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EXL

HCD Quality Analyst – Assistant Manager

EXL

Quality Analyst overseeing high cost drug audit program, ensuring accuracy and mentoring staff. Develops training sessions and provides feedback for auditors in a remote setting.

Posted 5/22/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $50,000 - $65,000 per yearWebsite

About the role

Key responsibilities & impact
  • Oversee work performed by the high cost drug audit program to ensure accuracy
  • Undertake quality reviews of coding audits
  • Provide mentoring of staff in HCD program
  • Develop audit feedback sessions for auditors
  • Identify general training trends and requirements

Requirements

What you’ll need
  • Minimum 5 years relevant high cost drug coding experience
  • CPC Coding Certification (Preferred)
  • Pharmacy Tech Certification (Preferred)
  • Strong HCD coding skills
  • Payment Integrity experience relating to overpayment identification for HCD/Infusion products
  • Excellent decision-making skills and sound judgment
  • Strong technical knowledge and ability to learn new systems quickly
  • Excellent oral/presentation and written communication skills
  • Ability to complete tasks efficiently and resolve problems within set timelines
  • Ability to mentor and instruct
  • Strong organizational skills and attention to detail
  • Ability to work in a team environment and independently as needed
  • Demonstrated flexibility and adaptability
  • Must be able to work under deadlines. Must be able to utilize independent decision-making skills in a wide variety of situations
  • Requires a high degree of accuracy in the performance of varied responsibilities
  • Personal computer skills required. Must be self-motivated to complete work in a timely manner to meet deadlines
  • Strong interpersonal skills required.

Benefits

Comp & perks
  • Up to 10% annual travel
  • Guidance/coaching through mentoring program
  • Opportunities for personal and professional growth

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
high cost drug codingpayment integrityoverpayment identificationauditingcoding auditsquality reviewstraining trendsmentoring
Soft Skills
decision-makingsound judgmentoral communicationpresentation skillswritten communicationproblem-solvingorganizational skillsattention to detailflexibilityadaptability
Certifications
CPC Coding CertificationPharmacy Tech Certification