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Zelis Director, Client KYC and Due Diligence in United States

OVERVIEW:

We are looking for a senior compliance professional to advance and lead the way Zelis Payments approaches KYC and customer due diligence while bridging onboarding processes with customer risk rating. You will help to formulate our risk management vision and play a key role in helping the company identify and mitigate risks presented by our products, features, and customer base. Zelis sits at the nexus of healthcare, financial services, and technology so this role will need to be comfortable straddling these worlds and enjoy seeking creative solutions in this role that come from the challenges operating across these sectors. This role will report into the VP, Payments Compliance and Risk Management.

Responsibilities:

  • 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.

  • Serve as subject-matter advisor across the payments business on the status of KYC and customer due diligence requirements and initiatives, including change management resulting from laws and regulation or financial institution expectations, and potential product launches and enhancements.

  • Represent our business and maintain our relationships with compliance counterparts at our financial partner institutions.

  • Continuously pursue efficiencies in onboarding processes and customer experience through automation, tooling, clear and concise communication.

  • Advocate for our KYC and customer due diligence efforts internally while keeping stakeholders apprised of improvements.

  • Collaborate with other risk areas, such as fraud, finance, operations, etc. to understand impact from KYC and due diligence processes and to ensure a consistent approach to risk management is applied.

  • Travel Less than 20%

    Skills:

  • Demonstrated success in developing and implementing compliance programs tailored to meet KYC and customer due diligence requirements within the banking, payments, or financial service sectors.

  • Proficient in conducting assessments of existing systems, policies, and strategies to identify areas for improvement, with a focus on risk mitigation.

  • Skilled in addressing challenges using a pragmatic, risk-based approach, and adept at proposing effective solutions.

  • Ability to lead by example as a mentor and leader, driving strategic initiatives while actively participating in day-to-day operations as needed.

  • Proven track record of fostering collaborative relationships with various stakeholders across different departments.

  • Strong conflict resolution and negotiation abilities, including the capacity to influence and communicate effectively with stakeholders at all levels.

  • Passionate about cultivating a compliance-centric organizational culture.

    Experiences/Background:

  • Bachelor’s degree; JD, MBA or other advanced graduate degree a plus.

  • 12+ years of experience working on KYC, CIP, Due Diligence or related onboarding operational area at a financial institution, multinational corporation, or other similar large organization.

  • 5+ years of people manager experience.

  • Experience with payments, risk, compliance, and/or financial services industry operations; Payments or FinTech experience working with financial institution partners is preferred.

  • Strong knowledge of financial crimes laws and regulations, such as Bank Secrecy Act, Anti-Money Laundering, USA Patriot Act, and OFAC regulations.

  • Deep understanding of relevant financial crimes controls and industry practices.

  • Familiarity with financial crime technology stacks (including Identity Verification, Name Screening, Adverse Media and Open-Source Searches platforms).

  • Experience operating in a high growth technology company.

  • Certified Anti-Money Laundering Specialist (CAMS) or Certified Fraud Examiner (CFE).

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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