SOC 1 and SOX control design and operating effectiveness
• Serve as a second‑line operational risk advisor to business, IT, and project teams
• Lead formal change risk and control impact assessments
• Coordinate updates to control narratives, Risk & Control Matrices (RACMs), ownership assignments, and evidence expectations resulting from approved changes
• Partner with control owners to ensure control updates are practical and aligned with risk severity and audit expectations
• Ensure change‑related risks, decisions, and approvals are captured, tracked, and reported through established risk and governance forums

Operational Risk Advisor

• Provide independent 2nd line risk oversight by assessing 1st line technology risk practices
• Provide risk-based challenge and escalation support
• Review, assess, and provide credible challenge to 1st line technology risk identification
• Review Key Indicators and trend analysis for technology domains
• Provide targeted, risk-based second line oversight of technology risk areas
• Evaluate specific areas of elevated or emerging technology risk
• Participate in and contribute to relevant governance forums
• Monitor alignment with ERM policies
• Engage and provide credible challenge in the Risk and Control Self-Assessment governance cycle
• Draft and support technology risk reporting for executive management and Board level materials
• Promote risk awareness across the Bank and serve as a 2nd line subject matter resource

Senior Manager, Technology Risk & Governance

• Claims Management & Documentation
• Ensuring disciplined, timely, and consistent handling of every claim
• Managing all insurer communications
• Updating each claim every 30 days
• Ensuring complete and accurate documentation
• Completing and maintaining an evaluation for every claim
• Overseeing the strategic trajectory of each claim
• Collecting and analyzing medical records, treatment details, and statements
• Supporting Centers through the claims process
• Generating analytical reporting and trend evaluation
• Conducting post-mortem reviews for significant claims

Senior Risk Manager, Claims Manager

• Participate and consult regarding policies and procedures, controls, tools and training
• Review and analyze controls to manage high risk investment strategies and complex products
• Evaluate resources to monitor risk and exercise independent judgment to guide process changes, process improvements, and technology enhancements
• Present recommendations for resolving complex analysis in search of current and best practices
• Gather and analyze data, identify trends and present analysis through meaningful statistics
• Develop expertise in firm, compliance and regulatory policies and procedures
• Collaborate and consult with Financial Advisors, Divisional and more experienced Management, Market Leaders, Growth Leaders, Branch Managers, Supervision Managers, and varying Business Units

Market Governance Specialist

• Implement a risk oversight framework to monitor and assess risk for our Private Wealth business
• Lead and support strategic risk initiatives across Private Wealth areas to improve business functions and reduce risk
• Identify new areas for improvement, uncover underappreciated risks
• Create and curate risk dashboards to measure and track relevant risk factors
• Present to the risk management team, business heads and senior management on risk management efforts and initiatives
• Assist with a new buildout of Investment Risk technology infrastructure for investment risk oversight
• Utilize our Error and Incident Tracking System to diagnose thematic risks and develop proactive controls and solutions
• Partner with compliance, legal, operations, portfolio management, sales, fund accounting, and other groups to establish a robust control environment
• Complete Risk Reviews for at-risk business processes, groups or business units

Private Wealth Risk Officer

• Own and evolve the product roadmap for dispute lifecycle management spanning chargeback ingestion, representment decisioning, and pre-arbitration
• Partner with Engineering, Data Science, Analytics and operations to sharpen dispute decisioning models, build product improvements and optimizations by processor, reason code, and product vertical, and translate those insights into concrete roadmap bets that improve win rate and reduce losses.
• Drive the design and rollout of proactive dispute prevention capabilities including on-trip signal detection and early guest outreach working cross-functionally with Customer Support, Trust, and Operations to resolve guest issues before they escalate to a chargeback.
• Build scalable disputes infrastructure for new payment methods and product verticals and defining evidence frameworks as Airbnb scales.
• Collaborate with the Enforcements and Transaction Risk team to design and implement first party misuse detection and enforcement programs that deter repeat dispute abuse, balancing recovery goals with guest experience and marketplace integrity.

Staff Platform Manager, Payments Risk

• Lead and manage risk advisory and internal audit engagements, delivering high-quality, client-focused outcomes across multiple industries
• Serve as a trusted advisor to clients by understanding business risks, operational challenges, and growth objectives
• Oversee multiple projects simultaneously, ensuring delivery within scope, timeline, and budget
• Develop project plans, allocate resources effectively, and guide teams to successful execution
• Provide insights on internal controls, regulatory compliance, risk mitigation, and operational improvement strategies
• Present findings, recommendations, and strategic insights to client leadership and firm stakeholders
• Build and maintain strong client relationships while identifying opportunities to expand services
• Support business development through proposals, networking, and collaboration with firm leadership
• Mentor and develop team members, fostering a collaborative and inclusive team environment

Senior Risk Advisory Manager

• Conducts virtual risk control and self-surveys to determine potential hazards and risk factors relating to underwriting/risk selection
• Writes technically detailed reports that provide a clear assessment of risk and clearly articulates recommendations
• Consults with clients on ways to control hazards to reduce or prevent losses
• Influences clients to implement recommendations
• Explains how their recommendations or department value-added programs can help minimize risks
• Provides technical advice/assistance and account information to underwriting business partners, insureds, and other customers for analysis and to ensure superior customer service
• Uses automated workflows to review responses to recommendations submitted by insureds and agents
• Refers incomplete recommendations to underwriting team members
• Recognizes opportunities to provide risk control products and services that can help reduce losses
• Plans and schedules risk control evaluations with insureds and researches risks via internal and external resources in order to complete evaluations

Virtual Risk Control Representative

• Drive analytical strategies and solutions to optimize Medicare Risk Adjustment (RA) performance
• Deliver actionable insights and build dynamic visualizations
• Provide strategic advisory services to internal stakeholders and senior leadership
• Analyze revenue optimization, risk forecasts, HCC coding logic, RADV audits, Medicare segmentation, and data & logic governance
• Build interactive visualizations and interpret CMS model updates

Principal Risk Adjustment Analytics Consultant

• Oversee day-to-day operations and strategic execution of enterprise risk adjustment programs
• Assist management overseeing risk adjustment programs including claims, vendor quality, and audits
• Develop metrics, policies, and procedures for validation of programs return on investment
• Collaborate with operations risk and compliance teams for implementing initiatives
• Provide oversight and ensures accurate coding for Medical Revenue Management programs
• Serve as a subject matter expert on coding
• Work collaboratively with Enterprise Risk Adjustment team, Business Operations, Regulatory Compliance, and Internal Audit
• Influence others and work effectively to develop relationships with stakeholders

Risk Adjustment Strategic Manager

• Support the development of affordability strategic initiatives aligned with CHC and enterprise goals and market needs
• Conduct robust internal reviews and external market scans to identify emerging trends, capability gaps, and innovation opportunities
• Enable effective governance execution through end-to-end coordination of meeting logistics, documentation of key decisions and actions, and structured stakeholder follow-up to maintain momentum and accountability across initiatives
• Collaborate with matrix partners across CHC clinical teams, along with other internal teams including clinical, product, data and analytics, and operations to ensure strategic alignment
• Participate in cross-functional workgroups as a proxy for CHC affordability and payment integrity strategy, contributing to the design of new commercial programs and products
• Analyze claims and operational data to identify trends, gaps, and affordability opportunities
• Translate complex data into clear, actionable insights for both payment strategy and non-payment stakeholders
• Proficiency in using data visualization and analytics tools (e.g., Excel, Tableau) to develop dashboards, reports, and presentations that inform strategic decisions
• Prepare executive-level presentations, memos, and updates on strategic affordability initiatives and projects

Affordability Strategy and Governance Lead

• Own and evolve the IT Governance framework for digital platforms focusing on control standards, and operational enforcement.
• Design and implement technical governance controls embedded in SDLC and platform delivery workflows.
• Actively monitor governance effectiveness using leading indicators and control health metrics, providing valuable insights for continuous improvement.
• Design and maintain proactive KPI dashboards that provide visibility into: Technology governance adherence, Access, auditability, and traceability controls, Third‑party and vendor digital risk posture.
• Support Quality‑led audits and inspections through: System‑generated evidence and dashboards, Traceability from governance design to execution, Coordinated, technology‑focused responses to findings.
• Define data governance frameworks aligned with enterprise guidelines. Own the IT execution of data governance, including: Metadata, lineage, and traceability standards in Alation, Data access, classification, and lifecycle controls.
• Ensure governance controls are implemented and monitored through platforms Ensure digital platforms support ALCOA+ principles by design (audit trails, access controls, traceability). Surface data integrity risks via digital risk dashboards and defined escalation paths. Partner with Data & Analytics teams to operationalize governance through: Data catalogs, Stewardship models, Data quality monitoring. Serve as escalation point for data integrity risks impacting clinical, operational, or regulatory outcomes.
• Establish and operationalize an AI Governance framework aligned with enterprise responsible AI framework. Ensure AI governance adherence is measurable, continuously monitored, and enforceable. Embed governance into AI lifecycle processes (design, development, deployment, monitoring) in partnership with Architecture, Development, Security, and Quality teams. Govern both vendor provided and internally developed AI capabilities.
• Lead IT Governance, Data Governance, and AI Governance councils, ensuring consistent decision making across digital domains.
• Support IT inspection readiness, including: Evidence preparation and traceability, Governance documentation and KPI dashboards, Coordinated IT responses during regulatory and sponsor inspections. Partner with Quality on CAPA remediation related to: IT systems, Data integrity, Technology enabled processes.

Director, Digital Governance

• 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

• Drive revenue integrity and analytics strategy by consulting on strategic initiatives
• Lead cross-functional teams and collaborate with risk adjustment analysts
• Transform complex financial and risk adjustment data into actionable business intelligence
• Champion advanced data science initiatives by developing predictive models
• Deliver strategic, data-driven insights and collaborate with stakeholders on revenue accuracy

Manager, Medicare Risk Adjustment Analytics Consulting

• Provide enterprise leadership to design, standardize, and improve the end to end operating model across HEDIS and Risk Adjustment
• Drive improvements in data collection, processing, encounter creation and management, submission controls, reconciliation, and audit readiness
• Ensure execution across internal teams, technology partners, analytics, finance, and external vendors is aligned and coordinated
• Establish and maintain governance structures for regulatory compliance, audit readiness, and defensible outcomes
• Own the end to end vendor operating model for Risk Adjustment
• Serve as the primary integrator across Quality, Performance Outcomes, Technology, Data, Analytics, Finance, Actuarial, Provider Quality, and external partners

Senior Director, Risk Adjustment

• Directly manage and develop a team of analysts performing EDD reviews of varying complexity; set performance expectations, provide coaching, and complete performance feedback processes
• Own daily operations and workload planning (intake, assignment, prioritization, and capacity planning) to ensure reviews are completed within SLA timeframes
• Establish and monitor team performance metrics (timeliness, productivity, quality) and drive corrective actions where needed
• Oversee case assignment and case status management; remove blockers and coordinate rework for quality issues
• Lead a quality control and sampling program for completed EDD reviews; identify root causes, document findings, and implement training and process improvements
• Maintain and refine team procedures, process flows, templates, and job aids; ensure changes are communicated and adopted consistently
• Partner with first-line business units and internal stakeholders to obtain required customer information and documentation; ensure requests are clear, appropriately risk-based, and timely
• Manage escalations of financial crime red flags and unusual activity; ensure appropriate risk decisions, documentation, and handoffs (e.g., SAR investigation referral) occur in accordance with policy
• Support leadership in maturing the EDD/HRC program by recommending process enhancements, tooling opportunities, and risk-based approaches that improve defensibility and efficiency
• Provide reporting and analysis on pipeline health, trends, and recurring issues to management; escalate emerging risks and capacity concerns
• Coordinate audit, compliance testing, and exam support for the team, including evidence gathering, response drafting, and remediation of findings
• Lead and/or support ad hoc projects and initiatives as assigned.

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