• Coordinates cross-functional risk management and central monitoring activities for assigned clinical trials • Supports study teams by prioritizing quality across the study and ensuring consistency within programs, therapeutic areas, and/or sponsors • Oversees all Risk-Based Quality Management activities on assigned studies • Develops the Central Monitoring Plan for the assigned study and gains Global Project Lead (GPL) and sponsor approval • Delivers training to study teams regarding the RBQM strategy

Employment Type: Full timeShift: Description: Remote Position - Must live in Iowa Job Summary: The RN Ambulatory Health Coach provides care management and care coordination services to Population Health patients with complex illnesses residing in the community setting. This includes managing a panel of high-acuity patients, managing their transitions in care across the care continuum, and providing coaching and education to support patient self-management. Serves in an expanded health care role to collaborate with the patient’s primary care provider, specialists, other members of the health care team, and patients/families to ensure the delivery of quality, efficient, and cost-effective health care services. Assesses, plans, implements, coordinates, monitors, and evaluates all options and services with the goal of optimizing the patient’s health status. Integrates evidence-based clinical guidelines, preventive guidelines, and protocols in the development of individualized care plans that are patient-centric, promoting quality and efficiency in the delivery of health care. Understands and complies with PHSO standard work flows, upholding accreditation level standards. Essential Position Expectations: 1. Performs patient identification and risk stratification following the ambulatory care management care model. 2. Maintains a panel of high-acuity patients engaged in Care Coordination Services: § Provides at least a monthly engagement conducted either by phone or virtually § Completes routine assessments of physical, mental, social, and functional needs § Develops, implements, and updates patient care plans § Manages coordination and communication across providers, services, and markets § Assess for adherence, barriers, and gaps in recommended care § Facilitates advance care planning discussions and the completion of advance directives for patients ≥ 18 years of age § Manages transitions in care following hospital discharges, emergency department use, and post-acute stays 3. Applies motivational interviewing to strengthen the patient’s own motivation for change and movement towards health behavior goals. 4. Provides coaching and education to support self-management. 5. Participates in quality improvement, measurement, and data collection to include populations with clinical and financial risk. 6. Accepts direct referrals from care management team members and providers. 7. Delegates to support team members as appropriate. 8. Informs primary care provider of ongoing care management activities, patient progress towards goals, and changes in the patient’s health status. 9. Documents all patient interactions in the patient’s health record or care management documentation system immediately after the call or meeting is completed. The maximum allowable time from interaction to documentation is one business day. 10. Understands accountability for results and self-manages to support PHSO level success goals in the areas of quality, cost of care, and patient experience. 11. Upholds and supports PHSO standard workflows and procedures at accreditation level quality. Knowledge & Skills: 1. Ability to deal with confidential and sensitive information, requiring ongoing discretion and management of secure information. 2. Strong communication (verbal/written) and organizational skills, and ability to interact effectively with providers, clinic staff, and care management team members across the care continuum. 3. Highly proficient in use of computers and other technologies with the ability to troubleshoot and problem solve as needed. 4. Demonstrated capacity to problem solve and prioritize in complex situations. 5. Demonstrates a wide knowledge base and sound clinical skills to function as a nurse generalist. 6. Strong self-motivation and ability to work independently without direct supervision or support. 7. Adaptability to performing a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure. 8. Ability to function effectively in a team-based environment. 9. Basic Excel and Word skills. 10. Ability to understand and apply guidelines, policies, and procedures. 11. Obtain Certificate of Competency in Population Health Care Management within 12 months of hire. 12. Proof of completion of Mandatory Reporter within three months of hire. Mental & Physical Demands: 1. Must be able to pass a pre-employment drug screening test at time of hire. 2. Work with regular and predictable attendance. 3. Maneuver within the physical work environment with some bending, stooping, reaching, and light lifting. 4. Constantly able to use hands and fingers to type, write, and file. Frequently able to use near vision for viewing computer monitors and written materials. Occasionally required to detect unusual odors that could indicate environmental issues. 5. Use of usual and customary equipment used to perform essential functions of the position. Education: Graduate from an accredited school of nursing. BSN preferred. Experience: Minimum of 5 years previous nursing experience or 3 years and BSN in lieu of experience. Varied clinical experience preferred. Certifications & Licenses: Iowa state licensure as a Registered Nurse. The above is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities or requirements. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Single Sponsor Senior CRA II - Oncology (UK based) Must have UK on-site and risk based monitoring exp) Syneos Health® is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate complexity, anticipate change and accelerate progress. Our Clinical Solutions team members act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you’ll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to deliver – for one another, our customers, and, most importantly, for those in need. Discover what your 25,000 future colleagues already know: Why Syneos Health • We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program. • We are committed to building an inclusive culture – where you can authentically be yourself. Central to this is our purpose – Driven to Deliver – which captures the passion of our colleagues to show up each day and shape solutions that have the ability to dramatically impact someone’s life. • We are continuously building the company we all want to work for and our customers want to work with. Why? Because we know that when we bring together smart colleagues from across the world, we can shape the future of healthcare, driving impact for customers and defining the pace of patient progress. Job Responsibilities - Conduct on-site and remote monitoring of clinical research studies to ensure compliance with widely accepted clinical practices, including verifying the accuracy and completeness of data collected and ensuring adherence to study protocols - Develop and implement tools, procedures, and processes to ensure quality monitoring, including creating standardized templates for monitoring reports and checklists for site visits - Contribute to the design, implementation, and delivery of processes, programs, and policies, including participating in the development of clinical trial protocols and providing input on study design and methodology - Manage and direct the work of lower-level professionals or manage processes and programs, including providing guidance and support to junior staff members and overseeing the day-to-day activities of clinical trial sites - Ensure accurate and timely documentation and reporting of clinical trial data, including maintaining detailed records of site visits and monitoring activities and preparing comprehensive reports for regulatory submissions - Collaborate with cross-functional teams to support clinical trial activities, including working closely with data management, biostatistics, and regulatory affairs teams to ensure the successful execution of clinical trials - Identify and resolve issues related to clinical trial conduct and data integrity, including troubleshooting problems with data collection and addressing discrepancies in study records - Provide training and mentorship to junior staff members, including conducting training sessions on monitoring techniques and best practices and offering ongoing support and guidance to help them develop their skills and expertise Qualifications: - Bachelor's degree in a related field - Minimum of 3-5 years of experience in clinical research or a related field - In-depth knowledge of clinical trial processes and regulations - Strong analytical and problem-solving skills - Excellent communication and interpersonal skills - Ability to work independently and as part of a team Certifications: - Certified Clinical Research Professional (CCRP) or equivalent certification preferred Necessary Skills: - Proficiency in clinical trial management systems and software - Strong organizational and time management skills - Attention to detail and accuracy - Ability to manage multiple projects and priorities simultaneously - Knowledge of Good Clinical Practice (GCP) guidelines and regulatory requirements Get to know Syneos Health Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients. No matter what your role is, you’ll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health. http://www.syneoshealth.com Additional Information Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.

• Validate live deposit and withdrawal activity using internal monitoring tools and anti-fraud alert systems. • Detect and intercept suspicious transaction patterns, including carding, money laundering (AML), account takeover (ATO), and payment method abuse. • Analyze player behavior at the cashier level to uncover organized fraud rings and sophisticated bonus abuse linked to payment schemes. • Apply immediate risk mitigation actions, independently triggering transaction holds, account freezes, and payment method restrictions. • Drive KYC and EDD (Enhanced Due Diligence) requests for suspicious accounts to strictly validate player identities and source of funds. • Manage and resolve complex chargeback disputes and internal JSM tickets related to financial suspicions without compromising operational SLAs. • Partner with Compliance, Payments, and Finance teams to conduct deep-dive investigations into financial anomalies and potential security breaches. • Document audit-ready case notes and maintain accurate internal tracking tables for all anti-fraud and payment actions. • Optimize workflows by reporting bugs in payment logic, clarifying risk rules, and suggesting improvements to automated velocity checks.