Fraud Manager, PINS

Position Overview

The Fraud Manager Payee Identification and Network Security will report to the Sr. Director that leads Zelis Payments Fraud and Identity Verification organization (known within Zelis as PINS). As the Fraud Manager you will be responsible for overseeing fraud detection strategies leading complex investigations and enhancing fraud mitigation frameworks to protect the integrity of our payments and provider network.
This role will manage a team that investigate suspicious activity and authenticate users on the Zelis payments network by ensuring that these resources are effectively prioritizing their work removing roadblocks and maintaining protocols and standard operating procedures. This leader will be highly analytical and proficient in database queries / analysis and can be hands-on in network monitoring activity. Additionally you must be a skilled communicator with an executive presence who is able to lead conversations with clients and summarize the teams activities to leadership.

What Youll Do

• Lead the design and implementation of fraud prevention strategies for payment transaction ACH enrollment and provider verification.

• Oversee fraud investigations root cause analyses and escalations ensuring timely and accurate resolution to mitigate loss.

• Steps in to resolve elevated issues brought forth by the PINS team; for example escalations brought by the client services team requests from partner banks or vendor partners.

• Analyze fraud patterns and operational data to identify emerging threats recommend mitigations working with relevant teams to support change.

• Effectively oversees the day-to-day operations and activities of the Fraud team; manages productivity and prioritization helps overcome roadblocks and monitors progress against team goals and effectively holds frequent 1-on-1s.

• Cultivate a team of Fraud Analysts and Investigators providing informal feedback on an ongoing basis and formal feedback in the annual performance review process to identify and develop talent.

• Writes and maintains PINS-related Policies and Standard Operating Procedures (SOPs) including protocols to investigate suspicious activities; ensures Payments policies and SOPs are aligned with Enterprise Fraud.

• Ensures alignment across stakeholders for PINS functions (e.g. robust communications process throughout the investigation of a Suspicious Activity periodic readouts on performance of the Zelis Payments network).

• 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 Product and effected parties (outside stakeholders).

• Support the development of metrics reporting and Key Risk Indicators through dashboards visualizations as well as supporting the development and integration of automations to improve manual processes improve operating processes and reduce/eliminate gaps.

What Youll Bring to Zelis

• 6 Years of experience in fraud prevention investigations or risk management preferably in payments fintech or healthcare.

• Proven expertise in fraud detection tools behavioral analytics and case management systems.

• Experience developing fraud rule logic and collaborating with product engineering and analytics teams.

• Knowledge of the principles processes procedures and trends of fraud and fraud prevention.

• Proven track record of success in leading teams. For example increased leadership responsibility of departments people and projects.

• Strong analytical skills and ability to interpret large data sets to drive insights and decision-making.

• Exceptional communication and stakeholder managements skills; able to influence across levels presenting findings to executive and leadership teams and maintaining composure in high stakes situations.

• Sensitivity to confidentiality demonstrated ability to adhere to Zelis Payments standards regarding privacy.

• Experience working with behavioral biometrics device fingerprinting or other advanced fraud detection technologies.

• Experience scaling fraud operations or building out programs in a fast-growth or start-up environment.

• SQL skills/experience is a plus.

• Relevant certifications a plus (i.e. CFE).

Base Salary Range

$115000.00 - $153000.00

At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors including experience education qualifications as well as job-related and industry-related knowledge and skills etc. Base pay is just one part of our Total Rewards package which may also include discretionary bonus plans commissions or other incentives depending on the role.

Zelis full-time associates are eligible for a highly competitive benefits package as well which demonstrates our commitment to our employees health well-being and financial protection. The US-based benefits include a 401k plan with employer match flexible paid time off holidays parental leaves life and disability insurance and health benefits including medical dental vision and prescription drug coverage.