Perform various levels of premium audits on auditable exposure types using a technology-enabled proprietary platform. Utilize predictive modeling and machine learning tools to identify policy misclassifications and optimize audit methods.
EXL
94 Remote Job Openings at EXL
Perform physical and remote audits of insured businesses to investigate and collect necessary information. Prepare detailed written reports for insurance carriers based on the findings of these audits.
The intern will support business analytics and analytics functions to help solve complex challenges for clients. The role involves leveraging data and AI to reimagine business models and deliver measurable outcomes.
Schedule appraisal appointments with insurance policyholders and assist homeowners in submitting home photos via the ASSIST self-survey product. Provide professional customer service to support the High Value and Risk Control divisions.
Perform physical and remote audits of insured businesses to investigate and collect necessary information. Prepare detailed written reports for insurance carriers based on the findings of these audits.
Lead the technical delivery of integrated Salesforce-powered solutions for a Fintech client within the Banking and Capital Markets practice. Drive collaboration between data, martech, and campaign operations teams to ensure alignment between advisory and technology operations.
The Training Coordinator manages the full training cycle, including assessing needs, planning, developing, and evaluating employee training. They are also responsible for timely reporting and clear communication of training schedules and outcomes.
Responsible for conducting insurance premium audits and scheduling appointments with insured parties. The role ensures all audits comply with client and quality standards.
Oversee daily accounting activities and ensure strict compliance with tax regulations and reporting standards. Assist in the preparation of financial statements, tax filings, and the documentation of standard operating procedures.
Coordinate pre-audit outgoing correspondence in a high-volume, fast-paced environment. Ensure process-oriented efficiency while managing multiple tasks and maintaining high attention to detail.
Act as the quality gatekeeper for outpatient coding audits by validating coded data against medical documentation. Lead quality reviews and provide expert feedback to improve team performance and training processes.
Lead the architecture, development, and optimization of a next-generation Lakehouse platform. Drive technical direction and establish robust data governance to deliver scalable data solutions for business intelligence.
Lead the requirements discovery, analysis, and documentation for client implementations on the LifePRO platform. Partner with stakeholders and development teams to drive solution clarity and ensure successful project outcomes across the full lifecycle.
Drive revenue growth and deepen senior-level client relationships within the healthcare payer sector. Lead the execution of complex, data-driven healthcare solutions by aligning business objectives with technical capabilities.
Collaborate with actuaries and delivery teams to review product specifications and ensure correct system implementation. Lead data conversion efforts, including balancing analysis and troubleshooting transformation logic.
Lead the strategic Application Security Roadmap and embed security throughout the modern software development lifecycle. Perform secure-by-design reviews for new and existing applications to ensure scalability and compliance.
Manage accounts receivable and collections by performing regular reconciliations and ensuring timely cash and credit applications. Coordinate with internal departments and external counterparties to resolve disputes and manage broker commissions and reinsurance payments.
Lead and manage complex initiatives across the life insurance and annuity landscape, focusing on TPA ecosystem platforms and operations. Drive end-to-end delivery by managing scope, timelines, and risks across cross-functional teams and client stakeholders.
Lead technical delivery for Life Insurance and Annuity client engagements by collaborating with onshore and offshore teams. Drive process improvements, automation initiatives, and ensure successful project execution through strong technical architecture.
Manage provider relations by acting as a liaison for audit inquiries, claims reimbursement, and portal training. Identify operational gaps and resolve complex claims issues to ensure provider satisfaction.
Responsible for processing routine premium payments for new policies and renewals. Ensures all payments follow applicable compliance procedures, including federal anti-money laundering regulations.
The role involves managing the full CRM marketing lifecycle, from strategy and campaign planning to execution and optimization. The specialist will collaborate with cross-functional teams to drive fan acquisition and engagement globally.
Lead, train, and mentor staff to ensure high productivity and engagement. Monitor client service quality and resolve escalated issues in a timely manner.
Manage accounts receivable and collections by sending statements, posting cash applications, and reconciling balances with counterparties. Resolve disputes by coordinating with underwriting and operations departments while managing broker commissions and reinsurance payments.
Senior Assistant Vice President - Healthcare Claims AI - Technical Product Leader
EXL
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Full Time
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13 days ago
EXL
Lead the vision, strategy, and delivery of AI-powered products across the healthcare claims lifecycle to reduce costs and improve payment accuracy. Architect and operationalize Agentic and Generative AI solutions while managing cross-functional teams and C-suite stakeholder relationships.
Design, develop, and maintain software applications through coding, testing, and troubleshooting. Collaborate with developers and stakeholders to ensure applications meet business requirements and function effectively.
Lead technical delivery for Life Insurance and Annuity client engagements by collaborating with onshore and offshore teams. Drive process improvements, automation initiatives, and ensure successful project execution through strong technical architecture.
Lead front-end growth by winning and scaling strategic client engagements through Data, Digital, and AI-led solutions. Manage the end-to-end deal lifecycle and act as a trusted advisor to CXOs to drive consistent revenue growth.
VP New Business Consulting Sales - selling into client F&A Departments
EXL
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Full Time
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14 days ago
EXL
Cultivate market presence and grow new business opportunities with clients in F&A departments across various industries. Act as an individual contributor to convert new relationships into commercial engagements.
Drive revenue growth by winning and scaling strategic client engagements through Data, Digital, and AI-led solutions. Act as a trusted advisor to CXOs to shape large integrated deals and manage the end-to-end sales lifecycle from origination to closure.
Drive revenue growth by winning and scaling strategic client engagements through Data, Digital, and AI-led solutions. Act as a trusted advisor to CXOs to shape large integrated deals and manage the end-to-end deal lifecycle from origination to closure.
Lead the cloud practice by overseeing the delivery of complex multi-cloud solutions and driving organizational growth. Shape the evolution toward an agentic AI-powered future by automating cloud infrastructure design and operations.
Cultivate the company's market presence and grow new business opportunities with clients in the Hi-Tech industry. Focus on selling BPO and Advisory services as an individual contributor with high organizational visibility.
Drive sales and revenue growth by expanding the footprint within the Banking & Capital Markets sector for Data and Technology services. Identify new business opportunities and develop strategic relationships with executive-level stakeholders in North America.
Lead large-scale analytics and data management programs for sports and gaming clients, ensuring delivery excellence and quality. Drive organic account growth by identifying new opportunities while managing globally distributed teams and senior stakeholder relationships.
Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) Auditor III, Healthcare
EXL
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Full Time
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19 days ago
EXL
Validate the accuracy of billed charges for Skilled Nursing Facilities to ensure claim integrity and regulatory compliance. Identify audit trends and document findings with professional supporting rationales.
Perform DRG auditing and retrospective overpayment identification to ensure accurate healthcare reimbursement. Collaborate with a remote team to deliver excellence in inpatient coding and auditing for top-tier healthcare clients.
The role involves training and mentoring DRG and APR DRG auditors to improve coding performance and quality. The analyst will also develop training materials and conduct quality audits to ensure compliance standards are met.
Manage and execute the implementation of operational processes, systems, and client solutions for new onboarding and product expansions. Bridge the gap between business, operations, and technology to ensure seamless data integration and process optimization.
Drive revenue growth by identifying and closing new business opportunities for digital and AI-driven debt collection solutions. Lead end-to-end sales cycles and manage strategic client relationships, requiring approximately 30% travel.
Deploy and scale the EXLdata.ai platform within client cloud infrastructures while resolving real-time technical issues. Collaborate with client teams and product engineering to customize agent workflows and drive measurable value realization.
Manage venture accounting operations, including drafting transaction summaries, preparing journal entries, and performing mark-to-market adjustments for digital assets. Responsible for financial reconciliations, impairment analysis, and preparing disclosures for the Audit Committee and SEC checklists.
Act as a trusted liaison for providers to help them navigate processes and resolve issues. Support the Pre-Audit team by improving the provider experience through proactive communication.
Design, build, and maintain cloud-based infrastructure and processes to support data and application solutions. Implement governance, security measures, and cost optimization using IaC and CI/CD pipelines.
Manage global procurement and strategic sourcing for non-technical professional services. This includes executing RFx processes, evaluating suppliers, and managing commercial contracts.
Lead and evolve training and development activities for Payment Integrity clinical and coding audits. Partner across functions to build scalable training solutions and improve organizational performance outcomes.
Perform DRG auditing and retrospective overpayment identification to ensure accurate healthcare reimbursement. Collaborate with a remote team to deliver excellence in inpatient coding and auditing for top-tier healthcare clients.
Leads the planning and execution of DRG audit activities while managing a team of auditors to ensure accurate coding and reimbursement. Oversees operational goals, client SLAs, and inventory aging to support overall program success.
Review medical records to validate billed DRG codes and ensure medical claims are coded accurately. Identify overpayments and provide professional explanations for clinical decisions.
Manage insurance processes including subrogation, arbitration, and claim intake to pursue third-party recoveries. Coordinate with outside collection agencies and attorneys while providing detailed claim status updates.
Process a paperless health insurance subrogation caseload by investigating potential cases and pursuing various recoveries. Coordinate with the subrogation team and maintain compliance with HIPAA and information security policies.
Perform DRG auditing and retrospective overpayment identification to ensure accurate healthcare reimbursement. Collaborate with team members and clients to deliver excellence in inpatient coding audits.
Review medical records to validate billed DRG codes and ensure medical claims are coded accurately. Identify overpayments and use clinical judgment to ensure fair and precise billing.
Senior Operations Manager - Diagnosis-Related Group (DRG), Healthcare
EXL
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Full Time
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a month ago
EXL
Directs the activities of the DRG audit program to ensure client savings and internal revenue goals are met. Manages program inventory, risks, and staffing while providing regular updates to clients and senior leadership.
The Quality Analyst III oversees the high cost drug audit program to ensure accuracy standards are met. They conduct quality reviews of audits and mentor staff to enhance their knowledge in the HCD program.
Serve as the subject matter expert for HR systems to drive configuration, integrations, and strategic enhancements. Lead the optimization of a multi-platform HR technology environment including Dayforce and Oracle Fusion HCM.
The role involves driving sales and revenue growth by acquiring new clients in the Consumer Retail & CPG sector. The successful candidate will identify business opportunities, develop strategic relationships, and deliver tailored solutions.
The Quality Analyst IV oversees the work of Clinical DRG auditors to ensure accuracy standards are met. This involves performing quality reviews of both random and targeted clinical DRG audits.
Perform premium audits on various exposure types using a technology-enabled proprietary platform. Utilize predictive modeling and machine learning tools to identify policy misclassifications and optimize audit methods.
The Quality Analyst IV oversees the work of Clinical DRG auditors to ensure accuracy standards are met. This involves performing quality reviews of both random and targeted clinical DRG audits.
Audit UB-04 facility claims to ensure accurate APC assignment, proper packaging, and compliant facility billing. Focus on analyzing APC groupings, status indicators, and payment logic across infusion, surgery, and radiology services.
Serve as the lead authority on behavioral health clinical guidelines, regulatory requirements, and audit methodology. Provide expert guidance to audit teams to ensure clinical accuracy and drive operational consistency across programs.
Review medical records to validate billed DRG codes and ensure medical claims are coded accurately. Identify overpayments and provide professional explanations for clinical decisions.
Design, implement, and maintain scalable data and technology solutions aligned with business goals. Translate complex business requirements into efficient AWS-based data architectures.
The Assistant Vice President will implement and enhance client and business requirements for Payment Integrity Audit Programs. They will collaborate across departments to resolve risks and ensure processes meet compliance standards and recovery outcomes.
Develop and implement credit risk frameworks to optimize risk and profitability. Ensure the overall stability of the client portfolio.
Conduct comprehensive audits of outpatient services to ensure compliance with coding, billing, and reimbursement guidelines. Serve as a liaison to provide clear and constructive guidance and education to healthcare providers on coding practices.
Execute and optimize end-to-end content supply chain workflows for content creation, review, and distribution at an enterprise scale. Partner with cross-functional teams to translate platform strategies into scalable technical solutions across AEM and Workfront.
The role involves owning end-to-end delivery and translating business objectives into scalable technical solutions across data, AI/ML, and digital consulting. Additionally, the individual will manage stakeholders and support internal capability building and GTM enablement.
Design and develop advanced educational programs for healthcare professionals using blended learning environments. Partner with SMEs and quality leaders to translate complex operational concepts into learner-centered training solutions.
Support the full training lifecycle by planning, coordinating, and monitoring training operations in partnership with managers and trainers. Provide administrative support, including scheduling and reporting, to ensure trainees progress successfully.
Analyze policy files to determine and pay correct death benefits and beneficiaries. Handle incoming calls related to death benefits and maintain high accuracy and productivity standards.
Design and maintain scalable data pipelines and platforms to support AI, reporting, and business intelligence. Collaborate with architects and stakeholders to ensure high-quality data availability across the organization.
Cultivate the company's market presence and grow business development opportunities with new clients in the Banking and Financial Services industry. Focus on acquiring new clients with whom the company has had no previous significant contact.
Build, optimize, and maintain scalable data platforms and pipelines to ensure high-quality data delivery. Collaborate with data scientists and business teams to support analytics and reporting use cases.
The Senior Data Analyst evaluates trends in product and service utilization using historical medical health claim data to develop cost-effective quality services. They are responsible for retrieving and organizing data to identify root causes and presenting findings to both technical and non-technical audiences.
The role involves implementing cloud solutions and managing infrastructure using Azure services and automation tools. The engineer will focus on application development and cloud implementation to improve team and product efficiency.
Senior Manager, Program & Client Engagement Management – Healthcare
EXL
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Full Time
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2 months ago
EXL
The Senior Manager is responsible for the successful delivery of complex healthcare programs and leading client engagement across assigned accounts. They oversee multi-year initiatives spanning technology implementation, analytics, operations, and regulatory compliance while ensuring financial performance and client satisfaction.
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in reimbursement and audit findings. Maintain compliance with industry regulations and quality standards while utilizing advanced encoder tools.
Senior Assistant Vice President, Healthcare Marketing & Content Strategy
EXL
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Full Time
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2 months ago
EXL
Lead and scale marketing efforts for the Payment Integrity Strategic Growth Unit by translating innovation and outcomes into a compelling global market presence. Own the end-to-end marketing agenda, including thought leadership, integrated campaigns, industry events, and strategic content development.
Lead and grow key client relationships within the U.S. financial services sector. Drive transformational growth across data, digital, operations, and AI-led initiatives.
The coordinator will schedule appraisal appointments with insurance policyholders and assist homeowners in submitting home photos through the company's self-survey product. They are responsible for managing multiple projects while maintaining high standards of quality and professionalism.
The coordinator is responsible for scheduling appraisal appointments with insurance policyholders and assisting homeowners with the submission of home photos via the self-survey product. They must effectively manage multiple projects while maintaining high standards of quality and turnaround time.
You will define the technical architecture and strategy for AI solutions while overseeing model development. Additionally, you will guide development teams and collaborate with stakeholders to ensure alignment with business goals.
Responsible for completing Property & Casualty insurance audits by phone with policyholders. Ensures accurate classifications and exposure amounts for Worker’s Compensation and General Liability policies.
The Account Manager will own client relationships within the Sports & Gaming portfolio to drive growth and ensure delivery excellence. They are responsible for expanding the scope of EXL's offerings, including AI, data management, and digital engineering, while aligning solutions with client needs.
The auditor will review outpatient claims across various clinical specialties to validate billed CPT codes and ensure adherence to regulatory guidelines. They will identify discrepancies and support providers, payers, and patients by maintaining high standards of coding accuracy and reimbursement compliance.
The role involves driving sales and revenue growth by acquiring new clients in the Banking & Capital Markets sector. The successful candidate will develop strategic relationships and deliver tailored solutions to meet client needs.
Account Managers are tasked with maintaining and expanding business with existing customers while actively seeking new opportunities by developing new client relationships. They focus on securing long-term key customers by deeply understanding their requirements and aligning them with company expertise to drive mutual value and business growth.
This role involves supporting and improving audit quality through targeted training and education related to SNF/PDPM processes. The trainer must translate complex regulatory and clinical concepts into practical and engaging learning experiences for adult learners.
The Medical Director ensures claims are paid accurately, appropriately, and in full compliance by leveraging clinical expertise, managed care experience, and deep understanding of payer guidelines and regulatory requirements. This role involves collaborating with leaders and analytics partners to connect clinical insight with business strategy and shape payment integrity program responses to emerging changes.
This role focuses on analyzing unstructured data, designing and implementing Natural Language Processing (NLP) models, and collaborating with engineering teams to deploy scalable machine learning solutions.
This role will lead sales activities across the Life Sciences industry to assist clients in transforming how they discover, develop, manufacture, and commercialize therapies. The focus will be on developing client relationships, creating sales pipelines, and closing deals to solve complex business challenges for biopharma, biotech, and medtech clients.
The Senior Executive will be responsible for AR calling in the medical billing sector. This role requires excellent communication skills and experience in the US healthcare domain.
