Develop and maintain compliance policies that articulate our legal and contractual requirements and effectively address identified risks. Provide compliance subject matter support to cross functional stakeholders as they design and implement products, features, workflows, tools, etc. Establish a framework to handle the intake and response for external requests from our fi

Develop and oversee a framework for KYC and customer due diligence, including customer risk rating measures to ensure compliance with financial partner expectations and industry practices. Maintain and manage policies, procedures, and requirements, including annual independent assessment. Own the development and execution of risk assessments across products and customers.

The Public Relations Director manages the flow of communication between Zelis and the media and manages the creation of marketing messages that positively raise the public image of Zelis. They work with the Brand and Content team, Marketing Leadership, and various subject matter experts within Zelis to create and control the public narrative around the Zelis brand, ensuri

Zelis has an opening for a Senior UiPath Developer to be involved in RPA with a focus on Document Understanding. This individual will have an extensive background in spearheading projects that significantly improve operational efficiency and elevate user experiences. In this crucial role, you will lead the charge in discovering, developing, and refining automation solutio

At Zelis, t he Business Analyst Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation solutions. In this role, you will work as part of the Product team to facilitate clear and open communication betw

We're seeking an Analytics Manager for PINS (Payee Identification and Network Security) to join our team, reporting to the Senior Director. In this role, you'll lead the PINS analytics team and drive the development of a structured analytics program. Your focus will be on managing ongoing and ad hoc reporting, automation, and operational enhancements for the PINS team, en

The Project Manager, PINS (Payee Identification and Network Security) will report to the Sr Director overseeing Zelis Payments' Fraud, Risk Management, and Identity Verification organization (PINS). The PINS team centrally manages Fraud, Onboarding/Verifications, and Account Servicing for Zelis clients, addressing issues related to account takeover, business identificatio

The Strategic Client Manager (SCM) will serve as primary point of contact for Zelis client s for their assigned book of business . The SCM will manage a strategic book of business comprised of vertically aligned clients and will drive growth for Business Units by achieving annual revenue targets , ensuring client retention, fostering growth with additional products and se

We are currently seeking an experienced Director of Accounts Receivable to support Price Optimization Business Unit. The Director of Accounts Receivable will provide overall accounts receivable leadership for the Business Unit, including and not limited to overseeing a team of approximately 15 associates, providing strategic finance direction, process simplification, and

The Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request cancellations. Key Responsibilities Assisting the nursing staff in the medical claim audit process by contacting healthcare providers to request and obtain billing documents via fax, mail & e mail for claims processing

Zelis is hiring a Snowflake Data Platform Architect who will be responsible for designing, implementing, and optimizing Snowflake data warehouses and related solutions for an existing Data platform. The ideal candidate will have extensive experience in data architecture, cloud computing, and Snowflake platform capabilities. The Snowflake Platform Architect will be respons

Ensure availability and performance of high volume system (24/7/365) Performs daily administrative tasks such as working with daily check lists and creating turnover reports. Support all operational aspects of the Zelis payment system, inclusive of monitoring the system to ensure accurate file import and export Troubleshoot files that error out and other production relate

We are seeking an experienced and highly skilled leader of Identity and Access Management to lead our IAM team. The Director of IAM Engineering will play a critical role in designing, implementing, and maintaining our organization's IAM strategies, policies, and systems. This position requires strong leadership abilities, technical expertise, and a deep understanding of s

s o Risk identification and mitigation strategies such as volume decreases, service gaps, changes in client relationships and key advocates. Escalates to key leadership partners and e xecutes on risk mitigation strategies as agreed upon. o Drive s r evenue growth through existing product optimization ; understand s and communicate s Zelis' key differentiators, product stra

The primary role of the Assistant Controller is to manage all accounting and finance related functions including, general ledger, internal and external financial reporting, A/P, and special projects for the Price Optimization division. This person is responsible for assisting with the annual audit, budgeting and forecasts, and ad hoc financial analysis. Oversee the annual