
Vice President, Payment Integrity – Innovations & Solutions
EXL
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $220,000 - $275,000 per year
Job Level
About the role
- Lead the development of scalable, technology-enabled healthcare solutions that primarily address evolving payers and healthcare market needs and expansion to other market verticals
- Drive the incubation and development of next-generation enterprise platforms leveraging AI, automation, and advanced analytics to deliver differentiated capabilities
- Define end-to-end solution architectures that integrate data, workflows, and intelligent decision systems to support enterprise transformation initiatives
- Continuously assess market dynamics, industry trends, and client challenges to identify opportunities for new solution development and innovation
- Partner with internal teams to transform innovative concepts into market-ready offerings that support growth and competitive differentiation
- Serve as a client-facing leader engaging with executive stakeholders to understand business priorities and shape transformation roadmaps
- Support strategic deal pursuits by presenting differentiated solution capabilities, developing compelling narratives, and demonstrating value to clients
- Act as a trusted advisor to clients by providing insights into emerging healthcare trends, technology innovation, and operational transformation
- Build and nurture relationships with strategic partners, technology providers, and ecosystem collaborators to enhance solution capabilities
- Guide the development and scaling of enterprise-grade technology platforms that support data-driven healthcare solutions
- Collaborate with engineering, product, and analytics teams to ensure scalable architecture, interoperability, and seamless integration across systems
- Lead experimentation and rapid prototyping initiatives to accelerate innovation cycles and validate new capabilities
- Establish frameworks that support modular, reusable, and scalable enterprise solution deployment
- Provide leadership with insights into solution performance, innovation pipeline progress, and emerging market opportunities
- Define key success metrics to evaluate the impact of new solutions, innovation programs, and client engagements
- Establish governance frameworks to track solution development progress and ensure alignment with strategic objectives
- Build and mentor cross-functional teams to foster innovation, collaboration, and excellence
Requirements
- Master’s degree or Bachelor’s degree in business administration, Economics, Finance, Engineering, or related discipline
- 20+ years of experience in healthcare technology, healthcare analytics, enterprise solutions, or digital transformation
- Demonstrated experience in designing and delivering enterprise-scale healthcare platforms, solutions, or transformation initiatives
- Strong understanding of healthcare payer ecosystem, healthcare operations, and technology-enabled solutions
- Proven track record of engaging with senior client stakeholders and supporting large deal pursuits or solution-led growth initiatives
- Experience building scalable enterprise systems leveraging analytics, AI/ML, and automation technologies
- Strong ability to translate complex industry challenges into structured solution architectures
- Excellent communication and executive presentation skills with the ability to influence senior stakeholders
- Entrepreneurial mindset with the ability to operate in rapidly evolving and innovation-driven environments
- Proven ability to build, mentor, and lead high-performing teams
- Exceptional written and verbal communication skills, with the ability to articulate complex ideas clearly and persuasively to senior leadership.
- Proven ability to build strong, trusting relationships across all levels of the organization, including with corporate function
- Strong analytical and problem-solving skills, with the ability to break down complex issues into manageable tasks
- Professional maturity and credibility to represent the SGU Head with senior stakeholders and external partners
- Strong Excel and Presentation skills required
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
AIautomationadvanced analyticsenterprise platformshealthcare technologyhealthcare analyticsdigital transformationsolution architectureanalyticsAI/ML
Soft Skills
leadershipcommunicationexecutive presentationentrepreneurial mindsetmentoringanalytical skillsproblem-solvingrelationship buildinginfluencingcollaboration