• Job Description

  Req#: JR102973

  Working in close coordination with the Zelis Payments’ Fraud, Risk Management, and Identity Verification organization (known within Zelis as PINS); this individual will be responsible for managing product changes with a focus on those related to network security.

  This individual will cultvate a deep understanding of our core product as well as industry best practices around security and fraud prevetion; addressing problems related to account takeover, business identification, bank account validation and more; both with internally developed software and 3rd party Fraud, KYB, Banking Aggregation Vendors and to support building out analysis tools, rule engine integrations, and implement stronger controls to improve our security posture against Fraud.

  The person in this role will have an opportunity to enhance efficiency and performance of a broad suite of fraud, business, and banking related services. This is a great opportunity to learn and grow in this field while continuing to have an impact in improving our fraud detection and prevention as well as improve the verification process at Zelis.

  Key responsibilities:

  • Supports Leadership by providing inputs to and implementing Fraud & Risk Management team (known within Zelis as PINS) initiatives, goals, preventative measures and strategies.
  • Meet critical timelines, work independently with minimal oversight, prioritize projects and deliverables, lead assigned initiatives, and execute on Program strategy.
  • Sustain program roadmaps, develop schedules to ensure timely completion of various business/risk projects of a moderately complex nature.
  • Occasionally perform data analysis to understand our Fraud & Abuse domain.
  • Forms and supports recommendations to business partners to optimize process/system(s).A strong sense of accountability and the ability to while working collaboratively across multiple departments supporting projects and initiatives driven by adjacent teams (e.g., Product, IT, Payment Operations, Legal) to enhance fraud prevention processes
  • Ability to influence others as well as being able to communicate effectively to all stakeholders involved in fraud and suspicious activity events including Legal, Compliance, IT, and effected parties (outside stakeholders)
  • Prepare tasks with clear and complete business requirements, involving business and IT to establish a viable marriage of requirements and technical solution
  • Assist IT in the refinement of technical requirements, minimizing them to the most efficient set of changes that still meets the needs of the business
  • Become familiar with all standardized project processes, and contribute input to the development of new ones.
  • Assist in building documentation and training for new or modified features.

  Professional Experience and Requirements

  • Effective verbal and written communication, with experience presenting findings to leadership teams and maintaining composure in high stakes situations
  • Sensitivity to confidentiality, demonstrated ability to adhere to Zelis Payments standards regarding privacy
  • Passion for delivering products end-to-end, from ideation through implementation and A/B testing, while being empathetic with cross-functional stakeholders
  • Ability to manage and prioritize multiple tasks
  • Ability to work under pressure and meet deadlines
  • Attention to detail and concern for impact is essential
  • Excellent relationship management, interpersonal and communication skills; able to lead transparently in a team/project environment
  • Must work well with othersH
  • Comfort working with database and visualization tools such as SSMS, LINQ, Tableau and/or Power BI is a plus
  • Experience in the payments industry a plus
  • Familiarity with Atlassian – Jira Software (Jira), Jira Service Management (JSM), Confluence, etc. a plus
  • Experience in anti-Fraud, anti-Abuse, Trust & Safety, or Risk is a plus
  • A working understanding of fraud vectors, both small scale (client side hacks) and large scale (botnets) is a plus

  Education and Experience:

  • Bachelor’s Degree and/or 3+ years equivalent work experience
  • Successful operational or project management experience a plus
  • Experience with security or fraud mitigation a plus

  #LI-GC1

  #LI-Remote

  As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

  Commitment to Diversity, Equity, Inclusion, and Belonging
  At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

  Equal Employment Opportunity
  Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

  We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.

  Accessibility Support

  We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com

  SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.

• About the company

  Discover how Zelis helps payers and providers optimize every step of the healthcare payments cycle, including navigating the No Surprises Act.

Notice