Manager

• Procure technology items and services across A1 to B2 and C1 to C2 categories
• Negotiate with suppliers
• Perform spend analytics
• Perform monthly, quarterly, and annual accounting processes
• Initiate and facilitate continuous process improvements
• Ensure adherence to SLAs
• Perform daily quality-control tasks

Assistant Manager

General

• Generate, review and prepare files of outgoing Audit Letters daily
• Maintain tracking of all outgoing letters using Excel spreadsheets
• Meet quality and productivity standards indicated by service level
• Comply with HIPAA and other confidentiality regulations
• Escalate issues to management and handle follow-up actions as needed
• Communicate and report system or workflow issues to appropriate leadership or team members
• Monitor and respond to chats from providers
• Monitor and respond to internal and external email correspondence
• Make outbound calls to providers to assist with portal use, verify address and contact information, and confirm receipt of EXL request letters
• Perform other duties supporting the audit process and company-wide programs

Coordinator – PreAudit Outgoing Correspondence

Vice President

• Lead and manage a team of HR professionals, providing guidance and support in talent development and capability enhancement initiatives.
• Partner with business and technology leaders to understand their talent needs and develop strategies to meet those needs.
• Design and implement innovative talent management programs focused on attracting, retaining, and developing top talent.
• Conduct comprehensive talent reviews and assessments, identifying skill gaps and areas for improvement.
• Develop and execute enterprise-wide capability development plans aligned with business objectives.
• Collaborate with other HR functions to ensure a seamless employee experience from recruitment to retention.
• Stay updated on industry trends and best practices in talent management and capability development.
• Provide thought leadership and contribute to the development of HR policies and procedures.
• Ensure compliance with legal and regulatory requirements related to talent management and capability development.
• Represent the HR department in cross-functional projects and initiatives, advocating for talent-centric approaches.

Assistant Vice President

• Design, develop, and maintain enterprise-grade Power BI dashboards and reports
• Build and optimize complex DAX measures, calculated columns, and KPIs
• Develop and manage scalable Power BI Semantic Models for self-service analytics
• Ensure adherence to BI development standards, performance tuning, and governance practices
• Collaborate with business and technical teams to translate requirements into reporting solutions
• Lead and manage BI support and enhancement teams within a managed services environment
• Oversee incident management, service requests, change requests, and release management activities
• Monitor SLA/KPI compliance and drive continuous service improvement initiatives
• Plan resource allocation, capacity management, and delivery governance

Lead Power BI

• Review and analyze patient medical records to extract relevant clinical information in line with defined guidelines and criteria
• Apply clinical knowledge and judgment to accurately interpret diagnoses, treatments, and patient history
• Summarize key medical insights in a clear, concise, and structured format for further review or decision-making
• Ensure compliance with clinical standards, documentation protocols, and data confidentiality requirements
• Collaborate with internal teams to clarify clinical details and maintain high-quality output within defined timelines
• Work within timelines and obtain necessary stakeholder sign-offs at each stage
• Maintain and update reports as required
• Meet productivity and quality targets
• Be available for meetings and calls as required
• Liaise with the program/project manager as required
• Conduct job functions in accordance with company Compliance, Information Security, and Regulatory policies, procedures, and programs

Assistant Manager – Physician Reviewer

Auditor

• Audit outpatient claims with a focus on APC groupings, revenue codes, CPT bundling rules, and UB-04 facility coding requirements
• Ensure accurate documentation and coding of technical components such as nursing services, equipment use, and place of service
• Verify facility charges and resource utilization independently from provider claims
• Conduct detailed audits across infusion therapy, surgical services, interventional radiology, and other hospital outpatient service lines
• Review CPT and APC coding to validate correct reporting and reimbursement
• Apply Medicare regulations, NCCI edits, CPT rules, and AHA Coding Clinic guidance
• Identify overpayments, coding discrepancies, and missed reimbursement opportunities
• Use 3M, Webstrat, Optum Encoder, and EXL proprietary platforms to analyze and process claims
• Produce clear and concise audit findings aligned with official coding rules
• Stay current on outpatient regulatory changes, reimbursement updates, and clinical practice trends
• Meet or exceed EXL productivity, quality, and compliance standards

Outpatient Auditor II

• Complete audits for Property & Casualty insurance policies (Workers’ Compensation and General Liability)
• Work directly with policyholders or their contacts via phone to obtain payroll and accounting records
• Accurately evaluate and apply correct classifications and exposure amounts
• Manage assignments provided through the web-based production system
• Ensure accuracy, compliance, and customer satisfaction in all audit work

Phone Auditor

• Review and audit medical claims against patient medical records to ensure accuracy and completeness of documentation
• Identify discrepancies between clinical documentation and billed services, highlighting variances and potential billing errors
• Perform detailed clinical reviews to validate diagnosis, procedures, and level of care in accordance with industry standards
• Ensure compliance with CMS guidelines, payer policies, and regulatory requirements during claim review processes
• Conduct best practice audits to identify documentation gaps, coding inaccuracies, and revenue leakage opportunities
• Provide structured findings and audit reports with clear recommendations for corrective action and process improvement
• Collaborate with coding, billing, and provider teams to resolve audit findings and support accurate claim submissions
• Monitor trends in audit results and identify recurring issues requiring targeted education or intervention
• Support quality assurance initiatives by maintaining audit accuracy benchmarks and meeting productivity standards
• Participate in continuous improvement activities, including updates on CMS regulations, clinical guidelines, and payer policy changes
• Perform audit based on clinical knowledge while reviewing the medical record
• Perform quality assurance reviews to assess comprehension of training efforts
• View all documented system information and additional records/data supporting a determination or recommendation
• Condense clinical information into a clear and precise clinical picture while making a final decision
• Analyze errors and approach the quality team for clarification when required
• Follow SOPs, project protocols, and process changes
• Complete audits with quality and achieve expected quality and production targets
• Update productivity, clarification, and other applicable logs daily
• Maintain alignment with the Manager/Team Lead on program delivery
• Respond promptly to emails
• Ensure compliance of the entire team

Senior Clinical Auditor

• Monitor and investigate investment compliance exceptions, including root cause analysis
• Support the investment trade lifecycle and derivative transaction booking process
• Perform investment data analysis and reporting activities
• Manage custodian, position, cash, and holdings reconciliations
• Independently investigate and resolve data discrepancies
• Interpret financial and accounting data and provide clear explanations to stakeholders
• Ensure the accuracy and integrity of investment records and reporting

Reviewer

• Review clinical information and medical records
• Summarize relevant clinical information according to established guidelines and criteria
• Perform best-practice reviews
• Identify areas for improvement
• Check compliance with CMS guidelines
• Correlate laboratory results with clinical features and treatment
• Work within timelines and obtain stakeholder sign-off at each stage
• Maintain and update reports as required
• Meet productivity and quality targets
• Participate in required meetings and calls
• Liaise with the program/project manager as required
• Conduct work in accordance with company compliance, information security, and regulatory policies, procedures, and programs

Senior Record Reviewer

Executive

• Preparation of client bills / invoices
• Process cash application and unallocated cash
• Resolve disputes by handling queries
• Contact requestors via email and other channels
• Track client invoices and manage and maintain customer payments

Solutions Engineer

• Lead the end-to-end architecture and solution design for enterprise data platforms on Azure, focusing on Databricks Lakehouse, Delta Lake, and scalable cloud-native data ecosystems
• Define target-state data architecture, ingestion patterns, transformation frameworks, and serving layers for reporting, advanced analytics, ML, and business-critical decisioning
• Design and implement ETL/ELT pipelines using PySpark, SQL, Databricks Workflows, Auto Loader, and Delta Live Tables
• Own architecture standards for data modeling, medallion design, reusable engineering patterns, CI/CD, code quality, environment strategy, and release management
• Drive platform governance and security using Unity Catalog, RBAC/ABAC controls, lineage, auditability, and Azure Purview integration
• Optimize Spark workloads, cluster policies, partitioning, file sizing, caching, and compute costs
• Collaborate with stakeholders, product owners, analysts, architects, and downstream consumers to translate requirements into scalable technical designs
• Provide technical leadership through design reviews, implementation guidance, architectural issue resolution, and best-practice establishment
• Evaluate Databricks capabilities including Photon, serverless compute, Lakehouse Federation, and streaming patterns
• Ensure delivery governance through estimation, technical planning, dependency management, risk mitigation, and Agile execution

Databricks Solution Architect

• Deliver various financial reporting supplemental and filing documents, including 10-Q, 10-K, 8-K, and financial supplements, accurately and on time
• Own processes, reports, procedures, or products related to financial reporting, notes to accounts, and disclosures
• Prepare GAAP supplementals, financial statements, and notes to accounts for submission to the onshore team
• Lead and mentor junior team members
• Liaise with multiple departments during the close to ensure timely completion of deliverables
• Collaborate on special projects
• Support quarterly and annual audits conducted by internal and independent external auditors
• Participate in or lead special projects, initiatives, ad hoc reporting, and analysis requests
• Understand and anticipate clients’ business needs and proactively resolve concerns
• Identify process improvement opportunities to drive efficiency and enhance controls
• Ensure adequacy of internal controls over financial reporting and compliance with Sarbanes-Oxley requirements

Lead Assistant Manager

Learning and Development

• Design, develop, and implement training strategies and programs tailored to surgery coding and coding audit teams
• Conduct strategic needs analyses to identify skill gaps and develop effective training plans
• Develop training modules, presentations, and learning materials based on CPT, ICD-10-CM, and HCPCS coding guidelines
• Keep training materials aligned with medical coding standards, payer requirements, and compliance regulations
• Conduct classroom, virtual, or blended training for new hires, existing staff, and auditors
• Provide coding exercises, case studies, and assessments to reinforce learning and evaluate understanding
• Offer ongoing support, mentoring, and guidance to coding professionals
• Collaborate with SMEs, Quality Auditors, and Compliance Teams on curriculum accuracy and relevance
• Monitor training effectiveness through assessments, performance metrics, and feedback surveys
• Update training materials based on process improvements, audit trends, and regulatory changes
• Ensure training initiatives comply with HIPAA, OIG, and organizational confidentiality standards
• Promote coding accuracy, ethical practices, and compliance adherence
• Partner with audit teams to identify error trends and develop targeted training
• Maintain records of training activities, participation, completion rates, and performance outcomes
• Prepare reports and presentations for management on training effectiveness and performance improvements
• Contribute to performance benchmarks and continuous learning strategies for coding teams

Lead Assistant Manager – Training & Quality

Software Engineer

• Build Alteryx-based solutions for respective client stakeholders
• Develop Alteryx solutions for Insurance F&A accounts