AI, Data and IT Governance Specialist

AI, Data & IT Governance Specialist

About Us 

Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

Why We Do What We Do 

In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system.

Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. 

Position Overview

Zelis is a leading US-based company at the forefront of Healthcare Information Technology (HIT) billing services. We drive innovation and are dedicated to harnessing the power of data to drive strategic decisions and operational excellence. Our team is committed to creating a data-driven culture and ensuring the integrity, security, and usability of our data assets.
We are seeking a highly skilled and motivated AI, Data & IT Governance Specialist to join our team. The ideal candidate will have a strong background in design, implementing and operating governance practices that ensure safe, auditable and efficient use of technology across the enterprise. You’ll lead IT audit and controls activities, author policies and SOPs, build operational controls and tooling, and partner with engineering, security, legal, audit and business stakeholders to ensure compliance with HIPAA, SOC, SOX, ISO, HITRUST, PCI, PHI, PII and other relevant regulations. This role is ideal for a hands-on governance practitioner who combines audit rigor with product thinking and technical fluency in modern IT/Data/AI platforms.

Essential Duties and Functions: 

• Design, author and maintain enterprise AI, IT and Data governance policies, standards, control frameworks, and one-page SOPs (policy → controls → evidence) aligned to NIST/ISO27001/COBIT and applicable regulations (HIPAA, SOC, SOX, PCI, PII, PHI) ensuring alignment with enterprise strategy. 

• Assist in IT audit activities and control testing (ITGC, application controls, access controls), produce findings and drive remediation with clear owners and SLAs.

• Evaluate and document technology initiatives for risk, compliance, and alignment with architecture governance standards. 

• Support audit, regulatory, and compliance initiatives related to AI, IT, and Data management. 

• Prepare presentations, dashboards, and reports for leadership on governance performance and IT/AI/Data risk program outcomes. 

• Continuously identify opportunities to improve governance processes and reduce cycle time for decision-making. 

• IT Collaboration: Work closely with IT stakeholders across the organization to integrate best governance practices into IT systems and infrastructure, ensuring seamless data flow and security. 

• Stakeholder Engagement: Engage with business units across the organization to understand data, AI, and IT needs and promote governance best practices. 

• Compliance: Ensure compliance with information protection regulations (e.g., HIPAA, GDPR, NIST, COSO, COBIT, PCI-DSS, etc.) and industry standards. Excellent grasp of PHI, PII, PCI concepts and related requirements, a must. 

• Reporting: Generate and present reports on AI, Data and IT governance metrics, compliance, risk exposure and improvements to senior management. 

• Training: Provide training and support to end-users on governance policies and procedures. 

 

 

 

 

Experience, Qualifications, Knowledge, and Skills: 

 Required: 

• Education: Bachelor's degree in computer science, Information Technology/Systems, Data Science, or a related field. Master's degree preferred. 

• Experience: Minimum of 5–7 years of practical experience in IT audit, IT governance, risk & controls (preferably at the Big 4, or another audit firm). Strong experience authoring policies and operational SOPs, running attestations, and managing control gap remediation.

• Technical Skills: Strong understanding and practical knowledge/experience of regulatory compliance, risk management, including but not limited to GITC, SOX, SOC, ISO, HITRUST testing and requirements across Active Directory, Databases, Server/OS, and Cloud environments.  

• Communication: Excellent communication and interpersonal skills, with the ability to engage and influence stakeholders at all levels. 

• Analytical Skills: Strong analytical and problem-solving skills, with keen attention to detail. 

• Continuous Learning: Commitment to staying updated with the latest advancements in AI and machine learning through continuous learning and professional development. 

• Knowledge: Working with various AI, Data, IT tools dashboards, and reporting platforms, apps including MS Office Suite, Salesforce, Workday, Jira, OneTrust, Snowflake Horizon, Vanta, etc.

Key Competencies: 
               •             Strategic thinking with operational focus 
               •             Detail-oriented and process-driven 
               •             Strong stakeholder management 
               •             Ability to prioritize and manage multiple initiatives simultaneously 
               •             Curiosity and continuous learning mindset in emerging technologies 

What We Offer: 
               •             Opportunity to work at the intersection of AI, Data, and IT governance 
               •             Exposure to enterprise-level technology strategy and decision-making 
               •           Collaborative, high-performing team environment 
               •             Career growth in technology and governance tracks 

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 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.

Accessibility Support

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability and require reasonable accommodation with any part of the application and/or interview process, please email talentacquisition@zelis.com.

Experience Level

Senior Level