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Banner Health

Banner Health is a nonprofit healthcare system based in Phoenix, Arizona. As one of the largest employers in the country, Banner Health utilizes the expertise a

Registered Nurse High Risk Case Manager

Location

Arizona

Posted

65 days ago

Salary

0

Seniority

Senior

No structured requirement data.

Job Description

Registered Nurse High Risk Case Manager

Banner Health

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Senior Data Governance Specialist (Bilingual-French/English) remote Canada, Canada, Canada . full-time Description About Infostrux: Infostrux is one of North America’s fastest-growing data-focused consultancies. Within 18 months of our founding in 2021, Snowflake recognized us at the highest partnership tier—a reflection of our deep expertise and impact. We help organizations unlock the value of their data by building modern, cloud-native platforms that power analytics, AI, and machine learning. Our work spans the modern data stack—covering data engineering, architecture, integration, and modelling—with Snowflake as one of our core partners. From startups to Fortune 500s across industries like finance, health, gaming, and retail, we design and deliver scalable data solutions that enable faster, smarter, data-driven decisions. And as proud recipients of the Great Place to Work® Certification (2026-2027), we are equally committed to fostering a culture of trust, collaboration, and growth for our people. Job Summary: We are seeking an experienced and client-focused Data Governance Specialist to join our team. In this role, you will be a trusted advisor to our clients, guiding them through the development, implementation, and maturation of their data governance programs to achieve operational efficiency. Your primary focus will be on building robust governance frameworks by engaging with business and technical teams, defining clear policies, and ensuring strong business engagement to help our clients treat their data as a strategic asset. Your ability to engage, advise, and influence will ensure that governance is not just a policy on paper, but a way of working that supports better decision-making, operational excellence, compliance, and long-term business success. What you’ll get to do: - Consult and Advise: Partner with a diverse portfolio of clients to assess their current data landscapes, identify governance gaps, and design tailored data governance strategies. - Framework & Policy Development: Lead the creation and implementation of data governance frameworks, including data standards, policies, and procedures that align with client business objectives and industry best practices. - Business Engagement: Act as a liaison between business and technical teams. Facilitate workshops, interviews, and meetings with client stakeholders at all levels to build consensus, define roles (e.g., data owners, stewards), and foster a data-driven culture. - Program Implementation: Guide clients through the practical steps of rolling out a data governance program. This includes establishing governance councils, defining success metrics, and creating communication plans. - Metadata and Data Lineage: Support the business and technical team in the creation and upkeep of metadata repositories and lineage documentation to improve data transparency, traceability, and understanding. - Data Quality Management: Assist clients in monitoring and improving data quality by defining rules, tracking metrics, and supporting issue resolution to ensure data is accurate, complete, and reliable. - Data Security and Compliance: Help enforce data access controls, privacy policies, and compliance requirements in the data pipeline to protect sensitive information and meet regulatory standards. - Risk & Compliance: Help clients navigate regulatory (e.g., GDPR, CCPA) and other compliance requirements, ensuring their data governance policies mitigate risk. - Tooling & Technology: Advise clients on selecting and implementing data governance tools (e.g., Collibra, Informatica, Ataccama, data.world) to automate and streamline their programs. What you’ll bring: - Minimum 12-15 years of experience in designing and implementing data governance frameworks and policies for multiple organizations. - Exceptional communication, presentation, and interpersonal skills with a demonstrated ability to build rapport and influence senior-level stakeholders. - Strong analytical and problem-solving skills to understand complex client challenges and propose effective, scalable solutions. - Technical knowledge across modern data ecosystems, including experience with data cataloging, metadata management, data quality tools, and cloud data platforms (e.g., Snowflake, BigQuery, or Redshift). - Familiarity with data regulations and industry compliance standards. - A collaborative and consultative mindset, with the ability to work closely with business stakeholders, build trust, and guide them through governance adoption. - A problem-solving attitude, proactively identifying data risks or gaps, and working creatively to implement practical, scalable solutions. - A commitment to continuous learning, staying up to date on new technologies, and governance trends to keep your practices modern and effective. - Bilingual Fluency in French and English. Additional Assets: - Certifications such as CIMP (Certified Information Management Professional), CDS (Certified Data Steward), and CDMP (Certified Data Management Professional) are highly desirable. - Bachelor's in Computer Science, IT, or Mathematics, a related field, or equivalent practical experience. What we work with: - Data Catalog and Data Governance tools (Secoda, Atlan, Ataccama, data.world) - Industry-recognized models such as DAMA or DCAM, alongside organizational policies, guidelines, and data standards. What’s in it for you? We’re so glad you asked! You will be surrounded by some of the brightest and most accomplished technical minds in our field. We are a team of very diverse and passionate professionals who love working together and solving problems by leveraging technology to help our customers. We pride ourselves in our outstanding work culture that is grounded in our 8 core values: trust, excellence, integrity, humility, accountability, responsibility, kindness, and fun. We value our people above all, and we provide a competitive compensation and benefits package to show our team our appreciation for everything they do: - We are a 100% remote organization, and our team members can work from the comfort of their homes, as well as anywhere abroad where they are entitled to work for up to 3 months per year. - We are strong believers of work-life integration, and we offer a flexible schedule so that our team can manage their own workload and still be there for family and loved ones. - We offer 4 weeks of vacation annually, in addition to paid personal and sick days, so that our team can unwind, recharge, and enjoy time away for hobbies and family. - We provide a monthly bring-your-own-device allowance for each team member to choose the computer and phone of their preference (and it is theirs to keep afterwards). - We strongly believe in professional growth, so we are continuously educating ourselves with regular lunch & learns and industry events, and we invest in professional development and industry-based certifications for everyone in our team. - We constantly encourage everyone to step outside of their comfort zone and try new things, so we dedicate time each month to work on non-client work and collaborate on new innovative ideas, and we reward people who experiment and take risks. - We enjoy getting together, and we promote co-working days and social events in our main locations on a regular basis. We are ​ committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, or age. Please note that you must be legally eligible to work in Canada to be considered for employment, and if selected, you must complete a criminal and credit background check to be hired. Compensation for this role depends on various factors, including seniority, skill level, and location. Compensation structures may also differ based on the type of engagement—contract rates vary from full-time employee salary ranges. Specific details will be discussed during the hiring process. We look forward to getting to know you! infostrux.com/careers | Join Infostrux, where we design scalable, cloud-based data solutions that enable faster, smarter, data-driven decisions. Compensation $110,000.00 - $160,000.00 per year

Canada
$110K - $160K / year
Ultimus Fund Solutions logo

Senior Oversight Specialist

Ultimus Fund Solutions

Ultimus Leverpoint is an equal opportunity employer and does not discriminate on the basis of the applicant’s or employee’s race, color, religion, national origin, ancestry, gender, sexual orientation, age, disability, veteran or military status, genetic information, citizenship or any other status entitled to protection under federal, state or local anti-discrimination laws. No questions on our employment application are intended to secure information that is to be used for impermissible purposes.

Risk65 days ago
Full TimeRemoteTeam 501-1,000

Role Description The Senior Oversight Specialist is responsible for ensuring the organization’s compliance with all applicable anti-money laundering (AML) laws and regulations. Additionally, this role involves monitoring, analyzing, and reporting on AML data such as identifying suspicious patterns, and implementing strategies to mitigate fraud risks. - Detects, investigates, and prevents fraudulent activities within the organization. - Performs identity verification review on new account shareholders, authorized signers, and beneficial owners, to satisfy Know your Customer ‘KYC’ and ‘AML Policy’ requirements. - Conducts comprehensive reviews on all politically exposed person (PEP) and OFAC/various watchlist alerts. - Requests supplementary documentary evidence from those persons who do not immediately pass KYC verification and updates account accordingly. - Reviews various reports to evaluate and monitor transactional activity to identify potential suspicious activity. - Performs manual “real time” KYC identity verification for requests submitted by related departments. - Reviews account activity and provides timely responses to Red Flag submissions; records suspicious activity, including shareholder personal information, in various internal watchlists. - Adheres to designated timelines and procedures to ensure timely and accurate completion of tasks. - Attends training and provides guidance to associates on fraud detection and prevention techniques. Raises awareness of fraud risks and promotes a culture of vigilance. - Assists with identification, organization, and dissemination of archived materials to support completion of SOC1 and annual AML audits. - Assists with client conversion data reviews and department clean-up projects, as needed. - Assists with production and quality control review of quarterly client AML certifications. - Conducts a bi-weekly FinCEN processing and quality control review; reports any “positive hits” to AML Manager and AMLCO; provides certifications to clients. - Conducts a quarterly OFAC processing and quality control review; reports any “positive hits” to AML Manager and AMLCO. - Processes monthly Lexis Nexis invoices to Accounts Payable in a timely manner. - Creates extensive written team procedures and maintains in Knowledge Management System (KMS) database. - Assists with Lexis Nexis administration role to maintain user access status, establish new users, etc. Qualifications - Bachelor’s degree in finance, law, business administration, or a related field. - 3-5 years of experience in AML compliance and fraud detection, preferably within the financial services industry. Requirements - Bank Secrecy Act (BSA), Anti-Money Laundering (AML)/Terrorist Financing, Customer Identification Program (CIP), Know Your Customer (KYC), Office of Foreign Asset Control (OFAC) regulatory and program requirements. - Effective internet search techniques. - Microsoft Office Suite, with demonstrated experience in Excel, including pivot tables, macros, filtering, and sorting. - Adobe Acrobat. Skills and Abilities - Prominent level of accuracy and diligence. - Strong ethical standards in professional conduct. - Adapts to changing regulatory environments and business needs. - Manages sensitive information with discretion. - Aligns associates with company values and goals. - Plans and delegates the work of others. - Motivates and inspires others. - Assesses the performance of self and associates to make improvements or take corrective action. - Plans and develops systems and procedures to improve operating quality and efficiency of department in accordance with company policies and procedures. - Troubleshoots issues utilizing creative and critical thinking skills. - Multitasking, analytical, and organizational skills. - Initiative-taking, strategic, and meticulous approaches with a strong commitment to quality, efficiency, and effectiveness. - Demonstrates and exercises personal integrity, responsibility, accountability, and good judgement. - Effectively uses resources such as time and information in conjunction with associates. - Participates in solving problems and making decisions. - Presents and expresses ideas and information, written and oral, clearly, and concisely. - Actively listens to others to achieve understanding and supports an open exchange of ideas and information. - Identifies needs, arranges for, and obtains resources to accomplish individual and department goals. - Establishes and develops effective working relationships with associates and clientele during both favorable and unfavorable situations. - Modifies team and individual priorities and deadlines in response to added information, changing conditions, or unexpected obstacles and ensures completion. - Equivalent education, experience, and KSA’s will be considered. Company Description Ultimus is an equal opportunity employer and does not discriminate on the basis of the applicant’s or employee’s race, color, religion, national origin, ancestry, gender, sexual orientation, age, disability, veteran or military status, genetic information, citizenship or any other status entitled to protection under federal, state or local anti-discrimination laws. No questions on our employment application are intended to secure information that is to be used for impermissible purposes.

United States
$55K - $85K / year
Full TimeRemoteTeam 10,001+Since 1878H1B Sponsor

• Drive Internal Control & Risk Processes: Lead the implementation of internal control and risk management across the Region. • Strategic Business Partner: Act as a trusted advisor to regional and local leadership by facilitating regular risk and control updates. • Competency Development: Partner with Regional management to build talents and internal control capabilities. • Methodology, Frameworks & Tools: Contribute to the evolution and application of Group-wide risk and control methodologies. • Cross-functional Collaboration: Coordinate with global and regional functions, internal and external audits, and other stakeholders. • Maintain an effective internal control system for the Region. • Promote Best Practices & Innovation: Foster harmonization of internal controls, promote automation, and digital solutions. • Coordinate Risk Management Processes: Partner with Global Risk Owners, Managing Directors, Risk Champions, and Subject Matter Experts. • Build Knowledge and Competencies: Deliver training and guidance to local teams on internal control and risk management practices. • Monitoring & Communication: Organize regular risk and control updates with Regions and Countries.

Morocco
Job Closed
Full TimeRemoteTeam 10,001+Since 1982H1B No Sponsor

The job profile for this position is Fraud Lead Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Healthcare Fraud Investigator: Make an impact protecting customers, data, and healthcare integrity. We’re looking for a skilled and motivated Healthcare Fraud Investigator to handle complex healthcare fraud matters that impact our customers and the organization. In this role, you’ll take ownership of investigations from start to finish—using sound judgment, analytic thinking, and collaboration to bring cases to resolution. This is an opportunity for investigators who enjoy digging into details, following the data, and working on high‑value cases that truly matter. What You’ll Do - Lead in‑depth investigations into suspected or confirmed healthcare fraud, using a thoughtful and independent investigative approach. - Gather, analyze, and synthesize information from a variety of sources, including claims data, records, interviews, and internal partners. - Manage complex, high‑dollar investigations with a high degree of autonomy. - Prepare clear, well‑documented investigative reports and evidence packages to support case resolution, recovery efforts, or external referrals. - Coordinate with internal stakeholders and, when appropriate, local, state, or federal agencies to support investigations. - Respond to subpoenas or regulatory inquiries and provide testimony when required, in partnership with legal and compliance teams. - Support special projects related to fraud detection, auditing, and continuous improvement of investigative practices. - Protect sensitive customer and company information, including PHI, while maintaining strict confidentiality standards. What You’ll Bring - Bachelor’s degree in Criminal Justice or 7+ years of investigative claims experience - 3+ years of healthcare fraud investigation, SIU, audit, payment integrity, or related experience. - Proven ability to manage complex investigations independently and bring them to resolution. - Strong analytical and computer skills, with proficiency in Microsoft Excel, Word, and similar tools. - Excellent written and verbal communication skills, including the ability to present findings clearly and professionally. - Comfort working with sensitive, confidential information and exercising sound judgment. - Ability to adapt to changing priorities and work effectively in a fast‑paced environment. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 68,300 - 113,900 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

United States
$68.3K - $113K / year
Job Closed