Position Overview
The Fraud Reporting & Insights Analyst is a crucial member of the Zelis Payments Payee Identification and Network Security (PINS) team, reporting directly to the Senior Director of PINS.
This role collaborates with the Fraud team to provide analytical and data-driven insights that shape the Fraud program. The primary responsibilities include supporting fraud detection and prevention efforts, developing rules, generating reports, and minimizing losses due to fraud by analyzing both third-party and first-party data.
This role serves as part of investigations, review, and resolution of suspicious activity. Leveraging your expertise in fraud analytics, you will develop and scale metrics for the fraud team, continuously evolving and automating fraud analytics to keep pace with the changing fraud landscape and growing business needs.
Key Responsibilities
Analyze fraud history and current reporting capabilities to enhance and develop new fraud prevention controls
Use SQL, Snowflake, and other tools to generate daily fraud reports and provide suspicious activity data to investigators
Collaborate with Zelis’ enterprise data science team to create sophisticated fraud modeling and reporting algorithms for proactive detection and analysis
Lead the development and implementation of advanced analytics, gathering and reporting data from various internal and external sources
Automate insights with visualization tools like PowerBI, including KPI metrics, performance dashboards, and other business insights
Report trends and summarize outcomes to executive stakeholders
Assist the Risk and Controls department with compliance and risk-related tasks
Required Qualifications
Bachelor's degree in business and / or Computer Science
5+ years working experience within Fraud / Risk / Compliance
Microsoft SQL Studio, Snowflake, and Python experience
Fraud Analytics experience
Preferred Qualifications
Experience with PowerBI, Tableau, or other data visualization tools
Experience using Jupyter
Jira and Confluence
Healthcare Payments Industry experience
Certified Fraud Examiner
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