The role involves working within the Data and Campaign Operations team to develop campaigns. The candidate will manage multiple priorities in a deadline-driven environment to meet growing business demands.
EXL
122 Remote Job Openings at EXL
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.
Support international data initiatives by enabling data-driven decision making and aligning stakeholders across global markets. Translate business needs into analytical solutions and provide actionable insights through reporting and scorecards.
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.
Drive growth and manage key relationships across EXL's Sports & Gaming portfolio by owning client accounts and deepening senior stakeholder ties. Ensure delivery excellence by aligning client needs with EXL's AI, analytics, and digital engineering capabilities.
Design and execute healthcare solutions while tuning queries for performance, security, and stability. Responsible for end-to-end product functionality, report deployment, and collaborating with clients to resolve technical issues.
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.
The Audit Coordinator II manages post-audit functions including sending provider letters, processing invoices, and making collection calls. They are also responsible for monitoring workflows and assisting with the management of training materials.
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.
Lead detailed financial research and apply advanced valuation methodologies to support strategic deliverables. Build and validate complex financial models while synthesizing data into client-ready presentations and executive dashboards.
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.
Manage end-to-end release planning and execution for data and BI teams, including the creation of SOPs and deployment checklists. Act as the primary liaison between engineering teams and L1/L2/L3 support to ensure smooth go-lives and incident resolution.
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 based on carrier contracts and industry standards.
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.
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.
Quality Analyst - Skilled Nursing Facility (SNF) / Patient-Driven Payment Model (PDPM)
EXL
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Full Time
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5 days ago
EXL
Conduct quality reviews of completed audits to ensure compliance with CMS regulations, internal policies, and client requirements. Evaluate the accuracy and consistency of audit determinations while identifying trends for process improvement.
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.
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.
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.
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.
Drive the architecture, design, and engineering of scalable AI-powered enterprise platforms across strategic engagements. Lead the technology vision across Data, CX, AI, and Automation layers while managing the partner ecosystem and client pursuits.
Analyze liability issues and review claim files to identify and pursue subrogation recovery from third parties. Evaluate evidence and negotiate settlements with other insurance companies to maximize recovery amounts.
Senior Assistant Vice President, Health & Life Science Program Development & Strategy
EXL
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Full Time
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6 days 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.
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 to drive business impact.
The role involves reconciling bank and suspense accounts and overseeing daily inbound and outbound cash transactions for life and annuity products. Additionally, the associate is responsible for unclaimed property reporting and supporting tax reconciliations for federal and state agencies.
Lead requirements discovery, analysis, and documentation for client implementations on the LifePRO platform. Partner with stakeholders and development teams to translate business needs into actionable solution requirements across the full project lifecycle.
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.
Lead the design of end-to-end data architectures, covering ingestion, storage, processing, and consumption. Translate complex business requirements into technical data structures and communicate these architectures to non-technical stakeholders.
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.
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.
Quality Analyst IV - Clinical Validation Auditor (CVA), Healthcare
EXL
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Full Time
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12 days 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.
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.
Drive business growth for the Payment Integrity Healthcare unit by leading sales enablement, GTM strategy, and account expansion. Own the end-to-end solution strategy for complex enterprise-level healthcare pursuits and advise cross-functional teams.
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.
Architect and operate secure, scalable data pipelines and analytics integrations within a governed AWS cloud environment. Ensure strict adherence to data quality, privacy-preserving engineering, and regulatory compliance standards including HIPAA and GDPR.
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.
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.
Coordinate PreAudit Tier 2 activities within the EXL Health team. Manage high-volume tasks in a fast-paced environment to support healthcare business decisions.
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 to ensure payment integrity. Identify trends and provide insights to improve compliant healthcare payment practices.
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 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.
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.
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.
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.
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.
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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a month 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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a month 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.
Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) Auditor III, Healthcare
EXL
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Full Time
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a month 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.
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.
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.
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.
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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2 months 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.
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.
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.
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.
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.
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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3 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.
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.
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.
