Project Manager, PINS

LE016 Red-Card Systems, LLC
US FL Remote, FL Remote Full Time
POSTED ON 3/10/2024
Position Overview 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 identification, bank account validation, and more. This individual contributor role, under the Sr. Director of PINS, will drive projects aligned with corporate and business-level objectives. Collaborating with business operations, risk, product, and business unit leaders, the role involves gaining diverse perspectives, gathering decision-making information, and supporting initiatives focused on process optimization, system automation, and balancing risk, expense, and experience in the Zelis Payment Network. Key Responsibilities Supporting leadership in establishing and overseeing operational risk policies and tools Building a deep understanding of PINS team functions to provide support and recommendations Developing and maintaining relationships across the organization to support the PINS department strategically Leading cross-functional projects to enhance PINS processes. Analyzing data, identifying trends, and providing impactful recommendations Identifying and addressing risks and issues in projects, processes, and systems Acting as a liaison, consulting with internal and external stakeholders to improve control measurements, metrics, and reporting Documenting processes, procedures, roles & responsibilities, and managing updates Meeting critical timelines, working independently, and prioritizing projects Influencing and communicating effectively with stakeholders Performing other duties as assigned to support the PINS department Required Qualifications Bachelor’s Degree 5 years of operational or project management experience Experience in payments, anti-fraud, anti-abuse, Trust & Safety, or Risk Management Preferred Qualifications Experience with payment monitoring, optimization, or customer risk scoring/modeling Familiarity with Atlassian tools like Jira and Confluence Professional Certification such as PMP Agile Framework and methodologies experience #LI-RZ1 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. As the leading healthcare payments company, we price, pay and explain care for 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.

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