Position Overview
The Analytics 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
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Develop a structured analytics program, which may include training of analyst(s), preparation of learning and development materials, onboarding and testing of skills, documenting reporting requirements for consistency and scalability
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Create the analytics roadmap to align with team objectives, able to understand priority and sizing for time and delivery
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Refine process for managing and prioritizing incoming requests from the PINS teams and business stakeholders to ensure business case is captured and management of ownership, timing, and deliverables
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Able to transform raw data into meaningful, digestible business insights that can be used for decision making and strategic planning
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Prepare data summaries and detailed reports to be presented to leadership, including identification of trends and patterns, areas of concern, and overall business insights
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Ensure accuracy of data and deliverables of reporting employees with proper policies and processes
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Work with other data and analytics professionals to optimize, refine, and scale the PINS team and ensure continuity of reporting and dashboards
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Identify areas for process improvements within the analytics function, including automation through scheduled deliveries, development of dashboards and visualization tools
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Enhance reporting of department KPIs and SLAs, to provide visibility into team accomplishments and areas for improvement
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Provide detailed explanation and training to end-users of reporting and dashboards, as necessary
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Own day-to day management of new requests, enhancements, and tasks of you and your team
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Ensure projects and resources are aligned with current departmental priorities
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Thinks creatively to find solutions to problems that can be complex or ambiguous and is dynamic in thinking as risks change and business needs shift
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Excellent time management and prioritization skills to meet deadlines and quickly divert tasks, as needs change
Required Qualifications
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Bachelor's degree in business and/or Computer Science or 7+ years equivalent work experience
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3+ years leading a team of analysts or data scientists
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Microsoft SQL Studio, Snowflake, Python, and PowerBI experience
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Fraud Analytics experience
Preferred Qualifications
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Operating experience in Healthcare Technology, Payments, Trust & Safety, or Risk Management
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Experience using Jupyter
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Jira and Confluence experience
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Advanced 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.
Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.
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 qualified 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 [email protected].
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.
Top Skills
What We Do
As a leading healthcare payments company, we price, explain and pay for care on behalf of payers, providers, and healthcare consumers. Zelis was founded on a belief there is a better way to determine the cost of a healthcare claim, manage payment-related data, and make the payment because more affordable and transparent care is good for all of us. We partner with over 700 payers, 1.5 million providers, and millions of members -- enabling the healthcare industry to pay for care, with care.
Zelis brings adaptive technology, a deeply ingrained service culture, and an integrated pre-payment through payments platform to manage the complete payment process.
