Support Engineer

• Support HEDIS-related activities, including measure validation and reporting
• Design, develop, validate, and maintain HEDIS measurement solutions across multiple measures
• Work closely with business and clinical stakeholders
• Support HEDIS certification and measure validation
• Work with hybrid, digital, administrative, and ECDS measures
• Use healthcare data sources including claims, enrollment, pharmacy, and EMR data

HEDIS Technical Analyst

Project Manager

• Lead planning, execution, monitoring, and delivery of multiple concurrent projects, managing scope, schedule, budget, risks, and quality
• Drive end-to-end project implementations from initiation through closure
• Develop and maintain project plans, schedules, resource plans, budgets, status reports, and implementation roadmaps
• Ensure deliverables meet business requirements, success criteria, and quality standards
• Partner with business leaders, product owners, technology teams, operations teams, and third-party vendors
• Serve as the primary stakeholder contact through communication, status updates, executive reporting, and issue resolution
• Facilitate steering committee meetings, governance reviews, executive discussions, project ceremonies, sprint planning, milestone reviews, and delivery tracking
• Identify, assess, track, and mitigate risks, dependencies, and issues
• Manage change requests and governance approvals; escalate critical risks and blockers
• Support Agile delivery and drive continuous improvement and process optimization
• Coordinate project resources and monitor budgets, forecasts, and resource utilization
• Ensure adherence to M&T Bank's risk management framework, regulatory requirements, internal controls, compliance standards, audit, and governance requirements

Data Scientist

• Drive growth of business and member products through data analysis, model creation, marketing strategy development, and performance monitoring across channels
• Collaborate with marketing managers, channel owners, and external partners to identify new opportunities and initiatives
• Analyze marketing strategy effectiveness, including funnel efficiency, CPA, and ROI, and provide data-driven recommendations
• Design, analyze, and interpret A/B tests and quasi-experiments
• Design and validate campaign lifecycle processes, data pipelines, model scoring, and execution
• Define KPIs, design reporting frameworks, and develop self-service dashboards
• Manage end-to-end Direct Mail campaigns, including underwriting, marketing, suppression rules, coding, validation, approvals, file ingestion, and performance tracking
• Conduct deep-dive analyses of funnels, user behavior, monetization, and retention to identify growth and efficiency opportunities
• Translate business objectives into actionable data-driven tactics and campaigns
• Provide timely partner analyses and solution-oriented recommendations
• Communicate complex data insights to senior leadership and partners through compelling narratives

Senior Marketing Data Scientist

Call Center Representative

• Handle inbound and outbound calls with professionalism, care, and attention to detail
• Update policy information and ensure accuracy in systems
• Stay up-to-date on products, processes, and regulations
• Understand customer needs, clarify questions, research solutions, and provide clear answers and alternatives
• Build strong customer relationships and provide support
• Document every customer interaction
• Collaborate with teammates to meet individual and team goals
• Share ideas to improve processes

Bilingual Call Center Representative

Manager

• Analyze business needs and objectives
• Develop and implement IT solutions aligned with business goals
• Collaborate with developers, project managers, and other IT staff throughout the project lifecycle
• Create and present technical proposals to stakeholders and decision-makers
• Develop and maintain architectural guidelines and protocols for system stability and performance
• Coordinate with vendors and external parties to procure necessary software and hardware
• Provide training and technical guidance to team members
• Conduct regular system audits for compliance with established standards and protocols

Senior Engagement Manager

Auditor

• Review and resolve Code Edit, Provider Payment Integrity (PPI), PCI, and Appeals work queues
• Analyze medical records, provider documentation, claim history, and coding guidelines
• Validate CPT, HCPCS, ICD-10-CM, modifiers, and reimbursement methodologies
• Apply CMS, NCCI, Medicare, Medicaid, and commercial payer editing guidelines
• Research coding disputes and provide supporting rationale for determinations
• Maintain productivity, quality, and turnaround time targets
• Escalate complex coding scenarios and policy interpretation issues appropriately
• Update productivity, clarification, and audit logs daily
• Participate in internal and external quality audits
• Identify trends and recommend process improvements
• Ensure compliance with HIPAA, OIG, and organizational policies
• Respond promptly to client and leadership communications

Senior Coding Auditor

• Exceed productivity standards according to productivity norms
• Focus on continuous improvement
• Update coding skills, knowledge, and accuracy through coding team meetings and educational conferences
• Audit and code E&M cases performed in ED Facility and IP EM settings
• Apply CPT coding expertise to E&M cases
• Collaborate with onshore teams as needed

Trainer

• Deliver engaging and impactful learning experiences to new hire and tenured CVA coders
• Apply clinical and DRG expertise to support training and education related to inpatient DRG validation and coding accuracy
• Review clinical DRG audit outcomes to assess consistency and accuracy, informing training, coaching, and remediation efforts
• Mentor and coach Clinical DRG Auditors through targeted education, feedback, and knowledge reinforcement
• Analyze audit trends and identify learning gaps or referral needs for additional DRG coding education or review
• Perform root cause analysis on audit errors and translate findings into actionable training and performance support
• Utilize industry standards and EXL proprietary tools to support DRG validation training and education
• Develop training communications and materials documenting audit scenarios, findings, and clinical rationale
• Recommend training and process improvements to enhance audit quality and performance outcomes
• Communicate with peers, auditors, and management regarding training needs, trends, and progress
• Perform responsibilities in accordance with company compliance, information security, and regulatory requirements
• Perform other duties as assigned

Clinical Validation Audit Trainer

Business Analyst

• Lead requirements elicitation sessions with clients and internal stakeholders to capture business needs, workflows, rules, and functional requirements
• Create business requirements, functional specifications, process flows, and supporting documentation
• Partner with business, product, development, and QA teams to translate requirements into solution designs and implementation plans
• Facilitate workshops, discovery sessions, and solution discussions
• Support test planning, test case development, and validation activities
• Analyze requirement changes and assess impacts to scope, risk, and effort
• Identify and help resolve business and system issues during delivery and post-implementation
• Serve as a subject matter resource for new business and underwriting processes within LifePRO implementations
• Mentor junior analysts and contribute to continuous improvement across the business analysis function

Lead Business Analyst

Data Engineer

• Design and implement data pipelines
• Optimize data processing and storage
• Ensure data solutions meet performance standards
• Provide technical support
• Collaborate with stakeholders
• Architect and develop a next-generation cloud data platform
• Perform data migration and build ETL pipelines in the cloud
• Drive technical direction and deliver high-impact data engineering solutions

• Design, build, and maintain Databricks workspaces, clusters, and compute pools across development, testing, and production environments
• Configure and manage Unity Catalog for data governance, access control, permissions, metadata management, and data lineage
• Optimize Databricks clusters, compute pools, Spark applications, queries, and cloud costs
• Create and manage Databricks Jobs, Workflows, pipelines, and orchestration dependencies
• Design Delta Lake tables and maintain Bronze, Silver, and Gold Medallion Architecture layers
• Develop batch and real-time pipelines using PySpark, Spark SQL, Structured Streaming, and Delta Lake
• Build streaming ingestion pipelines from Kafka, Azure Event Hubs, and other platforms
• Implement error handling, retries, logging, monitoring, and dead-letter queue patterns
• Manage MLflow experiments, model registries, model lifecycles, training, inference, and serving workloads
• Develop feature engineering pipelines and enable Generative AI solutions including RAG, vector search, LLM fine-tuning, and Mosaic AI
• Implement MLOps practices including model versioning, deployment, A/B testing, and Databricks Model Serving
• Develop CI/CD pipelines and automate infrastructure using Databricks Asset Bundles, Terraform, and IaC
• Build ingestion frameworks using Auto Loader, COPY INTO, Fivetran, dbt, and Airbyte
• Implement security, governance, data quality, cataloging, metadata management, and lineage
• Prepare technical documentation, architecture diagrams, runbooks, and standard operating procedures

Lead Assistant Manager

• Collaborate with business stakeholders, developers, and architects to shape solution approaches for business problems
• Translate business needs into product capabilities, workflows, and technical requirements
• Participate in solution design, system design, and business architecture discussions
• Break down features into implementable user stories and tasks
• Facilitate requirement discovery sessions, backlog grooming, and sprint planning
• Clarify business rules, edge cases, and integration scenarios during development cycles
• Support development and QA teams by validating requirements, acceptance criteria, and test scenarios
• Ensure product capabilities align with customer experience and business objectives
• Assist with new client interfaces and integrations, and maintain and enhance existing systems
• Capture and maintain user stories, workflows, and functional specifications
• Maintain organized, traceable product documentation, backlog hygiene, and requirement traceability
• Identify opportunities to improve product functionality, operational efficiency, and customer experience
• Participate in retrospectives and continuous improvement initiatives

Business Analyst – IC

Executive

• Monitor customer accounts to ensure payments are received within agreed terms
• Maintain accurate records of customer accounts, credit limits and collection activities
• Prepare regular reports on debtor balances, aging analysis and collection performance
• Chase overdue invoices via emails and calls and update reports in real time
• Liaise with all relevant departments to resolve disputes and discrepancies
• Escalate high-risk accounts to management and recommend appropriate action
• Prepare cash forecast files based on multiple factors
• Align with the cash application team to ensure correct allocation of cash receipts
• Conduct calls with agency and client to provide updates on the debtor report
• Meet defined SLAs for timeliness, accuracy and responsiveness

Senior Executive

Payroll

• Process end-to-end US bi-weekly payroll
• Provide international payroll support
• Process payroll using ADP
• Handle garnishments and tax levies
• Handle Social Security, Medicare, federal, state, FUTA, and SUTA taxes
• Prepare or manage payroll journal entries
• Process 401(k) transactions
• Handle employee queries

Senior Payroll Associate

• Review inpatient medical records to verify that DRG codes are supported by the documentation
• Apply clinical and coding knowledge to identify inaccuracies and potential overpayments
• Document findings clearly and professionally, including the rationale for review decisions
• Use industry tools such as 3M or Webstrat to support audit decisions
• Work independently while meeting productivity and quality goals
• Stay current with clinical guidelines, DRG rules, and industry trends

HEDIS Technical Analyst

Project Manager

Senior Marketing Data Scientist

Bilingual Call Center Representative

Senior Engagement Manager

Senior Coding Auditor

Senior Coding Auditor

Clinical Validation Audit Trainer

Lead Business Analyst

Data Engineer

Lead Assistant Manager

Business Analyst – IC

Senior Executive

Senior Payroll Associate

Clinical Validation Auditor III