The coordinator is responsible for scheduling appraisal appointments with insurance policyholders and assisting homeowners with the self-survey photo submission process. They must effectively communicate with managers, underwriters, agents, and policyholders to resolve technical difficulties and manage time-sensitive assignments.
EXL
116 Remote Job Openings at EXL
Design vinyl pools and steel panel designs based on provided dimensional information. Analyze customer requirements to ensure accurate engineering outputs.
The Production Manager will drive large-scale CRM campaigns by managing the full lifecycle from strategy and audience segmentation to deployment and performance optimization. They will collaborate with cross-functional teams to execute personalized, data-driven marketing initiatives across email, SMS, and push channels.
The Outpatient Trainer improves audit consistency and coding accuracy by translating audit outcomes into effective learning experiences for staff. This role identifies knowledge gaps through audit trends and delivers targeted training, refreshers, and performance support to ensure alignment with EXL standards.
The Azure Cloud Engineer will manage and optimize cloud infrastructure using Infrastructure as Code methodologies. They will also implement automation, ensure application security, and support cloud-based network architecture.
The auditor will perform retrospective DRG readmission overpayment identification and ensure accurate coding compliance. They will work independently in a remote environment while maintaining high performance and collaborating with team members.
Diagnosis Related Group (DRG) / Inpatient Rehabilitation Facility (IRF) Auditor
EXL
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Full Time
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4 days ago
EXL
The auditor will perform payment integrity audits for Inpatient Rehabilitation Facilities, ensuring documentation aligns with reimbursement requirements. They will analyze medical records to validate coding accuracy and provide clear audit rationales for internal and client stakeholders.
The DRG Trainer will mentor and train auditors while performing quality analysis to ensure high standards in coding and compliance. This role involves digging into data to improve business outcomes and providing constructive feedback to enhance team performance.
The Engagement Manager will own credit strategy, portfolio performance, and pricing optimization to drive sustainable growth and financial outcomes. They will lead cross-functional alignment across Finance, Product, Sales, and Underwriting to ensure consistent execution of credit policies.
You will partner with cross-functional teams including Sales, Product, and Credit Risk to model pricing and evaluate the profitability of credit products. The role involves structuring deals that optimize business outcomes while maintaining strong unit economics.
The manager will work directly with clients to shape credit decisions, portfolio performance, and risk-adjusted revenue strategies. They are responsible for overseeing the full credit lifecycle to ensure sustainable growth and strong financial outcomes.
You will own the end-to-end release process for data and BI programs while creating documentation and guidelines to ensure predictability. Additionally, you will collaborate with support teams to facilitate smooth go-lives and efficient issue resolution.
The Vice President will drive revenue growth and CXO-level expansion by shaping and selling transformational, AI-led industry solutions for healthcare clients. They will lead cross-functional teams to develop innovative offerings and build long-term strategic partnerships with key healthcare executives.
Manage and grow a strategic retail and e-commerce account by leveraging data, AI, and industry expertise. Collaborate with internal delivery and transformation teams to identify growth opportunities and drive business outcomes for clients.
Partner with Marketing and IT stakeholders to define business objectives and document functional and non-functional requirements. Lead Agile ceremonies and collaborate with technical teams to ensure solutions align with business needs and support technology migrations.
Provide high-level administrative support to VP and SVP level executives and senior leaders. Manage multiple tasks seamlessly while building relationships with internal stakeholders and external partners.
Provides strategic leadership and oversight of the IT Audit function within an insurance and financial services environment. Responsible for assessing technology controls, cybersecurity, and system resiliency while advising executive management and regulators.
The DRG Auditor III is responsible for performing retrospective overpayment identification auditing and ensuring accurate inpatient coding. The role involves utilizing DRG encoder tools to maintain high performance in a remote environment.
Conduct quality reviews and provide coaching and guidance to survey field staff. Provide feedback and findings to the Quality Director to improve overall customer quality in accordance with company standards.
The role involves designing vinyl pools, safety covers, and panel designs using AutoCAD based on provided dimensional information. The executive will collaborate with internal and international teams while handling confidential reports and manuals.
Lead the design and development of next-generation solutions to transform how life sciences organizations discover, manufacture, and commercialize therapies. Serve as a business architect integrating data, digital, and analytics capabilities to solve complex challenges for biopharma and medtech clients.
Lead the general analytics function to ensure data-driven decision-making and align initiatives with business strategy. Oversee team performance and drive innovation in reporting and statistical modeling.
Lead large-scale analytics and data management programs for marquee clients within the Sports & Gaming practice. Focus on delivery excellence, account growth, and collaborating with stakeholders to drive best practices and quality output.
Drive data governance, quality, and business metadata management initiatives across the enterprise. Partner with stakeholders to ensure insurance data assets are properly governed, documented, and monitored.
Design and execute healthcare solutions while tuning queries for performance, security, and stability. Responsible for end-to-end product functionality, report deployment, and mentoring team members to foster a high-performing organization.
Oversee daily operations to ensure performance metrics and KPIs are met while maximizing revenue. Collect and analyze data to identify process needs and provide actionable insights for strategic decision-making.
Manage end-to-end testing cycles for Cotiviti within the HealthRules Payor (HRP) application. This includes maintaining CMS dictionary updates and executing full, unit, and regression testing based on rule changes.
Provide high-quality customer support and problem-solving assistance to clients in the healthcare and insurance sectors. Handle inbound voice calls to help users navigate complex information and improve overall customer experience.
Lead strategic client engagements at the AVP level, focusing on Data and AI technical delivery within the insurance sector. Drive the implementation of modern data platforms and manage executive-level stakeholder relationships.
Embed AI into QA processes to improve product quality and drive intelligent automation initiatives. Focus on reducing manual effort, improving defect prevention, and accelerating delivery timelines across the SDLC.
Define and execute AI and GenAI-led transformation strategies for enterprise clients and internal business units. Lead cross-functional teams and engage C-Suite stakeholders to build frameworks for sustainable AI adoption.
Design, develop, and maintain complex Oracle SQL data solutions to power marketing analytics and campaign execution. The role involves optimizing data models and supporting mission-critical marketing data solutions in a fast-paced environment.
Support the design and implementation of credit card products, focusing on onboarding, account management, and customer experience. Ensure alignment across business, technology, and operations to deliver product requirements.
Manage the full CRM marketing lifecycle from strategy and campaign planning to execution and optimization. Collaborate with cross-functional teams to drive fan acquisition and engagement through paid and outbound channels.
The Tier II Coordinator will support the PreAudit team by managing high-volume medical claims and claim payments. The role involves coordinating audit processes in a fast-paced environment to ensure operational efficiency.
Act as a trusted liaison for healthcare providers to help them navigate processes and resolve issues. Support the Pre-Audit Team by improving the overall provider experience through proactive communication.
The Coordinator will support the PreAudit team by managing outgoing correspondence in a high-volume environment. The role involves executing process-oriented tasks while maintaining high attention to detail and efficiency.
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.
Lead the strategy, execution, and optimization of paid digital marketing campaigns across multiple channels for various clients. Manage significant media budgets, vendor relationships, and cross-functional teams to drive customer acquisition and engagement.
The AWS Data Architect will design, implement, and maintain scalable data and technology solutions aligned with business goals. This includes translating business requirements into efficient architectures using AWS data and infrastructure services.
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 technical teams.
Responsible for generating and closing deals for L&A insurance solutions within US insurance companies. The role acts as an individual contributor supported by a Sales Enablement Team reporting to the Head of Sales.
Manages post-audit workflows, provider collections, and invoicing while overseeing team performance. Responsible for driving process improvements and ensuring compliance with regulatory requirements and company policies.
The Outpatient Trainer translates audit outcomes into learning experiences to improve coding accuracy and audit consistency. This role involves delivering targeted training and performance support based on findings from outpatient coding audits.
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.
Conduct hospital charge audits on claims to verify that charges are appropriate and supported by medical record documentation. Identify overcharges, undercharges, and unbundled items according to carrier contracts and industry standards.
Perform extensive audit reviews of high cost drug (HCD) claims using HCPCS codes and medical record reviews. Document audit findings with professional communications and identify industry trends and opportunities.
Conduct hospital charge audits on claims to verify that charges are appropriate and supported by medical record documentation. Identify overcharges, undercharges, and unbundled items based on carrier contracts and industry standards.
The Quality Analyst serves as the gatekeeper for outpatient coding audits to ensure high accuracy standards. Responsibilities include validating coded data against medical documentation and providing expert feedback to improve team performance.
Perform auditing of behavioral health services, focusing on mental health and substance use disorder treatment. Ensure compliance with payer policies, regulations, and behavioral health standards.
Oversee and manage key marketing projects for a national sports league from initiation to completion. Ensure the delivery of high-quality campaigns that align with the league's brand and strategic objectives.
Architect and build scalable, cloud-native data infrastructure to transform raw data into high-value assets. Develop a world-class customer data platform to power analytics for digital products and fan engagement.
Senior Assistant Vice President, Health & Life Science Program Development & Strategy
EXL
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Full Time
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a month ago
EXL
Lead the development and operationalization of transformative capabilities to support healthcare claims lifecycle goals. Architect industry-leading solutions to ensure a seamless claims process through collaboration with leadership and cross-functional teams.
Lead the delivery of advanced analytics and machine learning solutions for a large-scale insurance transformation program. Coordinate with offshore teams while remaining deeply involved in technical design and model development.
Act as a trusted liaison for healthcare providers to help them navigate processes and resolve issues. Support the Pre-Audit Team in a high-volume environment to improve the overall provider experience.
Responsible for completing premium audits for Property & Casualty policies, specifically Worker's Compensation and General Liability, via telephone. The role ensures accurate classifications and exposure amounts for policyholders.
Manage data engineering projects and oversee a team to ensure alignment with business objectives. Design, develop, and maintain scalable data pipelines and architectures within the AWS cloud environment.
Develop and optimize data pipelines while implementing robust data checks to ensure accuracy and integrity. Support data-driven decision-making processes specifically for insurance-focused business operations.
The candidate will design, develop, and maintain automated test scripts. They will also be responsible for integrating desktop application workflows into Selenium test scripts.
The DRG Trainer translates audit findings into targeted learning experiences to improve coding accuracy and audit quality. They partner with Quality Analysts and SMEs to ensure training content remains current and aligned with evolving coding requirements.
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.
The Training Coordinator manages the full training cycle, including assessing needs, planning, developing, and evaluating employee training. They are also responsible for reporting outcomes and communicating training schedules effectively.
Quality Analyst IV - Clinical Validation Auditor (CVA), Healthcare
EXL
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Full Time
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a month ago
EXL
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.
Oversees the home health clinical audit program to ensure accuracy and completeness of clinical coding audits. Develops audit feedback sessions and identifies training trends to enhance staff performance.
Lead the design and implementation of scalable data platforms on Databricks, focusing on end-to-end architecture from ingestion to governance. Enable advanced analytics and AI/ML use cases while collaborating with business and technology stakeholders.
The VP will architect differentiated solution strategies and lead executive-level client engagements to drive revenue growth within the healthcare payer market. They are responsible for end-to-end presales excellence, including RFP responses and high-stakes solution presentations to expand wallet share.
Develop solution, application, and enterprise architectures to drive digital transformation in the U.S. healthcare market. Build modular, scalable, cloud-first platforms focusing on payment integrity and data intelligence to enhance claims accuracy.
Lead end-to-end sourcing initiatives and procurement programs while managing client relationships and a team of sourcing professionals. Oversee supplier selection, qualification, and negotiation processes to drive measurable value across multiple categories.
The Data Steward manages technical metadata, lineage analysis, and data remediation across enterprise platforms. This role serves as a technical bridge between Data Governance and Engineering teams to ensure assets are documented and maintained.
Develop, configure, and maintain metadata management solutions to help users discover and trust enterprise data assets. Collaborate with Data Governance and Engineering teams to enhance capabilities using Collibra and cloud platforms.
Act as a trusted liaison for providers to help them navigate processes and resolve issues. Support the Pre-Audit Team in a high-volume environment to improve the provider experience.
Act as a trusted liaison for providers to help them navigate processes and resolve issues. Support the Pre-Audit Team by improving the overall provider experience through proactive communication.
Ensure accurate claim payments and maximize savings by validating audit findings and interpreting client contracts. The role involves applying expertise in medical billing and repricing to maintain precision in healthcare claims processing.
Perform physical and remote audits of insured businesses to collect and record information. Create written reports based on investigations and interviews for insurance carriers.
Lead and manage complex initiatives across the life insurance and annuity landscape, focusing on end-to-end delivery. Manage scope, timelines, risks, and communications while aligning with client expectations and strategic business goals.
Review and audit Behavioral Health claims using knowledge of payer policies and regulatory guidelines. Identify trends and provide insights to ensure the integrity and compliance of healthcare payments.
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.
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.
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.
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.
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.
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.
Senior Assistant Vice President - Healthcare Claims AI - Technical Product Leader
EXL
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Full Time
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2 months 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.
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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2 months 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 deal lifecycle from origination to closure.
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.
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 global procurement and strategic sourcing for non-technical professional services. This includes executing RFx processes, evaluating suppliers, and managing commercial contracts.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.