This role is responsible for supporting behavioral health coding quality through audits, compliance monitoring, and performance feedback. Additionally, the position involves creating and delivering training materials, tutorials, and development plans for coding and clinical review teams.
Prepare and develop accurate 2D production drawings for pool liners, safety covers, and steel panels using AutoCAD. Coordinate with internal teams and international stakeholders to clarify design inputs and ensure timely project completion.
The Data Product Manager will support the day-to-day management and continuous improvement of a web-based data application. They are responsible for gathering business requirements, coordinating product initiatives, and ensuring high-quality delivery aligned with business needs.
The recruiter is responsible for managing the full-cycle recruitment process for the Health and Life Science division. This includes collaborating with hiring managers, sourcing candidates, conducting interviews, and overseeing the onboarding process.
The DRG Auditor III will perform retrospective audits to identify overpayments and ensure accurate coding according to AHA guidelines. The role involves working independently in a remote environment while maintaining high performance and collaborating with a team of experts.
You will lead complex enterprise data management projects, including data modeling, architecture design, and governance across various platforms. Additionally, you will support business development by managing client relationships and guiding technical teams to deliver impactful data solutions.
The auditor will review outpatient medical records to ensure compliance with regulatory requirements, payer guidelines, and organizational policies. They will work independently in a remote environment to deliver accurate auditing results.
The Manager oversees medical record vendor relationships, invoice processing, and financial management to ensure operational efficiency and compliance. They lead process improvement initiatives and serve as the primary liaison between the company and record providers.
The Category Manager leads procurement activities and develops category strategies to ensure alignment with business objectives. This role fosters strategic engagement with stakeholders and manages the full procurement lifecycle, including supplier relationships and contract negotiations.
The Data Product Owner will lead the development and delivery of data products, focusing on migrating legacy data to the central 'Gridiron' platform. They will collaborate with cross-functional teams and stakeholders to align strategic priorities with technical execution.
The Senior Assistant Vice President will lead and manage key client relationships to ensure exceptional service and strategic account growth. This role involves driving insurance services and solutions while mentoring a team to achieve business objectives.
The Business Analyst will develop and drive product solutions that deliver value to clients within the Payment Integrity business. They will collaborate with global teams to streamline operations and leverage data to improve business outcomes.
The incumbent manages internal communications, administrative functions for executive leaders, and oversees various operational projects. They act as a bridge between leadership and internal departments to ensure project goals are met with high quality and efficiency.
Lead the transformation of credit risk reporting for a consumer lending portfolio while managing large-scale reporting automation programs. Build and maintain scalable data pipelines, warehouses, and lakes to ensure accurate and secure data for analytics.
Direct the enterprise GenAI technology portfolio and lead large-scale, onshore client engagements. Act as a senior technical advisor to client leadership while overseeing multiple architectural delivery streams.
The SME is responsible for designing, developing, and validating innovative payment integrity concepts to identify inaccurate or unsupported healthcare claims. They will translate clinical logic into technical requirements to generate measurable financial savings while maintaining high clinical accuracy.
You will provide top-notch customer service by resolving inquiries and building rapport with clients. The role involves using data and digital tools to streamline operations and improve the overall customer experience.
Act as a trusted liaison for providers to help them navigate processes and resolve issues. Collaborate with the team to perform pre-audit tasks and improve the overall provider experience.
The Clinical Validation Auditor will review medical records and validate billed DRG codes to ensure accuracy and identify overpayments. This role involves using clinical judgment to explain decisions clearly and professionally while maintaining high standards of clinical accuracy.
The Quality Analyst ensures the accuracy and consistency of audit findings within the Data Mining program by validating overpayment opportunities and claim repricing. They provide clear feedback to auditors to support performance improvement and ensure alignment with client requirements and coding guidelines.
The coordinator will manage outgoing correspondence for the PreAudit team in a high-volume, fast-paced environment. They are responsible for ensuring tasks are completed in an organized, efficient, and process-oriented manner while maintaining high attention to detail.
The Onshore Technical Lead will support client engagements within the Life Insurance and Annuity domain by collaborating with onshore and offshore teams. The role involves driving process improvements, automation initiatives, and ensuring successful project execution.
You will design, develop, and operationalize modern analytics solutions to improve product measurement and business outcomes. The role involves collaborating with cross-functional teams to translate business objectives into scalable data products while ensuring operational excellence.
Act as a strategic bridge between clients and internal teams to ensure the delivery of high-impact digital and direct mail campaigns. Manage key client relationships while collaborating with analytics, media, production, and creative departments.
The Lead SWAT / BDR will manage end-to-end prospecting support, including account research, messaging development, and campaign execution. They will act as a dedicated intelligence and outreach engine to support US-based sales executives in generating new business meetings.
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.
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 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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
Perform physical and remote audits of insured businesses to collect and record information. Create written reports based on investigations and interviews for insurance carriers.
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.
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.
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 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.
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.
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.
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 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.
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 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.
