Oversight Manager Resume Samples

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M Rempel

Maybell

Rempel

2275 Brooke Bypass

Boston

+1 (555) 562 4969

2275 Brooke Bypass

Boston

Phone

p +1 (555) 562 4969

Experience Experience

Los Angeles, CA

Cass Oversight Manager

Los Angeles, CA

Little LLC

Los Angeles, CA

Cass Oversight Manager

Manages the oversight of third party providers due diligence to ensure compliance with CASS regulations including review of issues or CASS breaches
Manages production and submission of daily and weekly MI, CMAC reports, quarterly Board reports, other MI relating to these areas ensuring quality, relevance and timeliness
Ensure that CASS oversight team members understand their priorities and are supported to achieve their strategic objectives
Ensure full co-operation with External Audit, Internal Audit, Risk and Compliance for related matters
Take responsibility for agreeing management action plans with those functions concerned and establish tracking mechanisms to ensure completion of management action plans are accurate and on time
Support due diligence process in relation to outsourced suppliers in these functions
Manage relationships with IFDS in this area, building and maintaining productive working relationships. Sitting on relevant IFDS working groups relating to CASS and feeding any issues or escalation items to the IFDS Fund Services Management team

Chicago, IL

Portfolio Oversight Manager

Chicago, IL

Brown, Douglas and Dicki

Chicago, IL

Portfolio Oversight Manager

Working knowledge of project management processes
Provides front-line project portfolio management support for designated teams
Works with designated teams to resolve project demand issues
Responsible for project data integrity in the Project Portfolio Management (PPM) tool
Prepares project and portfolio reports as requested by designated Portfolio Managers
Prepares Technology scorecard to include KPIs provided by leaders throughout the technology organization
Acts as a liaison to IT functional areas for the Audit group including the coordination of audit requests and the communication of responses

present

Detroit, MI

Delegation Oversight Manager

Detroit, MI

Lebsack and Sons

present

Detroit, MI

Delegation Oversight Manager

present

Creation, revision and maintenance of all internal policies and procedures encompassing oversight; oversee implementation, training and communication of such, across internal and external stakeholders
Monitor changes in the regulatory environment impacting plan sponsor and delegated functions; conduct impact analysis of new or changed regulations on existing policies with key stakeholders; and implement new or modified internal policies and procedures as a result
Strong knowledge of regulations and audit planning according to guidance outlined in Medicare Managed Care Manual, Medicare Prescription Drug Benefit Manual, Third Party Relationships (Delegated Agreements), and other U.S. regulators such as the AR, NE, OH, WA Offices of Insurance Commission, Department of Health, Office of Inspector or Attorney Generals, etc
Contributes to the achievement of our companywide goals and objectives. Contributes to a working environment that allows all employees equal opportunities for development, growth and advancement
Oversee the development of initiatives to support Fraud, Waste, and Abuse monitoring to identify and investigate pharmacies, providers, and processes of concern
Support the RFP process through review of contracts, work standards, and pre-audit of potential delegated vendors, coordinating with internal stakeholders as necessary
Perform ad hoc and regular monitoring and auditing of delegated vendors, providing written and verbal analysis of results

Education Education

Bachelor’s Degree in Finance

Loyola University Chicago

Bachelor’s Degree in Finance

Skills Skills

Strong attention to detail
General product and industry knowledge
Ability to effectively work with Business Lines, other Operations teams, Compliance, etc
Highly organized
Microsoft Office/Suite proficient
Able to multitask efficiently and effectively
Excellent communication skills (written and verbal)
Great interpersonal skills
Experience working within a Global Investment Bank Organizations
5+ years of experience with a focus on Anti-Money Laundering / Know Your Customer or On-Boarding

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Branch Oversight Manager Resume Examples & Samples

Minimize operating losses, frauds & risk events
Strengthen the branch controls framework
Maintain full regulatory compliance and improve review results
At least a bachelor's degree, postgraduate diploma or professional degree in Finance, Accountancy, Banking, Economics, Business Studies, Administration, Management or equivalent
At least 4 years of working experience in the related field is required for this position
Preferably Managers specializing in Banking/Financial Services or equivalent
Bahasa Malaysia

Portfolio Oversight Manager Resume Examples & Samples

Knowledge of fiduciary and financial products and services required through extensive related work experience
Broad-based technical knowledge of investments, tax, legal and operations necessary to service clients
Skills and experience in negotiating, delegating, leadership, superior client service and relationship management skills required
A minimum 5 years of investment decision making and financial consulting experience working with high net worth clients and ultra-high net worth clients
The ideal candidate will bring an appropriate mix of financial services expertise, management and business development experience
This individual will have held positions of increasing responsibility with an established and prestigious financial services firm, most likely in a wealth management, private banking and/or trust field
Undergraduate degree in Finance, Accounting, Economics or equivalent preferred as well as hold appropriate credentials such as CPA, CFP and or CFA designation. A graduate degree such as MBA or JD preferred

Branch Oversight Manager Resume Examples & Samples

Good understanding in risk and controls
Detail conscious
Self-initiative, versatile and willingness to learn new functions
Organized, systematic with good analytical skill
Support and meet department goals
Preference to have Operations background

Depositary Control & Oversight Manager Resume Examples & Samples

Manage the fulfilment of all depositary bank oversight duties
Ensure and assess appropriate Due Diligence processes before entering a relationship with new external parties
Constant monitoring of changes in the regulations (e.g. UCITS, AIFMD) in order to anticipate impact on the current control framework and implementing the necessary changes within the timeframes prescribed by regulators
Build and maintain key relationships to assist in successful delivery and find appropriate resolution of issues, and escalate where required
External reports analysis
Cash flows monitoring
Review the oversight framework of new company policies, new regulations and laws
Manage and execute daily operational oversight activities
Perform reconciliations, NAV checks, trade matching, compliance checks and collateral management controls – Securities lending
5-10 years' experience in a custody or fund administration within a financial institution
Understanding of operational aspects of the custody and fund administration activities
Very good knowledge of the AIFMD regulation and related controls
Flexibility and ability to work well under pressure
A first experience in people management being an advantage
Good analytical skills and ability to articulate issues, formulate and present recommendations
Excellent communication skills in English, both verbal and written. French or German would be considered an asset

Oversight Manager Resume Examples & Samples

Candidate requires bachelor degree in Finance, Accounting, Economics, or related degree with 7 plus years experience in the investment industry
Experience in risk, compliance, governance, or other control disciplines
Proven ability to execute within budgets and timelines
Ability to identify and recommend changes to existing processes in order to improve and streamline those processes
Solid practical knowledge of financial products, pricing, portfolio valuation and reporting
Ability to work under pressure to complete responsibilities within identified deadlines
Effective relationship management skills with excellent written and verbal communication skills
Highly motivated self-starter, results-driven, and teamwork orientated

Oversight Manager Resume Examples & Samples

Ensure the appropriate level of control is present within the operational teams through consistent monitoring of key risk and performance indicators
Aid in the enhancement of the oversight tools and processes
Act as a coordination point for projects involving service provider and Asia
Participate to the continuous improvement of the services provided
Operational point of contact for escalation to help the service provider with any major issues or lack of specific knowledge
Serve as interface/escalation point with internal stakeholders
Maintain effective relationships between regional teams
Scope of role to cover various operations processes including but not limited to clearing services, reconciliation, brokerage receivables, brokerage payables, revenue control, client onboarding and referential)

Pension Ops Oversight Manager Resume Examples & Samples

Act as Invesco’s primary point of contact with the TPA and build an open and effective ongoing relationship with key senior stakeholders both internally and within the TPA
Ensure that Invesco’s obligations to the TPA are fulfilled
Monitor the TPA’s delivery of Pension administration services in accordance with Invesco’s outsourcing policy and oversight framework. This will include the review of regular services; oversight of AML procedures; escalation of service issues; leading regular performance review requests; making regular visits to the TPA’s site; ensuring compliance reviews are performed as needed. Define, agree and monitor SLA’s and trigger points ensuring provision of service in accordance with the contractual requirements and renegotiating KPIs/SLAs as applicable
Work with other internal departments (e.g. Distribution, Legal, Compliance, Product Development, Fund Management, EMEA Fund Services, Investment Services and Marketing) on IPLL administrative issues, such as service issues, client requests, product launches, fund range changes, new client take on and changes to product literature
Negotiate and agree on behalf of Invesco changes to administration for new or revised products, rules, regulations and legislation, and clients and schemes
Maintain the TPA Operations risk register and manage mitigating actions arising
Write and submit papers to the IPLL board and other delegated activities/committees, attending in person as required
Participate in and potentially lead regulatory or other change projects impacting IPLL, ensuring Invesco is suitably represented. Actively participate in industry forums and play a leading role in future industry/system developments
Participate in and potentially lead any pricing review and contract renegotiations with the TPA
Previous proven experience of managing a life company administrative function or relationship – Unit-linked Pensions
Proven experience of managing multiple projects simultaneously across different business areas
Proven experience in Pensions
Excellent knowledge of pension industry
Good understanding of Invesco Perpetual’s structure, products and funds
Good understanding of the administrative requirements of Invesco Perpetual’s products
Good knowledge of Microsoft Office
Ideally educated to a degree standard with relevant industry qualifications
Good interpersonal skills to be able to work effectively with a network of colleagues
Able to operate effectively and succeed in a complex, non-hierarchical, entrepreneurial environment
Able to motivate staff with whom there is no direct reporting relationship
Able to write clear, memorable and compelling presentations and reports both for executive management and colleagues
Personal credibility

Oversight Manager Resume Examples & Samples

5+ years of experience with a focus on Anti-Money Laundering / Know Your Customer or On-Boarding
Experience working within a Global Investment Bank Organizations
Ability to effectively work with Business Lines, other Operations teams, Compliance, etc
General product and industry knowledge

Change & Oversight Manager Resume Examples & Samples

Developing and delivering a range of Division-wide change initiatives, to improve the risk and control environment, typically taking the lead on smaller projects or heading up work streams within larger programmes
Assessing and monitoring the effectiveness of in scope projects and ensuring that change is successfully embedded and long-lasting
Working with the Risk Communication team, to ensuring that change initiatives are communicated appropriately and effectively, to ensure engagement within the Division
Supporting, coaching and advising the Divisions functions in the development and delivery of control enhancements, from enabling the redesign of crucial controls, to helping to shape large-scale program’s that mitigate critical regulatory findings
Further developing and delivering an assurance methodology, including tools and processes, so that the Division has a clear picture of its control environment, which will enable effective management decision making
Defining required standards and good practice, introducing a methodology for deciding where to target deep-dives and for the conduct of assurance interventions
Working with the NFR Senior Manager and others to roll out a series of deep-dive reviews, to gain confidence in key risk and control projects
Ensuring that the methodology is aligned to Bank/regulatory requirements and guidance as well as best practice within the industry
Acting as the Risk ICO subject matter expert, on control-related issues
Working with specialist areas, ranging from Risk Regulatory Engagement and Adherence, Transformation Team and the Data and Reporting Team
Working with other Risk ICO team members, to develop a comprehensive approach to NFR and control within the Division
Managing the Risk ICO’s stakeholders and participating in the Divisional NFR working group
Helping to identify opportunities to improve NFR and control ways of working, manage the continuous improvement cycle and spread good practice across the Division

Cass Oversight Manager Resume Examples & Samples

Manages the team that supports the daily client money and assets oversight process to ensure client protection is in place at all times - includes authority to move funds to cover client money shortfalls where appropriate
Manages the oversight of third party providers due diligence to ensure compliance with CASS regulations including review of issues or CASS breaches
Manages production and submission of daily and weekly MI, CMAC reports, quarterly Board reports, other MI relating to these areas ensuring quality, relevance and timeliness
Provide input into the establishment of an appropriate assurance framework within the business over our CASS outsourced arrangements
Ensure that appropriate CASS training is delivered to the staff engaged in these roles
Ensure that CASS oversight team members understand their priorities and are supported to achieve their strategic objectives
Ensure full co-operation with External Audit, Internal Audit, Risk and Compliance for related matters
Take responsibility for agreeing management action plans with those functions concerned and establish tracking mechanisms to ensure completion of management action plans are accurate and on time
Support due diligence process in relation to outsourced suppliers in these functions
Manage relationships with IFDS in this area, building and maintaining productive working relationships. Sitting on relevant IFDS working groups relating to CASS and feeding any issues or escalation items to the IFDS Fund Services Management team
Keep abreast of changes to relevant CASS regulations, actively participate in industry working groups and understand and communicate to others how changes / new standards may impact Invesco, including supporting change projects, where necessary
Manage periodic control reviews within IFML and of the CASS services provided by our outsource providers
Comprehensive knowledge of Fund Management business
Detailed technical knowledge of FCA CASS rulebook as applied to asset management companies
Knowledge of oversight of Third Party service providers
Proven experience working with CASS regulations, preferably in an asset management context
Experience of accounting and reconciliations, preferably with an Accountancy qualification
Strong operational experience preferred and experience of managing an outsourced relationship an advantage
Knowledge of MS Office suite of applications
Communicating & Influencing - communicates and works effectively with people at all levels across the organisation and gets buy-in from others through effective use of influencing
Planning & Organising – is able to work under pressure to meet deadlines and is comfortable planning and prioritising work both for self and others
Relationship Building/Networking – creates, maintains and develops positive working relationships both internally and externally to support the achievement of key outcomes
Analytical thinking – has the ability to analyse complex regulations and present relevant information back to the business in a clear and logical manner
Teamwork – works effectively as part of a team and ensures that best practice and knowledge is shared with others in the team
Problem Solving – is proactive in identifying and analysing problems and is able to think holistically when designing workable solutions
Achievement Drive – is self-motivated and driven to achieve success through the delivery of results
Accuracy/Attention to detail – is committed to producing accurate work and keeping up to date and clear records
Change Orientation – is comfortable initiating change in an innovative and sensitive manner and strives to continually improve existing processes

Cass Oversight Manager Resume Examples & Samples

Manages the team that supports the daily client money oversight process to ensure client money protection is in place at all times - includes authority to move funds to cover client money shortfalls where appropriate
Manages the oversight of third party providers due diligence to ensure compliance with CASS regulations including review of issues and CASS breaches
Manages production and submission of daily and weekly MI, CMAC reports, quarterly Board reports, other MI relating to these areas ensuring quality, relevance and timeliness
Provide input into the establishment of an appropriate oversight framework within the business over both our external and internal CASS arrangements
Ensure full co-operation with External Audit, Internal Audit, Risk and Compliance for related matters. Take responsibility for agreeing management action plans with those functions concerned and establish tracking mechanisms to ensure completion of management action plans are accurate and on time
Manage relationships with our outsourced service provider in this area, building and maintaining productive working relationships
Sitting on relevant IFDS working groups relating to CASS and feeding any issues or escalation items to our outsourced service providers’ Fund Services Management team
Proven experience working with CASS regulations, preferably in an asset management context
A relevant professional qualification, including Securities Institute, IIA or ICAS preferred
Experience of accounting and reconciliations, preferably with an Accountancy qualification
Strong operational experience preferred and experience of managing an outsourced relationship an advantage
Detailed technical knowledge of FCA CASS rulebook as applied to asset management companies
Knowledge of oversight of Third Party service providers

VP Policy Oversight Manager Resume Examples & Samples

IHC Board, its Board Committees and Sub-committees
BNPP NA Board, Broker/Dealer Boards, Board Committees and Sub-Committees
CIB, IP and all Regional Functions supporting them – their policies
Collectively, the above referred to as BNPP US
Preparing and maintaining a “policy on policies,” which will
Not Applicable

Operational Oversight Manager Resume Examples & Samples

Market Due Diligence
Working knowledge of an operational area within the securities industry (buy or sell side)
Relevant qualifications
Sign off days checklist
Adhere to FIL values
Provide formal feedback on Retail Global Custodian performance and attend review meetings as required
Working knowledge of Microsoft Office
Continual self-improvement

Sole Source Oversight Manager Resume Examples & Samples

A Bachelor's degree from an accredited College or University involving major study in Public Administration, Business, Finance/Accounting, Business Law, or closely allied field
Two (2) years of professional level experience in a statewide oversight and consulting role applying Washington state procurement and contracting laws and negotiating, administering and/or terminating Washington state government contracts
Advanced use of Microsoft Word, Excel, Project, email and internet skills/and experience
Please Note: Additional qualifying professional level experience may be substituted, year for year, for the required education. Up to two years of which may be concurrent with professional level experience

Junior Market Oversight Manager Resume Examples & Samples

Challenging, fun and supportive environment
25 days holiday (in addition to Bank Holidays) plus opportunity to purchase up to 5 extra days
Highly competitive benefits package including pension and private medical cover
City centre location
Competitive discounts on travel and parking
Discounts on a range of local retailers
Opportunity for further academic training – including NVQ, IOC, Degree and soft skills
Opportunity to join site wide networking groups
Opportunity to participate in process improvement programmes (Lean, Six Sigma, Kaizen); we recognise and reward new ideas

Ccar Oversight Manager Resume Examples & Samples

Oversee and evaluate capital management practices, processes, methodologies and controls
Proactively assess and identify existing and emerging risks and help ensure that they are measured, monitored, and managed effectively
Interact effectively with treasury, risk management, model governance, audit, regulators, and senior management
Keep abreast of industry best practices, regulatory guidance, financial market conditions and apply to the oversight of risk management activities
Engage with business lines, develop rapport and credibility in order to drive improvements
Produce succinct written annual assessments of risk management activities and identify weaknesses and opportunities for strengthening practices
Must be highly motivated, proactive, self-starter; able to work independently with limited direction and supervision while remaining aligned to established objectives; set and manage to tight deadlines
Ability to build effective working relationships with range of individuals from treasury, risk management, model validation, audit, and regulatory
Five or more years of experience in banking and financial services with focus on regulatory capital and stress testing requirements　
Strong critical thinking, logic/judgment and risk analytical abilities 　
Location- position based in Minneapolis, MN
Experience in one or more of the following areas: Regulatory Capital, Economic Capital and Stress Testing
Advanced degree / professional certification
Three to five years of regulatory capital and stress testing experience
Able to manage multiple competing demands and prioritize effectively in a high-demand, dynamic environment
Demonstrate flexible mindset, ability to adapt to evolving conditions and drive change
Ability to understand, synthesize, and translate complex concepts into straight forward messages
Excellent written and verbal communication skills; ability to develop written and visual representation of complex concepts

Quality Oversight Manager Resume Examples & Samples

Analyzes departmental requirements and makes recommendations relative to contract document requirements and the contractor’s approved QA/QC plan and its implementation
Serve as a resource to project manager and discipline leads and their teams in all areas related to QA/QC requirement of contracts and specifications
Assist in implementing the contractor’s approved QA/QC plan by resolving all no-conformance issues
Review, implement, and maintain overall Quality Management System for the Purple Line Project; the work shall encompass all aspects of engineering functions, including: real estate acquisition, engineering design, procurement, construction, rehabilitation, installation, system integration, testing, monitoring safety certification, training, and turnover
Review, research, coordinate and develop administrative, technical / engineering and system background information for the review and update of QA / QC manuals for the Purple Line Project
Review and approve of the Contractors QA / QC program plan (CQC Plan)
Monitor implementation of approved CQC Plan by the Contractor and subcontractors
Review, inspect, and monitor contractors test matrix data, testing schedule, incoming material inspection data, product identification and traceability, equipment calibration records, document control, records of non-conforming products and corrective/preventive action, sub-contractor records, and internal audit reports
Monitor project specific quality control measures and data records maintained by the contractor and inspectors
Monitor inspection oversight and co-ordinate with third party oversight (FTA / PMOC)
Monitor testing, training, commissioning and turnover
10+ years of Transit Rail professional experience in developing and administering public agency’s QA/QC contracts for Large Mega Projects or Managing QA/QC department of Public Agency; or an equivalent combination of training and experience
Current designation as a Certified Professional Contract Manager (CPCM), or the ability to obtain the certification within one year of employment

AML Issues Management Oversight Manager Resume Examples & Samples

Oversee the coordination and management of business line AML Issue reporting
Ensure resolution plan activities and resources are sufficient to remediate an issue
Act as a liaison between the business line, EFCC, CAS, CQA, or other internal business partners as needed
Makes recommendations for improvement to management in regard to issue management processes, procedures, and reporting
Monitor Payment Services issue management activities, progress and adherence to AML regulations and corporate standards
Ensure business line issue management controls and record keeping are in adherence and consistent with the corporate AML management policy and reporting requirements
Review and approve issue management reporting prepared for management
Continually examine issue management process for areas of inefficiency, risk, nonconformance with corporate policy or processes, and provide improvement recommendations to the Senior Payment Services AML Officer fro the overall improvement of issue management effectiveness
Manage Issue Management Analyst team and issue assignments
7-10 years experience in the Compliance, BSA/AML or Sanctions Screening (OFAC) disciplines, or Audit related activities
Bachelors degree, or equivalent, relevant experience
Proven track record with managing and overseeing multiple concurrent projects or team driven activities
Issues Management experience (internal or external customers)
Excellent interpersonal, verbal, and communication (including presentations) skills
Have the ability to facilitate the mediation and/or negotiation between two or more parties / persons
Ability to build a project plan and effectively manage to the key deliverables and milestones that have been established
Prior card issuing or merchant acquiring background

Senior Market Oversight Manager Germany Resume Examples & Samples

Audit, Risk, Compliance: Develops a framework to assess direct market risk and monitors to ensure the risks are measured and managed within market risk thresholds, limits and constraints and assists in developing action plans to resolve issues. Has an excellent understanding of the local market governance framework as well as the regulatory and legal framework impacting the market and its infrastructure, both from the perspective of the national law governing the market, and EU regulations. Actively monitors changes in the regulatory and legal framework and liaises with other resources within the company to assess the impact on business and operations
10 – 15 years works experience in local custody business
Custody or Asset Servicing operational experience

Portfolio Oversight Manager Resume Examples & Samples

Responsible for project data integrity in the Project Portfolio Management (PPM) tool
Provides front-line project portfolio management support for designated teams
Collects information for new proposals
Audits proposals and projects to ensure accuracy and adherence to process guidelines
Validates incoming project requests for feasibility and priority
Works with designated teams to resolve project demand issues
Tracks current year Budget to Actual for Operating and Capital budget. Assists IT functional areas with budget inquiries and acts as liaison with Accounting group. Assists in preparation of upcoming year budget for all Technology cost centers
Coordinates and preps for IT Governance groups and Technical Leadership meetings, prepares and archives meeting minutes
Acts as Change Advisory Board (CAB) Facilitator. Coordinates and preps for meetings, prepares documentation, communicates approvals/changes/rejections to IT functional areas and prepares meeting minutes
Prepares project and portfolio reports as requested by designated Portfolio Managers
Prepares Technology scorecard to include KPIs provided by leaders throughout the technology organization
Acts as a liaison to IT functional areas for the Audit group including the coordination of audit requests and the communication of responses
Excellent communication skills with strong service commitment
Working knowledge of project management processes
Ability to work independently in an autonomous environment
Ability to quickly learn new technology and systems
Ability to work effectively with project managers, portfolio managers, operational leaders and senior and executive management
Proficient in MS Office and Adobe Acrobat
High School Diploma or GED and a minimum of three years related project management support experience
Proven functional knowledge and experience working with Project and Portfolio Management (PPM) software/solutions and processes
Banking background preferred within the IT department
Six Sigma, Project Management Professional (PMP) preferred
PPM Certification preferred

Delegation Oversight Manager Resume Examples & Samples

Develop and document quality assurance plans and methodology to assess compliance with contracts, work standards, and legal requirements, including adherence to the Medicare Managed Care Manual, Medicare Prescription Drug Manual, Audit protocols, OIG, OIC, and HIPAA; and other regulations as required
Creation, revision and maintenance of all internal policies and procedures encompassing oversight; oversee implementation, training and communication of such, across internal and external stakeholders
Support internal system configuration as needed to enable compliant regulatory metrics are achieved
Monitor changes in the regulatory environment impacting plan sponsor and delegated functions; conduct impact analysis of new or changed regulations on existing policies with key stakeholders; and implement new or modified internal policies and procedures as a result
Continually evaluate opportunities for improved process, policy, and operational efficiency and consistency
Lead, at a minimum, quarterly standards review process for Joint Operations meetings with key delegated entities and report status to Vendor Oversight Committee to ensure proper prioritization, dissemination, and communication of oversight efforts
Liaise with key stakeholders internally and externally to build compliant functions, serve as a resource, and manage oversight of delegated functions
Liaise with auditors and regulators as necessary to articulate organizational oversight of plan sponsor functions
Support the RFP process through review of contracts, work standards, and pre-audit of potential delegated vendors, coordinating with internal stakeholders as necessary
Perform ad hoc and regular monitoring and auditing of delegated vendors, providing written and verbal analysis of results
Independently develop and document protocols in response to business audit items, provide training and assist with implementation of oversight processes
Oversee the development of initiatives to support Fraud, Waste, and Abuse monitoring to identify and investigate pharmacies, providers, and processes of concern
Contributes to the achievement of our companywide goals and objectives. Contributes to a working environment that allows all employees equal opportunities for development, growth and advancement
Proactively requires employees to conduct business with high regard for our corporate values and in compliance with our policies and procedures
Ensures that adequate written policies and procedures, training, monitoring and auditing functions are in place to guide employees in understanding and complying with significant laws, regulations, and ethical standards that apply to their respective job responsibilities
Selects staff, coaches performance and provides ongoing and timely communication regarding performance, training and development opportunities
Prepares staff performance evaluations and conducts performance reviews
Manages department work flow, staff and priorities to meet business needs, schedules and deadlines
Ability to handle multiple, complex tasks, and responsibilities simultaneously, often under tight timelines
Ability to identify and define organizational needs and develop a solution, system, or process to meet the need
Ability to monitor, assess, and articulate changes in applicable regulatory requirements
Advanced knowledge of pharmacy, medical, claims, and utilization management systems and processes, strategic sourcing, and ability to translate concepts into risk identification
Strong written, oral, and presentation skills
Strong knowledge of regulations and audit planning according to guidance outlined in Medicare Managed Care Manual, Medicare Prescription Drug Benefit Manual, Third Party Relationships (Delegated Agreements), and other U.S. regulators such as the AR, NE, OH, WA Offices of Insurance Commission, Department of Health, Office of Inspector or Attorney Generals, etc
Bachelor’s Degree preferred, or equivalent work experience accepted
5+ years work experience in a managed care, health plan, PBM, or medical environment
Medicare experience required; knowledge of Medicare medical and pharmacy claims and adjudication processes preferred
Demonstrated excellent customer service skills with both internal and external customers
Broad-based, working knowledge of managed care medical and pharmacy operations required
Ability to work effectively in a fast-paced, dynamic environment required
Strong abilities in verbal and written communication with diverse audiences required
Demonstrated experience with effective time management working with minimal supervision and successful handling of multiple projects simultaneously and prioritize work appropriately
Experience working with all levels of staff and medical practitioners including members, physicians, nurses, and providers
Demonstrated initiative in organizing and prioritizing work to meet deadlines
Demonstrated ability to work in a remote environment while successfully completing tasks required

Senior Market Oversight Manager Resume Examples & Samples

Market infrastructure and changes
Manage the relationship with the local CSD ongoing risk monitoring of the CSD, ongoing due diligence
10 years work experience in local custody business
Fluent in English and French/Dutch

Delegation Oversight Manager Resume Examples & Samples

Complete monthly or quarterly FWA evaluation of delegated functions, as appropriate, in partnership with Payment Integrity, Medical Management, Finance, and Compliance teams
Ensure staff provision of Compliance and FWA dashboard for organizational insight into delegated process compliance
Utilize PLATO when investigating potential FWA pharmacies and providers for both Parts C and D impacted claims
Oversee the investigation and tracking to completion potential compliance issues and escalate to Compliance Officer when applicable
Assist cross-organizationally with educating providers and pharmacies on the health plan's oversight and reporting expectations
Assist with the pharmacy, medical, and operations utilization review and reporting processes
Perform data analysis to monitor success of Compliance initiatives for Medicare projects pre-and post-oversight audit
Draft formal communications documenting findings from audits, expected corrective actions required, and contractual obligations to be distributed internally and externally
Selects staff, coach performance and provides ongoing and timely communication regarding performance, training and development opportunities
Ability to monitor, assess, and articulate changes in applicable regulatory requirement

Trial Oversight Manager Resume Examples & Samples

A minimum of a Bachelor’s Degree is required, preferably in a science or technical related discipline
A minimum of 8 years of relevant professional experience is required
A minimum of 4 years’ experience working in a R&D environment in the pharmaceutical/OTC industry is required
Knowledge of the drug development process and good knowledge of worldwide GCP (Good Clinical Practice) compliance regulations is required
Experience in a R&D/Quality role with a clinical trial focus is highly preferred
Ability to interpret data to develop action plans to improve business is required
Experience with regulatory submissions (NDA, BLA) is preferred
Knowledge of FDA/ICH and country-specific regulations and guidelines related to clinical development is required
This position will be based in one of the following locations: Spring House, PA; Titusville, NJ; Raritan, NJ; Malvern, PA; Beerse, Belgium; High Wycombe, UK; Leiden, The Netherlands; or Tillburg, The Netherlands, and will require up to 20% of travel

Senior Client Assets Oversight Manager Resume Examples & Samples

Leading CASS governance and controls, recommending and setting policy for custody and client money activity, attending risk committees and other governance meetings, responsible for issue management, submission of FCA returns and maintenance of the CASS Resolution Pack (5 direct reports)
Heading business and regulatory change activity, identifying any potential risks or issues that may arise to make sure all operational areas comply with the Client Assets Sourcebook (1 direct report)
Leading the creation and development of monitoring arrangements of Client Assets effectiveness in operational areas, and at third party administrators and sub-custodians (5 direct reports)
Responsibility for CASS technical support and subject matter expertise across all of the business lines within our area of responsibility

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