Compliance Manager

Company: Zelis Healthcare, LLC
Location: Boston
Posted on: January 21, 2025

Job Description:

Overview:We are looking for a Manager to build out the design of our compliance monitoring and testing function in the Payment division and ensure the effective and timely execution of the program. Measuring performance against requirements from applicable laws, regulations and industry standards practice is an essential pillar of our compliance program. To accomplish this, the Manager will lead the annual compliance risk assessment, building our monitoring capabilities, and reporting/issue follow-up processes. This role will report into the VP of Payments Compliance and Risk.Responsibilities:

• Develop risk-based testing methodology for applicable compliance requirements, including annual monitoring and testing plan.
• Execute and oversee plan to ensure compliance with applicable policies/procedures and laws/regulations.
• Develop and maintain compliance risk assessment to assess applicable risks stemming from laws, regulations, and standards.
• Coordinates the reporting and communication of test findings and remediation of issues to appropriate stakeholders.
• Develop compliance issue management program communicating the status of the remediation and enhancements for identified compliance risks.
• Builds and leads all aspects of a team of employees for assigned area through ongoing execution of recruiting, development, retention, mentor and support, performance management, and managerial activities.Skills:
  • Proficient in conducting assessments of existing systems, policies, and strategies to identify areas for improvement, with a focus on risk mitigation.
  • Proven track record of fostering collaborative relationships with various stakeholders across different departments.
  • Ability to clearly communicate effectively orally and in writing with the use of da and other various communication methods at all levels of management.
  • Well versed in Microsoft Office suite, including Word, Excel, and PowerPoint; SQL and data visualization proficiency are a plus.
  • Ability to navigate ambiguity and manager competing priorities effectively while balancing the needs and interest of various stakeholders.Experiences/Background:
    • Bachelor's Degree; an advanced degree is a plus. Relevant compliance or risk certifications (e.g., CRCM, CERP, CIA, CPA, etc.) are preferred.
    • Minimum 8-10 years of experience with 2-3 years of direct team lead or management experience working in internal/external audit, operational risk/compliance testing or quality assurance roles at a financial institution or financial technology company with a focus on payments is preferred.
    • Demonstrable experience of laws, regulations, and industry practices impacting financial services (e.g., financial crimes, NACHA, consumer compliance, etc.).
    • Experienced knowledge in leading or being key contributor for risk-based testing or auditing around industry-standard testing/auditing/control standards, such as COSO, SOX, Privacy/CCPA, HIPPA, NIST, ISO 27001, PCI DSS, etc. and associated regulations.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 BelongingAt 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 SupportWe 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 .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.

Keywords: Zelis Healthcare, LLC, Newton , Compliance Manager, Executive , Boston, Massachusetts