operational risk consultant

Citi

<div><p>Individuals in Operational Risk manage operational risk policies, standards, propose strategies, and governance processes designed to minimize losses from inadequate controls, fraud, and potential bankruptcy. This includes supervision over Operational Risk categories such as technology, Third party , cyber Processing, Business distribution, Operational resilience and fraud risks. These individuals are also responsible for challenging tools and methodologies that utilized for fraud monitoring and prevention, using advanced analytical and statistical skills to identify gaps and recommend changes to current structure and policies. This role is crucial to the company as it fortifies against potential operational risks, thereby protecting the company's financial stability and reputation, and contributing towards the overall business resilience and success.</p><p><b>
Responsibilities</b>:</p><ul><li>
Support the design and implementation of enterprise operational risk management procedures and methodologies, including effective application within the businesses.</li><li>
Independently assess operational risks in the business to ensure it is within the acceptable risk appetite</li><li>
Collaborate with the business to understand its risk profile, assess operational risk exposure, integrate risk mitigation controls, and monitor adherence.</li><li>
Review and challenge the effectiveness of risk mitigation strategies and control measures implemented by the 1st line of defense</li><li>
Provide regular reporting to senior management and stakeholders on the status of operational risk profile.</li><li>
Analyze data to identify trends or emerging risks and provide timely recommendations to mitigate risk exposure.</li><li>
Lead initiatives to improve operational risk management practices and enhance organizational resilience.</li><li>
Ensure operational risk management activities comply with internal policies, external regulations, and industry standards.</li><li>
Stay abreast of industry best practices and regulatory changes to assess its impact on operational risk management, and advise the business accordingly.</li><li>
Support the execution of remediation with timely and effective outcomes against regulatory expectations.</li><li>
Is an enthusiastic and early adopter of change; takes ownership for helping others see a better future and stay positive during uncertainty.</li><li>
Demonstrates and inspires curiosity in seeking new ways to overcome challenges; actively applies learning from failures.</li><li>
Challenges self and others to seek out and communicate alternative views even when unpopular; welcomes diverse ideas to improve outcomes.</li><li>
Acts as a change catalyst by identifying and helping others see where new ideas could benefit the organization.</li><li>
Proactively seeks to understand and act in alignment with organizational decisions; helps others prioritize team and enterprise success over their own personal agenda</li><li>
Focuses on highest-priority work aligned to business goals; helps others effectively manage competing priorities.</li><li>
Proactively identifies opportunities to streamline work; creates process improvements that enhance efficiency for self and the team.</li><li>
Takes personal accountability for escalating, identifying, and managing potential risk; implements controls that enhance the client experience and operational effectiveness.</li><li>
Anticipates problems and proactively identifies solutions that address the root causes and result in meaningful improvements.</li><li>
Sets high expectations and invests the necessary effort to deliver excellence and exceed performance goals.</li><li>
Role-models and helps others to do the right thing for clients and Citi in all situations, even when difficult</li><li>
Engages key stakeholders early and often and actively looks for opportunities to improve collaboration in achieving common goals.</li><li>
Proactively seeks out opportunities to volunteer in Citi programs that support the community; advocates for solutions that meet the needs of Citi&rsquo;s clients and the community.</li><li>
Enthusiastically promotes the unique needs and preferences of colleagues; makes active commitment to help colleagues achieve balance, well-being, and development.</li><li>
Leverages varied networks to recruit diverse talent; advocates for colleagues with diverse skillsets, styles, and experiences to gain career opportunities.</li><li>
Empathetically listens and understands others&rsquo; positions before acting on issues; works to amplify voices that are minimized in the workplace</li><li>
Appropriately assess risk when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying sound ethical judgment regarding personal behavior, conduct and business practices, and escalating, managing and reporting control issues with transparency, as well as effectively supervise the activity of teams and create accountability with those who fail to maintain these standards</li></ul><p><b>
Qualifications</b>:</p><ul><li>
Minimum 8 years in Banking industry with 3 years on Risk and Control within the business, ORM, Compliance. Internal audit or a similar function</li><li>
Previous experience supporting risk management, compliance, governance, or controls related roles.</li><li>
Demonstrated track record of effectively assessing and managing competing priorities.</li><li>
Deep understanding of operational risk concepts, methodologies, and tools.</li><li>
Familiarity with regulatory requirements related to operational risk management.</li><li>
Exposure to enterprise risk management frameworks and knowledge of risk reporting tools and techniques.</li><li>
Understanding to Operational Risk Regulatory submissions i.e. ICAAP, Recovery Plan and Scenario Analysis.</li><li>
Understanding of different risk types, e.g. credit, market, liquidity.</li><li>
Experience working in a regulated industry (e.g., banking, finance, insurance, healthcare).</li><li>
Ability to interact effectively at all levels, develop strong partnerships across the organization, and present complex information clearly to senior management and stakeholders.</li><li>
Strong influencer with a focus on building relationships with the 1st line, while remaining independent and retaining the ability to challenge effectively.</li><li>
Comfortable in dynamic environments, capable of adapting to change while maintaining focus on risk management objectives.</li><li>
Strong stakeholder management skills, with the ability to understand drivers and overcome barriers.</li><li>
High level of integrity and professionalism, with the ability to handle sensitive and confidential information appropriately.</li><li>
Analytical, with the ability to comprehend complexity and engage strategically, analyzing and interpreting large volumes of data.</li><li><i>
Professional certifications such as CIA, CISA, or CRMA would be considered as an asset</i></li></ul><p><b>
Education</b>:</p><p>
Bachelor's/University degree, Master's degree preferred</p><p></p><p>
-</p><p><b>
Job Family Group:
</b></p>Risk Management<p>
-</p><p><b>
Job Family:</b></p>
Operational Risk<p>
-</p><p><b>
Time Type:</b></p>
Full time<p>
-</p><p><b>
Most Relevant Skills
</b></p>Analytical Thinking, Control Monitoring, Credible Challenge, Governance, Issue Management, Operational Risk, Policy and Procedure, Policy and Regulation, Risk Controls and Monitors, Risk Identification and Assessment.<p>
-</p><p><b>
Other Relevant Skills
</b></p>For complementary skills, please see above and/or contact the recruiter.<p>
-</p><p><i>
Citi is an equal opportunity employer, and qualified candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by law.</i></p><p></p><p><i><br>
If you are a person with a disability and need a reasonable accommodation to use our search tools and/or apply for a career opportunity review </i><i>Accessibility at Citi</i><i>.</i><br>
<br>
<i>View Citi&rsquo;s </i><i>EEO Policy Statement</i><i> and the </i><i>Know Your Rights</i><i> poster.</i></p></div>

Operational Risk Lead Analyst

Halan - حالا

<div>
 <p>
  <strong>
   Job Responsibilities:
  </strong>
 </p>
 <ul>
  <br/>
  <li>
   <span>
    &bull; Assessing the company's operational risks.
   </span>
  </li>
  <br/>
  <li>
   <span>
    &middot; Knowledge of how to prepare Third Party risk reports.
   </span>
  </li>
  <br/>
  <li>
   <span>
    &bull; Knowledge of how to prepare and review risk and control self-assessments for all company departments.
   </span>
  </li>
  <br/>
  <li>
   <span>
    &bull; Knowledge of how to prepare internal loss data base and internal &amp; external fraud reports.
   </span>
  </li>
  <br/>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Job Requirements:
  </strong>
 </p>
 <ul>
  <br/>
  <li>
   <br/>
   <span>
    Bachelor&rsquo;s degree in
   </span>
   <strong>
    Finance, Business Administration, Economics,
   </strong>
   <br/>
  </li>
  <br/>
  <li>
   <span>
    At least 2 years of relevant practical experience in banking and/or non-banking sector in operational risk.
   </span>
  </li>
  <br/>
  <li>
   <span>
    Hands-on experience with:
   </span>
  </li>
  <br/>
  <li>
   <span>
    Risk &amp; Control Self-Assessment (RCSA)
   </span>
  </li>
  <br/>
  <li>
   <span>
    Key Risk Indicators (KRIs)
   </span>
  </li>
  <br/>
  <li>
   <span>
    Incident / loss reporting
   </span>
  </li>
  <br/>
  <li>
   <span>
    Business Continuity Planning (BCP)
   </span>
  </li>
  <br/>
  <li>
   Familiarity with risk systems/tools and
   <strong>
    data analysis (Excel, Power BI, etc.)
   </strong>
   <br/>
  </li>
  <br/>
  <li>
   Excellent command of English Language
  </li>
 </ul>
</div>


Senior Operational Risk

UBL - United Bank Limited

<div>
 <p>
  UBL Pakistan is seeking Manager &ndash; Operational Risk and Risk Reporting to join its dynamic GCC Risk team, based in Pakistan, and contribute significantly to maintaining the organization&rsquo;s integrity and resilience. In this, the incumbent will be central to the risk management function, ensuring that UBL&rsquo;s GCC operations consistently meet the highest regional standards. This position offers an exciting opportunity for professionals who excel in fast-paced environments and are committed to advancing best practices in risk management.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Job Responsibilities:
  </strong>
 </p>
 <ul>
  <li>
   Owner of the Operational Risk Policies for the GCC region, ensuring that they align with local regulatory requirements as well as the Group risk requirements
  </li>
  <li>
   Responsible for risk reporting relating to risk appetite and the risk profile of the GCC region
  </li>
  <li>
   Support the governance of operational risk, including risk appetite, risk reporting and KRI monitoring and escalation.
  </li>
  <li>
   Maintain the RCSA programme across the GCC region, oversee operational risk event capture and root-cause analysis
  </li>
  <li>
   Ensure resilience risk is reflected within RCSAs, and that critical processes are mapped along with critical system dependencies to support the management of business continuity and resilience risk.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Qualifications and Skills
  </strong>
 </p>
 <ul>
  <li>
   Proven experience in operational risk management within financial services
  </li>
  <li>
   Strong knowledge of operational risk management and governance, including the three lines of defense model, RCSAs and KRIs and operational loss reporting
  </li>
  <li>
   Excellent analytical, communication and stakeholder management skills
  </li>
  <li>
   Professional certifications in risk management preferred, such as; PRM, FRM and NIBAF certified operational risk specialist.
  </li>
 </ul>
</div>


Manager – Operational Risk and Risk Reporting

SoFi

<div><div><p><b>Employee Applicant Privacy Notice</b></p>
<p><b>
Who we are:</b></p>
<div>
<p>Shape a brighter financial future with us.</p>
<p>
Together with our members, we're changing the way people think about and interact with personal finance.</p>
<p>
We're a next-generation financial services company and national bank using innovative, mobile-first technology to help our millions of members reach their goals. The industry is going through an unprecedented transformation, and we're at the forefront. We're proud to come to work every day knowing that what we do has a direct impact on people's lives, with our core values guiding us every step of the way. <b>Join us to invest in yourself, your career, and the financial world.</b></p>
</div></div><p><b>
The role:</b></p>
<p>
The Operational Risk Challenge &amp; Advisory Senior Analyst is a Second Line of Defense (2LOD) role responsible for providing credible challenges in accordance with SoFi's Operational Risk Credible Challenge Standard. Thisrole moves beyond traditional oversight, acting as both a challenger and a strategic advisory partner. You will apply a deep understanding of operational risk to provide informed, independent, and constructive feedback of SoFi's risk-taking activities, ensuring they align with the Company's risk appetite and regulatory expectations. This is a unique opportunity to expand the Senior Analyst's footprint and take on increased responsibility within a critical second line of defense (2LOD) function. The senior analyst will work independently with minimal supervision, using data and a risk-based approach to get to the truth. They'll run after and solve complex problems, helping to proactively address emerging risks and influence strategic decisions.</p><br>
<p></p>
<p><b>
What you'll do:</b></p>
<ul>
<li>Lead and support a diverse set of 2LOD credible challenge activities, including Targeted Reviews, Operational Risk Issue Validations, Risk andControl Self-Assessment (RCSA) reviews, and New Activity Reviews</li>
<li>Serve as a strategic partner to the business, providing consultation on risk mitigation strategies and offering independent insights into emerging risks and new business initiatives</li>
<li>Proactively identify and communicate potential risks to management to gain alignment and ensure effective mitigation</li>
<li>Assist in the continuous improvement of operational risk methodologies and practices, including the development of new approaches</li>
<li>Collaborate with cross-functional partners to drive decisions and progress toward shared goals</li>
<li>Maintain awareness of current regulatory/industry trends impacting the operational risk management program</li>
<li>Maintain familiarity of, and technical expertise with, business unit(s) organizational structure, personnel, activities and products, new product development, financial performance, and risk and problem areas</li></ul><br>
<p></p>
<p><b>
What you'll need:</b></p>
<ul>
<li>Bachelor's degree</li>
<li>5+ years of relevant operational risk credible challenge, regulatory, examination or Internal Audit experience</li>
<li>Understanding of control frameworks, testing methodologies, and risk assessments</li>
<li>Proven ability to work independently with minimal oversight and manage multiple priorities in a fast-paced environment</li>
<li>Excellent analytical and problem-solving skills with a track record of resolving the root causes of complex issues</li>
<li>Highly effective interpersonal and communication skills with the ability to build trust and influence stakeholders</li>
<li>Understanding of risk governance and the second line of defense processes used to review and challenge front line business unit risk management processes</li>
<li>Familiarity with regulatory requirements and industry best practices</li>
<li>Experience in banking and/or fintech industry, including regulatory experience</li>
<li>Data visualization skills</li></ul><br>
<p></p>
<p><b>
Nice to have:</b></p>
<ul>
<li>Tableau data visualization and analysis</li>
<li>Experience working in Google Docs, Sheets and Slides</li>
<li>Advanced degree; relevant industry certifications, for example, CPA, CCRM, ACAMS; Certified Internal Auditor (CIA); ability to drive innovation, new practices; experience interacting with regulators (Federal Reserve, OCC, CFPB)</li>
<li>Multi-lingual (Spanish)</li>
</ul><div><div><b>Compensation and Benefits</b></div>
<div>The base pay range for this role is listed below. Final base pay offer will be determined based on individual factors such as the candidate's experience, skills, and location.</div>
<div></div>
<div>To view all of our comprehensive and competitive benefits, visit our <b>Benefits at SoFi</b><b> </b>page!</div>
<h5 class="jobSectionHeader">SoFi provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion (including religious dress and grooming practices), sex (including pregnancy, childbirth and related medical conditions, breastfeeding, and conditions related to breastfeeding), gender, gender identity, gender expression, national origin, ancestry, age (40 or over), physical or medical disability, medical condition, marital status, registered domestic partner status, sexual orientation, genetic information, military and/or veteran status, or any other basis prohibited by applicable state or federal law.</h5>
<h5 class="jobSectionHeader">The Company hires the best qualified candidate for the job, without regard to protected characteristics.</h5>
<h5 class="jobSectionHeader">Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.</h5>
<h5 class="jobSectionHeader">New York applicants: Notice of Employee Rights</h5>
<h5 class="jobSectionHeader">SoFi is committed to an inclusive culture. As part of this commitment, SoFi offers reasonable accommodations to candidates with physical or mental disabilities. If you need accommodations to participate in the job application or interview process, please let your recruiter know or email <b>accommodations@sofi.com.</b></h5>
<h5 class="jobSectionHeader">Due to insurance coverage issues, we are unable to accommodate remote work from Hawaii or Alaska at this time.</h5>
<div><b>Internal Employees</b></div>
<div>If you are a current employee, do not apply here - please navigate to our Internal Job Board in Greenhouse to apply to our open roles.</div></div></div>

Operational Risk Challenge & Advisory Senior Analyst

TikTok USDS Joint Venture

<div>
 <strong>
  Responsibilities
  <br/>
 </strong>
 Team Intro:
 <br/>
 The Payment team of U.S. Data Security department of TikTok provides payment solutions - including payment acquisitions, disbursements, transaction monitoring, payment method management, foreign exchange conversion, accounting, reconciliations, and so on - to ensure that users have a smooth and secure payment experience on TikTok platform.
 <br/>
 <br/>
 We are seeking a Data Scientist to drive operational maturity and technical innovation within our Payment Risk Operations. This is a hybrid role designed for those who thrive at the intersection of complex data analysis and real world execution. You will lead the data strategy to measure operational impact, partnering closely with Product and Engineering to deploy automated fraud prevention/reduction solutions that never compromise the customer experience.
 <br/>
 <br/>
 In this role, you will design AI driven tools to automate manual workflows and optimize our defenses. While you will lead high level technical strategy, you are also ready to roll up your sleeves and engage directly with case reviews, as they are the frontline of risk enforcement, we believe our best strategies are built by those who truly understand the data on the ground.
 <br/>
 <br/>
 Responsibilities:
 <br/>
 AI and Workflow Automation
 <br/>
 - Work with Product and Engineering teams to design and implement AI solutions to handle the heavy lifting of risk workflows; You will also define the metrics that prove the impact and set up the alarms to alert us if the logic/system fails.
 <br/>
 - Spot patterns and catch spikes in customer complaints. You will be the one digging into the "why" behind the tickets so we can give the Strategy and Business teams the feedback they need to pivot quickly.
 <br/>
 <br/>
 Chargeback and Dispute Strategy
 <br/>
 - Design a monitoring framework to track win rate anomalies and use those insights to calibrate both the contestment strategy and the core risk scoring models.
 <br/>
 - Develop predictive models to score and prioritize winnable chargebacks, ensuring high value and high probability cases are fast tracked for automated or manual representment.
 <br/>
 <br/>
 Customer Experience and Sentiment Analysis
 <br/>
 - Analyze the "friction vs. fraud" trade-off, measuring how risk interventions (e.g., account freezes, payment option greyouts) impact legitimate user behavior and long-term sentiment.
 <br/>
 - Iteratively refine enforcement strategies to minimize false positives and protect the user journey.
 <br/>
 <br/>
 <strong>
  Qualifications
  <br/>
 </strong>
 Minimum Qualifications:
 <br/>
 - 3+ years in a data analytics role, specifically within Risk Analytics, Fraud Detection, or Trust and Safety.
 <br/>
 - Experience working with real time risk detection and automated enforcement systems.
 <br/>
 - Proficiency in Python (Pandas, Scikit-learn, LLM frameworks) and SQL for extracting insights from datasets.
 <br/>
 - Master&rsquo;s degree in Business Analytics, Statistics, Computer Science, or a related quantitative field.
 <br/>
 <br/>
 Preferred Qualifications:
 <br/>
 - Hands-on experience implementing AI agents or machine learning models to automate operational workflows (e.g., using LLMs for text classification or Vision models for ID verification).
 <br/>
 - Experience working in a fast-paced operational environment with a familiarity in managing and interpreting risk operational data; ability to translate complex model outputs into actionable workflows.
 <br/>
 <br/>
 <strong>
  About USDS
  <br/>
 </strong>
 TikTok USDS Joint Venture LLC is dedicated to the safety and security of millions of Americans who create, discover, and connect with what they love on the apps we operate. The Joint Venture has been established in compliance with the Executive Order signed by President Trump on September 25, 2025. Our foundation is a comprehensive data privacy and cybersecurity program we operate under defined safeguards to protect national security and secure U.S. user data, apps and the algorithm. We safeguard the U.S. content ecosystem, holding decision-making authority for trust and safety policies and moderation. USDS Joint Venture helps ensure Americans can continue to express their creativity, discover new hobbies and interests, and build thriving communities and businesses on a global scale.&ZeroWidthSpace;
 <br/>
 &ZeroWidthSpace;
 <br/>
 On-site presence across teams allows the company to operate with greater speed, alignment, and agility &mdash; especially in areas like real-time decision-making, team development, and integrated execution. As such, the company is shifting from a hybrid work model to a fully in-person schedule up to 5 days a week.&ZeroWidthSpace;
 <br/>
 <br/>
 <br/>
 <strong>
  Why Join Us
  <br/>
 </strong>
 Inspiring creativity is at the core of TikTok's mission. Our innovative product is built to help people authentically express themselves, discover and connect &ndash; and our global, diverse teams make that possible. Together, we create value for our communities, inspire creativity and bring joy - a mission we work towards every day.&ZeroWidthSpace;
 <br/>
 We strive to do great things with great people. We lead with curiosity, humility, and a desire to make impact in a rapidly growing tech company. Every challenge is an opportunity to learn and innovate as one team. We're resilient and embrace challenges as they come. By constantly iterating and fostering an "Always Day 1" mindset, we achieve meaningful breakthroughs for ourselves, our company, and our users. When we create and grow together, the possibilities are limitless. Join us.&ZeroWidthSpace;
 <br/>
 &ZeroWidthSpace;
 <br/>
 Diversity &amp; Inclusion&ZeroWidthSpace;
 <br/>
 TikTok is committed to creating an inclusive space where employees are valued for their skills, experiences, and unique perspectives. Our platform connects people from across the globe and so does our workplace. At TikTok, our mission is to inspire creativity and bring joy. To achieve that goal, we are committed to celebrating our diverse voices and to creating an environment that reflects the many communities we reach. We are passionate about this and hope you are too.&ZeroWidthSpace;
 <br/>
 <br/>
 <br/>
 <strong>
  USDS Reasonable Accommodation
  <br/>
 </strong>
 USDS is committed to providing reasonable accommodations in our recruitment processes for candidates with disabilities, pregnancy, sincerely held religious beliefs or other reasons protected by applicable laws. If you need assistance or a reasonable accommodation, please reach out to us at https://tinyurl.com/USDS-RA&ZeroWidthSpace;
 <br/>
 <br/>
 <br/>
 <strong>
  Job Information
  <br/>
 </strong>
 【For Pay Transparency】Compensation Description (Annually)
 <br/>
 The base salary range for this position in the selected city is $136800 - $312867 annually.&ZeroWidthSpace;
 <br/>
 Compensation may vary outside of this range depending on a number of factors, including a candidate&rsquo;s qualifications, skills, competencies and experience, and location. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives, and restricted stock units.&ZeroWidthSpace;
 <br/>
 Benefits may vary depending on the nature of employment and the country work location. Employees have day one access to medical, dental, and vision insurance, a 401(k) savings plan with company match, paid parental leave, short-term and long-term disability coverage, life insurance, wellbeing benefits, among others. Employees also receive 10 paid holidays per year, 10 paid sick days per year and 17 days of Paid Personal Time (prorated upon hire with increasing accruals by tenure).&ZeroWidthSpace;
 <br/>
 The Company reserves the right to modify or change these benefits programs at any time, with or without notice.&ZeroWidthSpace;
 <br/>
 For Los Angeles County (unincorporated) Candidates:&ZeroWidthSpace;
 <br/>
 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws including the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Our company believes that criminal history may have a direct, adverse and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:&ZeroWidthSpace;
 <br/>
 1. Interacting and occasionally having unsupervised contact with internal/external clients and/or colleagues;&ZeroWidthSpace;
 <br/>
 2. Appropriately handling and managing confidential information including proprietary and trade secret information and access to information technology systems; and&ZeroWidthSpace;
 <br/>
 3. Exercising sound judgment.&ZeroWidthSpace;
</div>


Data Scientist, Risk Operations - USDS

Datamatics Global Services Ltd

<div><h1 class="jobSectionHeader"><b>ServiceNow Functional Consultant (GRC / IRM / SecOps)</b></h1><h2 class="jobSectionHeader"><b>
Role Overview</b></h2><p>
We are seeking an experienced <b>ServiceNow Functional Consultant</b> to lead the implementation, standardization, and optimization of <b>ServiceNow IRM (Integrated Risk Management), GRC, Business Continuity Management, and SecOps modules</b> for a large enterprise environment. The role involves designing functional solutions, aligning processes with industry best practices, and working closely with technical teams to implement scalable and efficient workflows.</p><p>
The ideal candidate will have strong experience in <b>ServiceNow GRC/IRM modules, risk frameworks, policy management, business continuity planning, and SecOps implementations</b>, along with the ability to drive process improvements and stakeholder alignment.</p><p></p><h2 class="jobSectionHeader"><b>
Key Responsibilities</b></h2><h3 class="jobSectionHeader"><b>
1. ServiceNow IRM / GRC Implementation</b></h3><ul><li>
Implement, standardize, and optimize <b>Risk, Policy &amp; Compliance, Business Continuity Management, and SecOps modules</b> within ServiceNow.</li><li>
Design and implement <b>ServiceNow GRC/IRM solutions</b> aligned with industry best practices.</li><li>
Configure and customize <b>policies, controls, indicators, risk frameworks, audit test plans, attestations, and assessments</b>.</li><li>
Configure and manage <b>IRM portals</b> for governance and compliance workflows.</li></ul><h3 class="jobSectionHeader"><b>
2. Business Continuity &amp; Risk Management</b></h3><ul><li>
Design and implement <b>Business Impact Analysis (BIA) workflows</b> within ServiceNow.</li><li>
Develop and manage <b>Business Continuity Plans (BCP)</b> including plan creation, lifecycle management, reviews, and testing.</li><li>
Integrate <b>business continuity plans with risks, business processes, and enterprise assets</b>.</li><li>
Support risk assessments and compliance monitoring across the organization.</li></ul><h3 class="jobSectionHeader"><b>
3. Process Design &amp; Optimization</b></h3><ul><li>
Re-engineer existing governance, risk, and compliance processes to improve productivity, service quality, and operational efficiency.</li><li>
Design and implement new processes ensuring alignment with regulatory and organizational standards.</li><li>
Ensure strong stakeholder engagement and buy-in during process redesign initiatives.</li></ul><h3 class="jobSectionHeader"><b>
4. Functional Implementation &amp; Collaboration</b></h3><ul><li>
Lead functional implementations for designed or re-engineered processes.</li><li>
Collaborate closely with <b>ServiceNow technical teams</b> to translate functional requirements into system configurations and customizations.</li><li>
Work within an <b>Agile delivery model</b>, participating in sprint planning, backlog refinement, and solution validation.</li></ul><h3 class="jobSectionHeader"><b>
5. Documentation, Training &amp; Change Management</b></h3><ul><li>
Prepare comprehensive <b>process documentation, functional specifications, test scripts, and training materials</b>.</li><li>
Support <b>organizational change management</b> initiatives during tool and process implementations.</li><li>
Conduct <b>operational training sessions</b> for end users and stakeholders.</li></ul><h3 class="jobSectionHeader"><b>
6. Reporting &amp; Performance Measurement</b></h3><ul><li>
Define and implement <b>KPI measurement frameworks</b> for governance, risk, and compliance operations.</li><li>
Configure dashboards and reporting mechanisms within ServiceNow.</li><li>
Provide insights to stakeholders on risk posture, compliance status, and operational performance.</li></ul><p></p><h2 class="jobSectionHeader"><b>
Required Skills &amp; Experience</b></h2><ul><li>
Strong experience with <b>ServiceNow IRM / GRC modules</b> including:<ul><li>
Risk Management</li><li>
Policy &amp; Compliance Management</li><li>
Audit Management</li><li>
Business Continuity Management</li><li>
SecOps</li></ul></li><li>
Hands-on experience configuring <b>risk frameworks, policies, controls, indicators, and compliance workflows</b>.</li><li>
Experience designing and implementing <b>Business Impact Analysis (BIA) and Business Continuity Plans (BCP)</b>.</li><li>
Strong understanding of <b>risk management frameworks and compliance standards</b>.</li><li>
Experience working with <b>Agile delivery methodologies</b>.</li><li>
Excellent stakeholder communication and requirement gathering skills.</li></ul><p></p><h2 class="jobSectionHeader"><b>
Preferred Qualifications</b></h2><ul><li><b>
ServiceNow IRM / GRC Certification</b> or equivalent ServiceNow certifications.</li><li>
Experience working in <b>large enterprise environments with multiple service providers</b>.</li><li>
Familiarity with <b>IT governance, risk, and compliance frameworks</b> (ISO 27001, NIST, COBIT, etc.).</li><li>
Experience implementing <b>SecOps workflows and integrations</b>.</li></ul><p></p><h2 class="jobSectionHeader"><b>
Key Competencies</b></h2><ul><li>
Strong functional consulting and solution design capability</li><li>
Business process reengineering expertise</li><li>
Stakeholder management and communication skills</li><li>
Analytical and problem-solving mindset</li><li>
Ability to bridge business and technical teams effectively</li></ul><p>
</p><p>HsiGk6CdY7</p></div>

ServiceNow Functional Consultant

HealthPartners

<div><p>JOB DESCRIPTION</p>
<div><div>HealthPartners is hiring a Informatics Risk Adjustment Consultant. The Informatics Consultant &ndash;supports the Health Plan&rsquo;s risk adjustment operations by delivering trusted, prioritized, and compliant data insights that drive efficient workflows and improve risk score accuracy, while continuously refining processes through feedback. This role ensures the plan&rsquo;s risk adjustment outputs are accurately represented in <b>claims and encounter data</b>, analytics, and reporting.</div>
<p>
The consultant serves as a bridge between the data/technology teams and risk adjustment operations, clinical/provider stakeholders, coding and chart review teams, and compliance/audit partners. The role enables informed, compliant, and actionable risk adjustment program, while maintaining strong governance, audit readiness, and organizational standards.</p>
<p><b>
ACCOUNTABILITIES</b><b>:</b></p>
<p><b>
Risk Adjustment Strategy &amp; Program Execution</b></p>
<ul>
<li>Support planning and execution of annual risk adjustment initiatives (prospective, concurrent, and retrospective), aligned to plan goals and regulatory requirements.</li>
<li>Translate risk adjustment priorities into practical workflows, playbooks, and measurable interventions across provider groups and vendor partners.</li>
<li>Partner with risk adjustment operations to optimize data capture, risk score modeling, member stratifications, suspecting logic, and program outcomes.</li>
</ul>
<p><b>Diagnosis Accuracy, Clinical Validity &amp; Documentation Integrity</b></p><br>
<ul>
<li>
</li><li>Identify patterns of under-capture, over-capture, and potential diagnosis coding inaccuracies; drive suspecting logic and workflow improvements.</li>
<li>Support provider-facing reporting</li>
</ul>
<p><b>Encounter &amp; Claims Data Quality (Core Health Plan Focus)</b></p>
<ul>
<li>Work with operational and technical teams to improve completeness, timeliness, and accuracy of encounter data and diagnosis submission (including resolving rejections, edit failures, and submission gaps).</li>
<li>Define and monitor data quality KPIs (e.g., encounter internal validations, submission rates, acceptance rates, diagnosis completeness, provider group variation, lag time).</li>
</ul>
<p><b>Provider &amp; Vendor Enablement (External-Facing Consulting)</b></p>
<ul>
<li>Support relationships with provider groups, delegated entities, and vendor partners to improve data exchange and workflows</li>
<li>Participate in vendor management activities (requirements gathering, performance monitoring, issue escalation, and continuous improvement).</li>
</ul>
<p><b>Measurement, Analytics &amp; Performance Reporting</b></p>
<ul>
<li>Define and track risk adjustment performance measures such as:
<ul><li>Reconfirmation rates and suspected-condition confirmation rates</li>
<li>Member visit rates and provider engagement</li>
<li>Condition prevalence shifts and variation analysis</li>
<li>Net risk score movement (where appropriate) with integrity guardrails, and drivers of risk</li>
<li>Encounter submission acceptance rates</li>
<li>Audit results and feedback loop reporting</li>
</ul></li><li>Partner with analytics teams to develop dashboards and actionable reporting (e.g., Power BI), and to ensure consistent measure definitions.</li>
</ul>
<p><b>Compliance, Audit Readiness &amp; Governance</b></p>
<ul>
<li>Partner with compliance, internal audit, and risk adjustment leadership to support audit readiness (e.g., documentation standards, monitoring, validation processes).</li>
<li>Help implement controls and monitoring to identify outliers and reduce risk (e.g., unusual provider patterns, unsupported diagnoses, excessive suspecting false positives).</li>
<li>Maintain familiarity with current risk adjustment policies and guidance, and support operational implementation of updates.</li>
</ul>
<p><b>Cross-Functional Leadership &amp; Change Management</b></p>
<ul>
<li>Facilitate collaboration between data/technology teams and risk adjustment operations, clinical/provider stakeholders, coding and chart review teams, and compliance/audit partners.</li>
<li><div>When asked, co-lead small to medium initiatives end-to-end, including requirements definition, workflow design, stakeholder engagement, training, measurement, and sustainment.</div>
<p><b>REQUIRED QUALIFICATIONS</b><b>:</b></p></li>
</ul>
<p><b>1. Education</b></p>
<ul>
<li>Bachelor&rsquo;s degree in health informatics, nursing, health information management, public health, business, or related field; or equivalent combination of education and experience.</li>
</ul>
<p><b>2. Experience and Knowledge</b></p>
<ul>
<li>5+ years of experience in health plan and/or risk adjustment-related domains, such as: risk adjustment operations, encounter data management, coding, clinical documentation integrity, provider performance, quality improvement, or healthcare analytics.</li>
Working knowledge of how diagnoses flow through EHR coding/chart review encounter/claims submission<li> risk adjustment analytics.</li>
<li>Experience collaborating with provider organizations and/or delegated entities to improve documentation and data submission practices.</li>
<li>Experience using data to drive improvement: ability to interpret trends, variation, root cause issues, and performance metrics.</li>
<li>Familiarity with Medicare Advantage (preferred) and/or other risk programs, including chart review concepts and audit sensitivity.</li>
</ul>
<p><b>3. Skills</b></p>
<ul>
<li>Strong consulting, facilitation, and stakeholder management skills; able to influence without authority.</li>
<li>Excellent written and verbal communication; able to create clear playbooks, training, and executive-ready summaries.</li>
<li>Strong analytical thinking and operational problem-solving; comfortable navigating ambiguous issues across workflows and systems.</li>
<li>High integrity and sound judgment; commitment to compliant, clinically appropriate documentation practices.</li>
<li>Strong project management skills; ability to manage multiple workstreams, deadlines, and cross-functional dependencies.</li>
</ul>
<p><b>PREFERRED QUALIFICATIONS:</b></p>
<ul>
<li>Credentials such as CRC, CPC, CCS, CDIP, CCDS (or comparable).</li>
<li>Experience working directly with MA encounter submission processes, edit resolution, or encounter data ingestion/validation.</li>
<li>Experience supporting chart retrieval/coding vendors and performance management (KPIs, SLAs, escalation paths).</li>
<li>Familiarity with audit processes and documentation standards (e.g., retrospective validation, risk adjustment audits), and designing monitoring/controls.</li>
<li>Experience developing or specifying requirements for dashboards and operational reporting (Power BI, Tableau, or equivalent).</li>
<li>Solid working experience with SQL and relational database design</li>
<li>Exposure to agile/scrum</li>
<li>Experience using Azure suite of tools, Databricks, Azure Data Lake</li>
<li>Experience in a highly regulated environment and comfort partnering closely with compliance and privacy.</li></ul></div></div><p></p>
<br><div><p>ABOUT US</p>
<div><div>At HealthPartners we believe in the power of good &ndash; good deeds and good people working together. As part of our team, you&rsquo;ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.</div>
<p>
We&rsquo;re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.</p>
<p>
At HealthPartners, everyone is welcome, included and valued. We&rsquo;re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.</p>
<p><b>
Benefits Designed to Support Your Total Health</b><br>
As a HealthPartners colleague, we&rsquo;re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.</p>
<p>
Join us in our mission to improve the health and well-being of our patients, members, and communities.</p>
<p></p>
<p>We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.</p></div></div>
<br><div><p>JOB INFO</p>
<div><div><div><ul><div><div>Job Identification</div>
<div>118338</div>
</div><div><div>Organization</div>
<div>HealthPartners/GHI, HealthPartners Enterprise</div>
</div><div><div>Posting Date</div>
<div>04/10/2026, 02:56 PM</div>
</div><div><div>Locations</div>
<div> <div></div><div><div>Work@Home Minnesota
</div></div></div></div><div><div>Work Schedule</div>
<div>M-F,8-5pm</div>
</div><div><div>Hours Per Week/FTE</div>
<div>40 hrs weekly / 1.0 FTE</div>
</div><div><div>Job Shift</div>
<div>Day</div>
</div><div><div>Position Type</div>
<div>Full-time regular</div>
</div><div><div>Job Category</div>
<div>Information Technology</div>
</div><div><div>Department</div>
<div>Health Informatics</div>
</div><div><div>Pay Range</div>
<div>$63.77 - $95.65 hourly</div>
</div><div><div>Pay Range Statement</div>
<div>Compensation is based on the level and requirements of the role. Pay within our ranges may also be determined by education, experience, knowledge, skills, location, and abilities as well as internal equity. Hired candidates may be eligible to receive additional compensation based on role (e.g., shift differential, bonus, sales incentive, productivity pay, etc.).</div>
</div><div><div>Overtime Eligibility Status</div>
<div>Exempt</div>
</div><div><div>Worker Type</div>
<div>Employee</div></div></ul></div></div></div></div>

Informatics Risk Adjustment Consultant

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