Compliance Officer – Fair and Responsible Banking

by | Mar 27, 2023 | Uncategorized

Job Description

Title: Compliance Officer Fair and Responsible Banking

Location: United States

C: 11.54

Overview

  • The Compliance Officer will primarily perform analyses and reviews to identify potential lending discrimination and unfair, deceptive, and/or abusive acts or practices (UDAAPs), and describe the findings, recommendations, and methodology to stakeholders (e.g., regulators, business units) in writing.

Responsibilities

  • Quantitative Analyses Performs analyses to detect potential discrimination such as redlining, steering, and disparities in loan underwriting, pricing, loss mitigation outcomes, and property maintenance expenditures using internal and public market and demographic data.
  • File Reviews Investigates possible concerns by reviewing samples of loan files.
  • Reporting Describes analyses/reviews performed, findings, and recommendations in written reports and meetings with stakeholders.
  • Other Projects Assists the Fair and Responsible Banking Officer with editing policies and training materials, performing risk assessments, responding to regulators and auditors, and reviewing marketing materials and complaints.
  • Regulatory Expertise Maintains strong familiarity with regulatory requirements pertaining to fair lending and UDAAP, and advises the business units on related questions.

Qualifications

  • Bachelor’s Degree and 5 years of experience in Compliance, Legal, or Audit OR High School Diploma or GED and 9 years of experience in Compliance, Legal, or Audit

Preferred Qualifications:

  • Bachelor’s and/or advanced degree in a quantitative field (e.g., Statistics, Mathematics) from a reputable school, with a minimum overall GPA of 3.3, and completion of at least one course in regression modeling.
  • Experience creating linear and logistic regression models using statistical software (e.g., Minitab, SAS, Fair Lending Wiz), evaluating models, and correcting violations of model assumptions.
  • Certified Regulatory Compliance Manager (CRCM) designation.
  • Excellent verbal, written, and analytical skills, including at least four years of work experience writing advanced Excel formulas, creating pivot tables, and simplifying technical matters for non-technical audiences in writing.
  • Consistently strong work performance reviews in prior positions.
  • Ability to understand statutes and regulations, and perform independent research when questions arise.

*This position can work remote from anywhere within the United States.

APPLY HERE

Medicare Grievance Lead

by | Mar 27, 2023 | Uncategorized

Job Description

Title: Medicare Grievance Lead

Location: Remote, United States

Responsibilities:

The Grievance Lead (GL) is responsible of providing support and direction for the daily operations of the Grievance Department function as follows:

  • Assist in ensuring the Grievance Department meets the regulatory compliance, timeliness requirements and accuracy standards when processing Part C and Part D Medicare Advantage grievances based on the requirement set forth by the Centers for Medicare and Medicaid (CMS).
  • Responsible for staying current on the latest information from CMS and AHC Compliance Department that effects member benefits, regulatory changes, and to ensure that the department adherence to established policies and procedures regarding the grievance process.
  • Ensure operations and processes of the department are followed according to the defined internal processes and procedures in coordination with the Supervisor MCR Grievances and CTMs.
  • Reviews work procedures and recommends or changes to procedures to improve efficiency by recognizes and resolving problems impacting department processes by collecting and analyzing information; communicates suggestions to management and develops/implements solutions as appropriate.
  • Ability to communicate and any changes to the grievance process and provide training on new processes as they are identified.
  • Conducts grievance case reviews: Assesses whether case was appropriately handled as a service issue or administrative request and was correctly processed to avoid service delays. Reviews case documentation and member facing letters to assess appropriate system entries have been made and the step-by-step actions are correct for the type of grievance. Ensures resolution is clear and addresses all grievance issues. Ensures applicability of, and compliance with, federal and state regulations, enterprise policies and procedures and all related standards in coordination with the MCR Grievance Supervisor.
  • Provides necessary coaching and guidance to the staff as needed and will work closely with the MCECE Manager, Supervisor MCR Grievances and CTMs, MCECE Quality Oversight team, and Business Analyst to identify further coaching/training opportunities, patterns, and trends from the grievances and opportunities to streamline and improve processes.
  • Assists management in process improvement strategies to achieve department objectives.
  • Assists the Supervisor MCR Grievances and CTMs with monthly or quarter audit findings and recommendations for Grievance Investigators on a monthly basis, or as needed.
  • Assists in the identification and communication of error trends to improve overall quality of Grievance team.
  • In conjunction with the Supervisor MCR Grievances and CTMs, monitors team performance and trends, and coaches’ staff to ensure adherence to policies, procedures, and the highest level of customer service via weekly case reviews with Grievance Investigation Specialists.
  • Manages case inventory and case loading to ensure regulatory and departmental standards are met.
  • Handles a reduced caseload of grievances based on volume. Handle CTMs and escalated member grievance cases/calls, as needed.
  • Responsible for prompt communication with staff.
  • As needed, co-facilitate weekly team huddle meetings or adhoc meeting that is needed for the department.
  • Must be able to accomplish duties and assignments with minimal supervision.
  • Responsible for special assignments or projects as requested by Grievance management.
  • Attend seminars, workshops, and conferences to improve existing job knowledge
  • Perform other duties as assigned.

Education/ Experience:

  • 3 to 5 years of experience with Medicare grievance processing.
  • Bachelor’s Degree plus 2 years of work experience in a related field; credits equivalent to at least 2 years of college plus 4 years work experience in a managed care environment; or minimum 3-5 years of experience with Medicare grievance processing.
  • BSW or equivalent preferred.
  • Clear understanding of Medicare Part C and Part D appeals and grievance requirements based on the MMCM for Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals Guidance.
  • Understand and responsible for classification, processing, and resolution of grievances from members, as needed.
  • Research issues utilizing systems and time management assessment skills, knowledge, and department “Support Tools” in the investigation and resolution making process regarding services and care grievances for members.
  • Make critical decisions regarding research and investigation to appropriately resolve all grievances.
  • Based on analysis of issues, reaches out to appropriate internal or external entities and validating their responses.
  • Responsible for ensuring grievance cases are completed within the applicable regulatory timeframe.
  • Prepares and ensures that the Grievance Team is developing professionally written and customized responses to all member resolution letters that appropriately and completely address the complainant’s issue(s) and are structurally accurate.
  • Ensures customized and timely acknowledgment for all member grievance requests.
  • Ability to independently monitor their daily and weekly case load.
  • Closes case files independently without prospective quality reviews, while mentoring and assisting other specialists to achieve the same goal.
  • Ability to conduct all necessary follow-up calls to internal and external entities to ensure that cases are completed on or before the applicable timeframe.
  • Ensures that Grievance Investigators are entering all details of the actions taken in the investigation of the case.
  • Conduct root cause analysis and propose resolution of individual and global issues.
  • Provide recommendations to management regarding cost saving opportunities, best practices, and performance issues.

APPLY HERE

Senior Enterprise Architect

by | Mar 27, 2023 | Uncategorized

Job Description

Title: Senior Enterprise Architect

Location: US-Remote

C: 7.16

POSITION TYPE: Full-time

Company Overview

GovCIO is a team of transformerspeople who are passionate about transforming government I.T. We believe in making a difference by developing digital strategies and delivering the technology-related innovation that improves governmental operations each day.

But we can’t do it alone. We welcome and nurture an inclusive and diversified work culture. Because different backgrounds, experiences, abilities, and perspectives make us better decision-makers, problem solvers, and creators. We’re changing the face of I.T. from our diverse staff to the end-products we develop. And we’re excited to expand our team. Are you ready to be a transformer?

Responsibilities

The successful candidate will be tasked with the following responsibilities. Note that this list will evolve over time.

  • Leading the creation or evolution of the EA function, including the coordination of an appropriately balanced pursuit of enterprise information systems, data, technical and solution architecture viewpoints, stakeholders, product owners and agile development teams.
  • Understanding, advocating, and supporting the enterprise’s business and IT strategies.
  • Leading the identification and analysis of enterprise business drivers to derive enterprise business, information, technical and solution architecture requirements; analyzing industry, technology, and market trends to determine their potential impacts on the enterprise.
  • Analyzing the current business and IT environment to detect critical deficiencies and recommend solutions for improvement.
  • Leading and facilitating the creation of governing principles to guide solution decision making for the enterprise.
  • Ensuring that the optimal governance structure and compliance activities (such as handling waivers) are associated with EA compliance.
  • Leading the development of an implementation plan for the EA, based on business requirements and IT strategies, overseeing EA implementation, ongoing EA refinement activities, and the documentation of all EA design and analysis work.
  • Consulting with program/project teams to fit solutions to architecture across all viewpoints.
  • Defining organizational requirements for the resources, structures, and cultural changes necessary to support the EA.
  • Promoting the EA process, outcomes, and results to the organization, including the enterprise’s IT and business leaders; this includes assessing (through appropriate metrics) and communicating the achievement and impact of the EA, as well as leading the development and execution of an EA communication and education plan.
  • Building/augmenting technology roadmaps and runways that align with higher organizational strategies and vision.
  • Managing and tracking technical data across products and teams for easy inquiry and in support of data calls.
  • Monitoring and interpreting technology memos/policies/directives from higher leadership and recommend approaches.

Qualifications

The successful candidate will possess the following experiences, expertise, and skills:

  • Bachelor’s degree in Engineering, Computer Science, Information Management Systems, Business Management or Administration, or related scientific/technical discipline.
  • 5 years of related experience.
  • Certifications in relevant technology plus 3-5 years of relevant experience or 5-7 years of additional relevant experience may be substituted for education.

Required Skills and Experience

  • Experience in at least two IT disciplines (such as technical cloud architecture, solution architecture, network management, application development, middleware design, information analysis, database management or operations management) in a heterogeneous environment or five years of experience in solution architecture, business analysis or business strategic planning.
  • Prior experience supporting Digital Government efforts supporting Cloud Strategies, Cloud Migration efforts (Azure/AWS), DevSecOps, and playing an influential role supporting digital transformation.
  • Demonstrated track record of leading high-performance teams toward the successful attainment of challenging goals.
  • Familiarity with Federal Civilian and Federal Health agencies, processes, enterprise architectures, and strategic directions.
  • Familiarity with Government Business Systems, COTS, GOTS, and Government Technology Platforms (e.g., ServiceNow, Office 365, SalesForce, etc.).
  • Solid understanding of Federal IT Governance, Enterprise Architectures (FedCiv, FedHealth), Federal Enterprise Architecture Framework (FEAF), IT Policies, Directives, Mandates, and Cybersecurity guidelines.
  • In-depth understanding of IT Service Management, Monitoring Solutions, Data/Solution Solutions, Cybersecurity Operations & Compliance, Business Continuity, and Disaster Recovery, Identity, and Access Management.
  • Understanding of FISMA, FedRamp, ATOs, etc.
  • Demonstrated technical management experience.
  • Well versed in DevSecOps culture, processes, measures, and tooling
  • Critical thinking and analysis.
  • Systems thinking.
  • Experience in the design of enterprise technology.
  • Experience in developing future state architecture.
  • Experience in researching and documenting as-is architectures.
  • Experience in facilitating IT change management and configuration management processes.
  • Experience in developing and / or supporting feature-benefit and cost-benefit analyses.
  • Mature written, oral, and visual communication with sensitivity to the perspectives, limitations, and needs of different audiences.
  • Ability to distill/optimize/simplify complex concepts, diagrams, and reports for consumption by different audiences.
  • Ability to tailor recommendations into actionable implementation plans.
  • Solid experience with Microsoft and other collaborative tools including Teams, SharePoint, Jira, etc.

Preferred Skills and Experience:

  • Experience supporting or leading within the Veterans Affair Office of Information Technology, Veterans Health Administration is a plus
  • Azure, CISSP, Agile, SAFe, PMP, ITIL, SCRUM or other Federal IT relevant certifications Preferred
  • Cameo Enterprise Architect experience

COVID/Equal Opportunity Employer

COVID Policy: New employees will be required to adhere to the Company’s and its clients’ COVID-19 safety procedures. In the event that the COVID-19 vaccination mandate for Federal Contractors is enforced, you must become fully vaccinated or request and be approved for an exemption. Employees working onsite at a client location must comply with our client’s COVID-19 requirements.

GovCIO is a team of professionals who want to make a difference. And that can only happen with a diverse, happy, and cared-for team. So, we prioritize your well-being, equity for all and look for ways to make work a better place for each of us every day.

We are an Equal Opportunity Employer. All qualified applicants receive consideration for employment without regard to race, ethnicity, religious affiliation, gender, gender identity or expression, sexual orientation, national origin, or disability status. EOE AA M/ F/Vet/Disabled

Compensation Range (In compliance with Colorado’s Equal Pay for Equal Work Act for remote or positions located in CO)

$150,000

APPLY HERE

Manager, Software Engineer

by | Mar 27, 2023 | Uncategorized

Job Description

Title: Manager, Software Engineer

Location: United States

C: 4.16

  • REMOTE UNITED STATES
  • ENGINEERING INFRASTRUCTURE

Are you looking for a hybrid or remote work opportunity? Are you interested in a workplace that allows for flexibility in your day? Are you ready for a workplace that provides benefits that suit your needs?

Whether it’s litigation, information governance, a government request, or an internal investigation, our products Relativity and RelativityOne give our customers a complete set of flexible tools to tackle their unique big data challenges through every phase of a project. You will take a lead role in the development, enhancement, and improvement our tools which is vital to our user community of more than 160,000 peers looking to learn from each other and share their experiences. As we move more of our products to the cloud, we look for leaders who can help us solve tough, complex problems and allow our software to process larger amounts of information and data faster than ever.

Responsibilities

  • Contributes to the product roadmap and uses it to bring purpose to the team and their backlog
  • Has effective ability to scope and drive features and products, delivering updates
  • Deliver results within time and scope and brings visibility through regular reporting
  • Accountability behind the features and products they own
  • Develop deep software product knowledge within their area of ownership
  • Display an ownership mindset; Be accountable for and beyond the features your team develops
  • Uses independent judgment to develop strategic vision within multiple feature sets or domains
  • Implements operational policies and directives
  • Leads a team of software and quality engineers, architects and technical product managers to be effective in the design and development of software applications and systems per business demands and requirements
  • Validates resource utilization to ensure efficient deployment of team members
  • Tackle significant and unique issues where analysis of situations or data requires analysis of intangibles and providing direction on actions to be taken

Preferred Qualifications

  • Excellent knowledge of software engineering discipline, including the latest programming languages, object-oriented programming, hands-on architecture high-performance, fault-tolerant distributed systems, data structures and algorithms, operating systems, distributed database modeling and access languages, cloud environments such as SaaS
  • Strong teamwork and partnering skills for cross-group collaboration
  • Strong Leadership skills, ability to perform under pressure and optimize the team’s resources to attain the business goals
  • Ability to motivate people, instill accountability and achieve results
  • In depth knowledge of agile product development methodologies
  • Strong verbal, presentation, and written communications skills for technical and non-technical audiences

Minimum Qualifications

  • Bachelor’s degree in computer science or related disciplines or equivalent experience
  • 2+ years of experience managing software product development teams
  • 8+ years of software development of commercial-grade systems and applications with a proven track record of contributing to and leading successful engineering teams

Relativity is a diverse workplace with different skills and life experiencesand we love and celebrate those differences. We believe that employees are happiest when they’re empowered to be their full, authentic selves, regardless how you identify.

Benefit Highlights:

  • Comprehensive health, dental, and vision plans
  • Parental leave for primary and secondary caregivers
  • Flexible work arrangements
  • Two, week-long company breaks per year
  • Unlimited time off
  • Long-term incentive program
  • Training investment program

APPLY HERE

Software Engineer

by | Mar 27, 2023 | Uncategorized

Job Description

Title: Software Engineer

Location: US-Remote

C: 7.16

POSITION TYPE: Full-time

Company Overview

GovCIO is a team of transformers–people who are passionate about transforming government I.T. We believe in making a difference by developing digital strategies and delivering the technology-related innovation that improves governmental operations each day.

But we can’t do it alone. We welcome and nurture an inclusive and diversified work culture. Because different backgrounds, experiences, abilities, and perspectives make us better decision-makers, problem solvers, and creators. We’re changing the face of I.T. – from our diverse staff to the end-products we develop. And we’re excited to expand our team. Are you ready to be a transformer?

Responsibilities

We are seeking a full-stack software engineer with emphasis in C#, .NET, and SQL. The prospective candidate will be sustaining and developing software applications and tools for researchers.

Your primary job functions are as following but not limited to:

  • Participate in the complete software development life cycle
  • Work with operations team to prepare and execute releases
  • Contribute ideas to the architecture and design of new systems and tools
  • Improve and enhance existing systems and tools
  • Work with the business owners to define requirements, develop solutions, arrive at the final design and execute the implementation.
  • Troubleshoot issues and support the operation of production software and tools
  • Author and maintain technical documentation

Qualifications

  • Bachelor’s Degree in technical field plus 5 years experience.
  • Additional 5 -7 years of experience can be substituted for bachelor’s degree.

Required Skills and Experience

  • Experience working in a scientific research environment is important.
  • 2+ years of strong experience in core C# and related technologies.
  • 4+ years of experience in Systems analysis, design, development, testing and support,
  • Solid foundation in data structures, algorithms, and software design with strong analytical and debugging skills
  • Professional experience building apps or services from the ground up and scaling at an enterprise level
  • Strong understanding of SOA methodologies and service architectures experience using web servers, application containers, caching technologies
  • Solid knowledge of relational database design and development (MS-SQL, stored procedures, data modeling) and understanding of NoSQL databases (Cassandra, MongoDB)
  • Experience with build tools, such as Mercurial, Git, Maven, or Jenkins
  • Proven ability to write comprehensive unit and integration tests
  • Passion for writing clean, tight code that performs well
  • Excellent written and verbal communication skills are a must
  • Self-motivated: setting and achieving goals with little supervision.
  • Dependable: following through tasks assigned with consistency.
  • Team-oriented: easy to collaborate with and willing to help others.

Preferred Skills and Experience

  • Additional experience in a Unix/Linux environment is a plus
  • Experience with Open Source tools and frameworks, such as Spring, Hibernate, Junit, JQuery, or Angular are desired.
  • Experience or interest in working with cloud computing and/or familiarity with big data processing is a plus
  • Experience with Java, C++, Python, or PHP are also welcome

COVID/Equal Opportunity Employer

COVID Policy: New employees will be required to adhere to the Company’s and its clients’ COVID-19 safety procedures. In the event that the COVID-19 vaccination mandate for Federal Contractors is enforced, you must become fully vaccinated or request and be approved for an exemption. Employees working onsite at a client location must comply with our client’s COVID-19 requirements.

GovCIO is a team of professionals who want to make a difference. And that can only happen with a diverse, happy, and cared-for team. So, we prioritize your well-being, equity for all and look for ways to make work a better place for each of us every day.

We are an Equal Opportunity Employer. All qualified applicants receive consideration for employment without regard to race, ethnicity, religious affiliation, gender, gender identity or expression, sexual orientation, national origin, or disability status. EOE AA M/ F/Vet/Disabled

Compensation Range (In compliance with Colorado’s Equal Pay for Equal Work Act for remote or positions located in CO)

$160,000

APPLY HERE