Risk Remote Jobs in Illinois (US)
This page tracks remote risk openings that are location-eligible for Illinois.
This page tracks remote risk openings that are location-eligible for Illinois.
Open jobs
1,113
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$51,300 - $175,000
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Modern work management platform
Role Description We are looking for a Sr. Principal Customer Risk & Retention Strategy Manager to join Smartsheet’s Customer Excellence team. In this role, you will lead a portfolio of targeted retention programs, including key account motions, that complement Customer Excellence’s efforts to identify, forecast, and mitigate customer churn. You will partner closely with Customer Excellence, Product, Revenue Operations, and Data Science. This is a highly visible role with direct impact on Gross and Net Revenue Retention, shaping how Smartsheet proactively manages customer risk at scale. The opportunity is ideal for a strategic operator who thrives at the intersection of data, customer lifecycle strategy, and cross-functional execution. This is a remote eligible position and you may work remotely from anywhere in the US where Smartsheet is registered. - Lead a portfolio of customer retention programs, defining how at-risk customers are identified, prioritized, and addressed across the customer lifecycle. - Design and operationalize churn forecasting and predictive risk models in partnership with Data Science and Revenue Operations to enable proactive retention actions. - Lead churn analysis and root cause identification, translating insights into targeted, high-impact mitigation programs and playbooks. - Build and evolve customer health scoring frameworks that are predictive, actionable, and embedded into Customer Excellence and renewal workflows. - Scale risk mitigation through automation and process design, improving renewal journeys, cash-to-close efficiency, and consistency of execution across teams. - Design and launch practical, field-ready risk mitigation programs, including playbooks, workflows, and intervention models that Customer Excellence and renewal teams can execute consistently at scale. Qualifications - 15+ years of experience in Customer Success, Sales, Sales Operations, Account Management or related experience in a SaaS. - 5+ years experience in people and/or program management. - Bachelor's degree, MBA preferred. - Willing to travel periodically for onsites and key meetings. - Deep experience in retention strategy within a SaaS environment, with demonstrated ownership of churn reduction initiatives. - Strong analytical and forecasting expertise, including experience partnering with Data Science teams on predictive modeling, health scoring, and churn forecasting. - Proven track record leading large, cross-functional programs from strategy through execution with measurable impact on retention metrics (GRR, NRR). - Expertise designing and operationalizing customer health scores and risk frameworks that drive consistent, proactive action by customer-facing teams. - Strong understanding of SaaS customer lifecycle economics, including renewals, expansion, risk signals, and retention levers across segments. - Hands-on experience building and operationalizing churn mitigation playbooks and programs, translating insights into repeatable workflows, clear ownership models, and measurable outcomes. Benefits - Employer subsidized medical/vision and dental coverage for full-time employees. - 401k Match to help you save for your future (50% of your contribution up to the first 6% of your eligible pay). - Monthly stipend to support your work and productivity. - Flexible Time Away Program, plus Sick Time Off. - US employees are automatically covered under Smartsheet-sponsored life insurance, short-term, and long-term disability plans. - US employees receive 12 paid holidays per year. - Up to 24 weeks of Parental Leave. - Personal paid Volunteer Day to support our community. - Opportunities for professional growth and development including access to Udemy online courses. - Company Funded Perks, including a counseling membership, local retail discounts, and your own personal Smartsheet account. - Teleworking options from any registered location in the U.S. (role specific). - Smartsheet provides a competitive base salary range for roles that may be hired in different geographic areas we are licensed to operate our business from. - Actual compensation is determined by several factors including, but not limited to, level of professional, educational experience, skills, and specific candidate location. - This role will be eligible for a market competitive incentive opportunity. - US Base Salary Pay Range: $175,000 — $240,000 USD.
IT services specialists since 1996. We enable success through simplicity, flexibility, and innovation.
• Assess current-state data catalog, metadata management, and data governance capabilities. • Conduct stakeholder interviews and workshops with business and technical teams. • Identify critical data assets, metadata requirements, stewardship needs, and ownership gaps. • Analyze customer data creation, maintenance, and consumption processes. • Document key data flows, systems, dependencies, risks, and improvement opportunities. • Gather and prioritize business requirements for data catalog and governance initiatives. • Develop and recommend a practical enterprise data catalog strategy. • Define priority data catalog use cases and adoption roadmap. • Establish metadata management standards, taxonomy, classification, and onboarding criteria. • Support implementation of metadata management best practices. • Drive adoption of data catalog capabilities across business and technical communities. • Support the establishment and operationalization of enterprise data governance. • Define data domains, ownership structures, stewardship models, and accountability mechanisms. • Define roles and responsibilities for Data Owners, Data Stewards, Data Custodians, Business Users, Technical Teams. • Govern and standardize key customer concepts including: Customer Lifecycle, Customer Journey, Customer Experience, Customer Interactions, Customer Value. • Ensure alignment with CRM and MDM initiatives. • Support data quality improvement initiatives. • Prepare governance documentation, assessments, evidence, and recommendations. • Identify data quality issues and recommend remediation approaches. • Support regulatory and organizational compliance requirements. • Support the design and delivery of the organization's Data Literacy Program. • Promote data culture and adoption of governance practices.
Strive Health is a privately-held company that is on a mission to use technology to change the kidney care system for the better. The company, as an employer, a
Lead Actuarial Analyst, MA Risk Adjustment United States (Central Time Zone) How You’ll Make An Impact At Strive Health, patients come first. We’re on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You’ll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday. If you’re looking for meaningful work where your contributions truly matter, you’ll feel right at home at Strive! Benefits & Perks - Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits. - Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts. - Financial & Retirement Support – Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources. - Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves. - Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend. What You'll Do We are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing, insights-driven team. You will play a critical role in evaluating financial performance, uncovering areas of opportunity, and use your 3+ actuarial exam progress to help translate complex data into actionable strategies. Your work will directly influence how Strive supports patients, clinicians, and markets in achieving both clinical and financial success. (This position is internally titled Lead Analyst, Risk Adjustment Analytics). We offer a competitive Actuarial Study Program designed to help you succeed, including exam fee support, study resources, and rewards for passing exams and achieving actuarial credentials. Essential Functions - Translate RA performance data into clear financial insights (i.e. revenue impact, payment accuracy, ROI, forecasting). - Analyze CMS data to identify areas of opportunity to increase operational efficiency. - Interpret trends, model scenarios, and assess program and policy impacts. - Enable data-driven decisions by linking operational performance to enterprise financial outcomes. - Perform end-to-end reconciliation from submissions to CMS acceptance, RAF leakage, and implement controls. - Develop business cases to assess opportunity, determine target metrics, and provide data driven insights to support investment decisions (i.e. staffing, tech, etc.). - Prepare and deliver clear and concise reports, presentations, and recommendations to senior leadership, illustrating the findings and implications of analyses conducted. Who You Are - A highly analytical problem-solver with a strong sense of ownership and intellectual curiosity. - Able to manage a high volume of recurring and ad hoc deliverables without compromising quality. - Comfortable navigating ambiguity and bringing structure to complex problems. - An exceptional communicator who can translate technical findings into actionable business recommendations. Qualifications - 4+ years of experience in risk adjustment analytics. - 4+ years of experience analyzing MMR, MOR, MAO-004 and medical claims data. - 3+ actuarial exams passed. - High degree of proficiency in Microsoft Excel and SQL. - Experience with PBI, Redshift, dbt docs is a plus. - Bachelor’s degree in a quantitative or health-related field (e.g., Economics, Public Health, Statistics, Health Services Research, Math, Finance). Annual Salary Range: $99,000 - $124,000. This position is also eligible for a target annual bonus of 10% Final compensation will be determined based on location, experience, and qualifications.
SoFi helps you save, spend, earn, borrow, invest, and protect your money–all in one app. NMLS 1121636
Employee Applicant Privacy Notice Who we are: Shape a brighter financial future with us. Together with our members, we’re changing the way people think about and interact with personal finance. 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. Join us to invest in yourself, your career, and the financial world. The Role: This role plays a key role in contributing, developing, and maturing an industry-best Credit Risk Management organization across SoFi Technologies, Inc. The incumbent will architect comprehensive risk management capabilities for a rapidly growing bank holding company – ensuring robust defensive and offensive capabilities – maturing foundational risk identification/risk mitigation, risk management frameworks, and risk culture. The contributor will play an essential role in fostering regulatory readiness and maturing a strong effective challenge second-line Credit Risk function. The Credit Risk Oversight (2LOD) Senior Risk Analyst role is critical to success across SoFi Technologies, Inc., SoFi Bank, NA, and operating subsidiaries. The incumbent will contribute to the second-line oversight of Credit Risk across all SoFi’s lending products - Unsecured, Secured and Commercial Lending. The analyst will conduct credit/behavioral/financial analytics or predictive modeling to assess risks and opportunities for the bank portfolios and translate results into recommendations. The 2LOD Senior Risk Analyst will leverage internal and external data sources and technology capabilities in support of the oversight function. Perform analysis to research credit and consumer behavior trends, understand their drivers, and conduct impact assessments on consumer credit portfolios. Evaluate how changes in the environment impact credit performance – with a particular focus on macroeconomic, socioeconomic, and competitive intelligence trends. Research topics sourced internal and general industry trends and proactively apply quantitative disciplines to associate topics with potential emerging risks around delinquency, loss and roll-rates, and forecasts. What you’ll do: - Provide analytical support for data-driven insight generation through a combination of Credit domain expertise and analytical thought processes - Generate insights, design analytics, and deliver visualizations to influence strategic decisions - Monitor operational performance, roll rates, delinquent inventory, and credit loss trends. Perform diagnostic analyses on all aspects of credit policies to make sure strategies are fully optimized. Effectively communicate these trends to management - Help review KPI/KRIs to ascertain the state of Credit Risk and evaluate the effectiveness of current policies and procedures - Build compelling data visualizations and distill key information clearly What you’ll need: - 8+ years of Credit Risk Analytics industry experience with a bachelor’s degree in a quantitative discipline; Master’s Degree preferred - Industry knowledge, including a sound understanding of relevant regulations as they apply to lending - Proactive go-getter with energy and passion to work in a fast-paced environment and ability to generate creative ideas - High motivation to drive change, eager to learn, and able to work collaboratively in a complex and fluid environment - Demonstrated ability to think critically to identify and solve problems through structured analytical reasoning; Excellent verbal, written and presentation / story-telling skills to bring analysis findings to the forefront and influence change. - Proven analytical and data mining skills ; excellent command over one or more of SQL, Python, R, SAS. Previous experience creating analytics on Tableau a plus - Strong analytical and problem-solving skills to evaluate workflows and procedures; identify and resolve problems in a timely manner; develop alternative solutions; work well in group problem-solving situations; use reason even when dealing with emotional topics; support SoFi’s overarching strategic goals relative to loss prevention Compensation and Benefits 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. To view all of our comprehensive and competitive benefits, visit our Benefits at SoFi page! 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.The Company hires the best qualified candidate for the job, without regard to protected characteristics.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.New York applicants: Notice of Employee RightsSoFi 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 accommodations@sofi.com.Due to insurance coverage issues, we are unable to accommodate remote work from Hawaii or Alaska at this time.Internal Employees 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.
Molina Healthcare is a Fortune 500 managed care company with a storied history that dates back to 1980 and the opening of a medical clinic by Dr. C. David Molin
Role Description Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This is a remote telephonic care manager position with a specialty in helping members navigate high-risk pregnancy. The territory for this position is nationwide. - Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. - Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. - Conducts telephonic visits as required. - Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. - Maintains ongoing member caseload for regular outreach and management. - Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. - Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. - Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. - Assesses for barriers to care, provides care coordination and assistance to member to address concerns. - May provide consultation, resources and recommendations to peers as needed. - Care manager RNs may be assigned complex member cases and medication regimens. - Care manager RNs may conduct medication reconciliation as needed. Qualifications - At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. - Registered Nurse (RN). License must be active and unrestricted in state of practice. - Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). - Demonstrated knowledge of community resources. - Ability to operate proactively and demonstrate detail-oriented work. - Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. - Ability to work independently, with minimal supervision and self-motivation. - Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. - Ability to develop and maintain professional relationships. - Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. - Excellent problem-solving, and critical-thinking skills. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications - Certified Case Manager (CCM). - Strong preference for a valid and active CA RN license. - CST/MST time zone preferred. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
You deserve more than an insurance company. You deserve a partner, a teammate, a friend in the business.
• Proactively solicits new and renewal business from Sales Producers • Acts as a resource for carrier information, including appetite guides, carrier brochures, whom to contact, and other important information • Mentors regional risk placement team members • Trains team members on duties, expectations, standards, and policies • Works with the Director of Placement, National Accounts to oversee employees’ day to day activities and implement projects and directives • May participate in the hiring process and provide recommendations for new hires • Oversees and manages the new hire onboarding process to ensure success of new risk placement associates • Holds monthly renewal meetings with Sales Producers and Account Managers to designate accounts that need to be marketed through the Placement Team • Reviews applications and obtains additional information from Sales Producers or Account Managers as needed • Partners with Sales Producers to ensure the prospect's needs have been met • Collaborates and implements a renewal strategy based on potential and existing clients’ risk profiles, market conditions, and carrier options • Develops the submission narrative describing risk, losses & controls, target premium, and quote due date • Makes complete submissions to markets including, but not limited to, 3-5 year loss runs with a summary spreadsheet, completed supplemental applications, financial statements, photos, brochures, etc • Follows up with markets to ensure submissions were received and to inquire whether further information is required • Compares quotes received with application and other quotes • Prepares and completes proposals • Utilizes AMS360 and ImageRight to document the placement process and to collaborate with the service team • Engages with insurance carriers to negotiate favorable renewal terms • Proactively identifies opportunities to enhance client satisfaction and retention by providing exceptional service • Builds and maintains strong relationships with insurance carriers, underwriters, and clients (internal and external) • Adheres to legal and regulatory requirements in the insurance industry
• Serve as the primary operational partner for external clients across medical groups • Directly manage a department of 70+ production coders and auditors • Establish, monitor, and optimize department KPIs
• Assist with governance of collaboration platforms, including M365 workspaces, SharePoint, Teams and Group • Analyze governance and resilience reports using Excel, Power Point, creating Power BI dashboards for further analysis, recommending ways to enhance • Requirements gathering for Power BI dashboards and visuals • Support the administration of Information Governance and Business Resilience frameworks, standards, procedures, and guidance documents • Coordinate governance activities including policy reviews, control assessments, issue tracking, and remediation monitoring • Maintain governance repositories, documentation libraries, and evidence supporting compliance activities • Track action items, risks, exceptions, and program commitments through completion • Assist in the preparation of governance committee materials, leadership reports, and executive presentations • Monitor adherence to governance requirements and escalate gaps or concerns appropriately
Alight Solutions, formerly known as Aon Hewitt, is an information technology and services company that was purchased by Blackstone and relaunched as Alight Solu
Role Description This role is critical in supporting members through high-quality clinical case management and coordination of expert medical opinions. This position involves reviewing complex medical cases, ensuring clinical completeness, and facilitating the delivery of expert insights through collaboration with physicians and internal teams. Responsibilities - Managing assigned Care Team case workload from intake through completion. - Ensuring cases meet established timelines, service level agreements (SLAs), and performance guarantees (PGs). - Maintaining knowledge of workflows, clinical operations, and organizational policies and procedures. - Demonstrating ownership of case progression and timely delivery of services. - Evaluating medical records and imaging for completeness and clinical quality. - Reviewing, interpreting, and synthesizing complex medical records. - Creating clear, concise, and structured written case summaries. - Identifying gaps in records and determining when additional information or testing is required. - Triaging cases to the appropriate clinical specialty and consulting physician. - Collaborating with physicians, summary coordinators, and healthcare navigation teams. - Ensuring all clinical components are aligned for accurate expert delivery. - Communicating effectively within the nursing team and cross-functional partners. - Escalating issues, risks, or concerns to leadership as appropriate. - Adhering to all confidentiality and HIPAA requirements in accordance with company policies. - Ensuring compliance with all operational and clinical standards. - Participating in quality improvement initiatives and organizational projects. Qualifications - Possess BSN in Nursing required or currently in progress. - Hold active RN license in good standing. - Have experience managing relationships with external clients or partners. - Have experience reviewing and analyzing complex patient medical records. - Demonstrate good attention to detail, critical thinking, and problem-solving skills. - Display excellent written and verbal communication abilities. - Possess dynamic customer service orientation. - Be proficient in Microsoft Outlook, Word, Excel, and Adobe PDF tools. - Have ability to work independently and collaboratively in a team environment. - Be comfortable in an urgent, evolving operational setting and flexible to changing priorities. Application and Interview By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position. Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations. Our Commitment to Inclusion We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful. At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future. As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact alightcareers@alight.com. Equal Opportunity Policy Statement Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans. Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices, and observances, unless doing so would result in undue hardship.
Circana is proud to be Certified™ by Great Place To Work®. This prestigious award is based entirely on what current employees say about their experience working at Circana.
• Lead efforts that set the direction for the data governance function. • Work closely with leaders across the organization to support data governance efforts. • Develop and maintain critical documentation, training, and reference materials. • Implement company-wide policies, training and standards associated with handling and manipulating retailer and third-party data. • Coordinate globally with other functions to ensure data governance standards are maintained. • Stay informed of continuous retailer data release restrictions and privacy laws. • Manage intake of new requests for policy or exceptions to policy.
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