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  • Detroit, MI, USA ● Req #15613
    Friday, May 24, 2024
    The Company Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field appraisal, inspection and risk control services to support our clients’ underwriting processes. EXL delivers industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. Castle High Value is the premier provider of high val ... More
  • United States ● Virtual ● Req #26517
    Friday, May 24, 2024
    Position: Cloud Infrastructure Engineer   Work location: Remote (US East Coast preferred)   Company Overview: At EXLHealth, we specialize in delivering innovative solutions that seamlessly blend technology, operations management, analytics, payment integrity, revenue optimization, and customer engagement. Our cutting-edge solutions have earned the trust of some of the nation's largest and most esteemed health plans and healthcare delivery systems. As a global leader in healthcare and finance sol ... More
  • Virtual ● Req #26531
    Friday, May 24, 2024
    EXL Health is seeking an experienced Clinical DRG Quality Analyst IV / Trainer.   This is a remote office opportunity. The Quality Analyst IV oversees work performed by the Clinical DRG auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted clinical DRG audits. The analyst trains clinical DRG auditors, creates and revises training material and provides feedback sessions to all staff.   EXL (NASDAQ: EXLS) is a leading business pr ... More
  • United States ● Virtual ● Req #26539
    Friday, May 24, 2024
    Job Description:   Are you a skilled recruiter eager to be part of our Health Talent Acquisition efforts from the convenience of your home office? We're expanding our Health Talent Acquisition Team and seeking a dynamic individual to join our team as a Temporary Recruiter.   As a proactive talent "hunter," you'll be instrumental in sourcing and attracting top-tier talent to join our organization. Collaborating closely with hiring managers and external partners, you'll develop innovative recruitm ... More
  • Virtual ● Req #26548
    Thursday, May 23, 2024
    Info Security Client Assurance, Manager   Position Summary This role will provide extraordinary support to our clients and will navigate complex client security assurance relationship issues across all lines of business. The right candidate will represent the company’s security practices in external discussions with clients. Required Qualifications 8+ years of information security or related experience 5+ years of information security experience in a Governance, Risk or Compliance function 3+ y ... More
  • Loomis, CA, USA ● Req #26545
    Thursday, May 23, 2024
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  • Lake County, CA, USA ● Mendocino, CA, USA ● Sonoma, CA 95476, USA ● Req #26546
    Thursday, May 23, 2024
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  • Virtual ● Req #26409
    Thursday, May 23, 2024
    EXL Services is seeking an Assistant Vice President Operations - Health Care.  The AVP ensures client savings and internal revenue are achieved. The AVP is responsible for planning, coordinating, and directing the activities of the audit program, ensuring staff is well trained, knowledgeable, responsive, and adherent to client SLAs. The AVP has oversight of program inventory, aging, issues, and risks, and is able to work across functional areas/departments to achieve corporate/division goals. Th ... More
  • Virtual ● Req #26371
    Thursday, May 23, 2024
    EXL Health is seeking a Business Analyst   Overview: Evolving the existing analytic services (both standard and non-standard), in order to meet quality and service objectives, while ensuring that all client deliverables are completed on-time and meet expectations. Continually ensuring that both internal and external reporting is within the prescribed levels of quality; more specifically, results are accurate, thoroughly tested, utilized by core technology, and delivered through the means define ... More
  • Virtual ● Req #26544
    Wednesday, May 22, 2024
    Job Description : Bachelor's or master's degree in computer science, Information Systems, or related field Minimum of 3 years of experience in data engineering with experience in building and maintaining ETL/ELT pipelines at scale Proficiency with Big Data technologies such as Hadoop, Spark, and NoSQL databases (e.g., MongoDB, Cassandra) Experience with cloud-based architectures such as AWS, Azure, or Google Cloud Platform (such as Big Query, Airflow DAG, Dataflow, Beam etc.) Expertise in at le ... More
  • Virtual ● Req #26531
    Wednesday, May 22, 2024
    EXL Health is seeking an experienced Clinical DRG Quality Analyst IV / Trainer.   This is a remote office opportunity. The Quality Analyst IV oversees work performed by the Clinical DRG auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted clinical DRG audits. The analyst trains clinical DRG auditors, creates and revises training material and provides feedback sessions to all staff.   EXL (NASDAQ: EXLS) is a leading business pr ... More
  • Virtual ● Req #26535
    Wednesday, May 22, 2024
    The Role and Responsibilities:   The Premium Insurance Field Auditor conducts insurance policy audits for Worker’s Compensation, Auto and General Liability policies. This is done by auditing the policyholder’s records according to client company standards. If you are looking for a fast paced, self-motivating work environment from home, this job may be for you! Schedule appointments with insureds to obtain necessary documentation Reviews and investigates any aspect of a business operation and pr ... More
  • Hartford, CT, USA ● Req #26508
    Wednesday, May 22, 2024
    We are seeking a highly motivated and detailed oriented Claims Analyst to join our team in Hartford, CT. This is a hybrid role (working from home and in our office). As a Claims Analyst, you will play a critical role by investigating, evaluating and reviewing insurance claims to ensure accurate and timely resolution. Key Job Role Reviewing Adjudicated claims: Reviewing claims processing policies and guidelines. Reviewing provider contracts. Analyzing historical overpayment trends. Analyzing ... More
  • Virtual ● Req #26136
    Wednesday, May 22, 2024
    EXL was founded on the core values of innovation, collaboration, excellence, integrity, and respect. We are looking for a DRG Auditor III to work 100% remotely from home!   Do you have mastery level experience as a DRG Auditor looking for the next step in your career path?  Is it time for a change?  Explore this opportunity with a new, exciting, and dynamic growth-oriented team.   In this fully remote position as a DRG Auditor you will apply your expert knowledge of DRG coding and reimbursement, ... More
  • Virtual ● Req #25977
    Wednesday, May 22, 2024
    EXL is hiring a Payment Integrity Professional/Operations Manager for DRG, Outpatient & Surgical Specialty coding – Remote/Virtual in US. This position requires Inpatient and Outpatient experience. EXL is looking for an experienced payment Integrity operations manager to review provider disputes, appeals and create coding rules for selections in a result-oriented and metrics-driven environment. Strong leader. The Operations Manager contributes to overall cost reduction, by increasing the accura ... More
  • San Francisco, CA, USA ● Req #26534
    Tuesday, May 21, 2024
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  • Little Rock, AR, USA ● Req #26338
    Tuesday, May 21, 2024
    The Role and Responsibilities:   The Premium Insurance Field Auditor conducts insurance policy audits for Worker’s Compensation, Auto and General Liability policies. This is done by auditing the policyholder’s records according to client company standards. If you are looking for a fast paced, self-motivating work environment from home, this job may be for you! Working from your home office, this role requires scheduling appointments with the insured to be audited, and travel on an average of 4 d ... More
  • Oklahoma City, OK, USA ● Req #26146
    Tuesday, May 21, 2024
    Job Description Summary: Advanced level position in which the incumbent’s responsibilities include performing physical and remote audits of insured’s business. Interviews, investigates, collects, and records information to be used in a written report that is provided to the insurance carrier.   Essential Duties and Responsibilities: Performs audit activities as assigned by the Area and/or Regional Manager. Audit responsibilities will include determining audit priorities and scheduling to meet s ... More
  • Chicago, IL, USA ● Req #26533
    Tuesday, May 21, 2024
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  • 111 Ryan Ct, Pittsburgh, PA 15205, USA ● Pittsburgh, PA, USA ● Req #26343
    Tuesday, May 21, 2024
    Our Team is Growing! EXL Health is looking for MRM Coordinators for the Medical Records Management Team. Part Time position openings on the Day Shift and Evening Shift. This position is in our Pittsburgh, PA office in the Robinson Area. MRM Coordinator Responsibilities include:   Open, review and sort incoming mail by Client / Audit Program Accurately review and prepare paper Medical Records and other Healthcare related correspondence for scanning following a standardized process. Review, prep ... More
  • 111 Ryan Ct, Pittsburgh, PA 15205, USA ● Pittsburgh, PA, USA ● Req #26295
    Tuesday, May 21, 2024
    Our Team is Growing! EXL Health is looking for Document Processors and Outbound Mail Coordinators for the Medical Records Management Team. This position is in our Pittsburgh, PA office located in the Robinson Area.    We have Full Time, Day and Evening Shifts Open, Monday thru Friday Schedule!   Responsibilities for Each Role is Outlined Below:    Document Processor Responsibilities: Open, review and sort incoming mail by Client / Audit Program. Accurately review and prepare paper Medical Recor ... More
  • Virtual ● Req #26423
    Friday, May 17, 2024
    EXL was founded on the core values of innovation, collaboration, excellence, integrity, and respect. We are looking for a Sr. DRG Auditor to work 100% remotely from home!   Do you have mastery level experience as a DRG Auditor looking for the next step in your career path?  Is it time for a change?  Explore this opportunity with a new, exciting, and dynamic growth-oriented team.   In this fully remote position as a DRG Auditor you will apply your expert knowledge of DRG coding and reimbursement, ... More
  • Bangor, ME 04401, USA ● Req #26529
    Friday, May 17, 2024
    The Company Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field appraisal, inspection and risk control services to support our clients’ underwriting processes. EXL delivers industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. Castle High Value is the premier provider of high valu ... More
  • Montpelier, VT 05602, USA ● Req #26527
    Friday, May 17, 2024
    The Company Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field appraisal, inspection and risk control services to support our clients’ underwriting processes. EXL delivers industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. Castle High Value is the premier provider of high valu ... More
  • 111 Ryan Ct, Pittsburgh, PA 15205, USA ● Pittsburgh, PA, USA ● Req #26496
    Friday, May 17, 2024
    EXL Health is looking for Audit Coordinators for our Pre Audit Team.  This is a remote role within the U.S.     Coordinator Responsibilities:   Take inbound calls from Providers, logging each call in the system and taking the necessary steps to resolve Monitor and respond to email correspondence, both internal and external. Log voicemail in system and return calls according to service level Make outbound calls to Providers to assist with using our Portal, verify address, contact info and confi ... More