About the job

Position Overview

The Strategy Manager, Fraud and Risk will report to the Senior Director of the Payee Identification and Network Security (PINS) team that oversees Zelis Payments’ Fraud, Risk, and Identity Verification organization. The PINS team centrally manages Fraud, Onboarding/Verifications, and Account Servicing for Zelis clients, addressing issues related to account takeover, business identification, bank account validation, and more.

Key Responsibilities

Build a deep understanding of team functions working with team managers to provide operational support, gather feedback from teams, and make recommendations to processes to drive improvements and efficiencies Project leadership to drive team objectives and provide tracking of activities, key deliverables, and timelines; provide status updates to key stakeholders, as necessary Collaborate with business stakeholders, including Payment Operations, Compliance, Product, and business unit leaders to understand pain points and areas of risk; build and own relationships with key stakeholders Assist in reviewing third party vendors for tooling and aid in the implementation across PINS and relevant stakeholder groups in conjunction with product team Work closely with PINS teams to identify areas of improvement and lead data-driven initiatives to boost PINS performance, tracking and post-mortem to gauge impact of change Package PINS strategic story for PowerPoint presentations in a compelling, crisp way for internal and external communications (e.g. materials for Town Halls) Able to influence and clearly articulate team messaging, creating a risk-conscious culture across business stakeholder groups Escalate potential issues to Senior Director to ensure proper action and attention are given to resolve any issues Gain diverse perspectives, gather decision-making information, and support initiatives focused on process optimization, system automation, and balancing risk, expense, and experience

Required Qualifications

4+ years of professional work experience, including 1-2 years at a top strategy consulting firmExperience managing multiple projects at a time in a dynamic work environmentBachelor’s degree in business or related field

Preferred Qualifications

Operating experience in Healthcare Technology, Payments, Trust & Safety, or Risk ManagementCAPM or PMP CertificationCapable of turning ideas into actions, organize work and ownership in a clear way, and can delegate tasks effectivelyAdvanced degree

Location and Workplace Flexibility: We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture and all of our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.

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.