Artificial Intelligence

• The role involves planning and designing business processes, assisting in formulating recommendations to improve and support business activities, working on system designs and business architecture, supporting development and quality assurance efforts, supervising the documentation of clients' business requirements and processes, and designing, building, and maintaining a stable and efficient infrastructure.
• Collaboration with development and system SMEs is also essential.

AVP AI & Analytics Program Lead

Product Manager

• Own and manage the product backlog end‑to‑end, including grooming, prioritization, and readiness for multiple release trains.
• Translate credit‑card business objectives into clear technical product roadmaps, epics, and release plans.
• Define epics, user stories, and acceptance criteria with strong technical depth, ensuring alignment with backend services, APIs, and data models.
• Prioritize features and releases based on architectural dependencies, platform readiness, risk, and business value.
• Act as the single point of accountability between engineering, architecture, API, data, and platform teams.
• Drive decisions around API contracts, payload structures, service orchestration, canonical data models, and integration patterns.
• Review and validate technical designs and process flows, ensuring feasibility and alignment to target architecture.
• Partner closely with engineering leads and QA to ensure robust backend, API, and UI test coverage.
• Proactively identify and remove technical dependencies, integration risks, and delivery blockers.
• Validate releases post‑production using KPIs, system performance metrics, and data quality checks.
• Clearly communicate technical and delivery trade‑offs to stakeholders and leadership.

Product Owner – Digital Credit Card Platform

Auditor

• Audit and review Behavioral Health claims to identify potential errors.
• Analyze data against payer policies, procedures, and regulatory requirements.
• Document findings clearly and professionally to support next steps.
• Recommend claim adjustments or recoveries when necessary.
• Collaborate with cross-functional teams to solve problems and drive improvements.
• Stay ahead of the curve on regulations, laws, and industry standards.
• Track and report audit findings, spotting trends and opportunities.
• Share your expert knowledge to guide teams on Behavioral Health payment integrity issues.
• Meet EXL’s productivity and quality goals while maintaining compliance with HIPAA and other regulations.

Behavioral Health Auditor III

Full-stack Engineer

• Responsible for designing, deploying, and maintaining cloud-native applications on AWS, leveraging services such as EC2, Lambda, RDS, S3, IAM for secure access management, and AWS Transfer Family for secure file transfers.
• Manage infrastructure as code using Terraform and CloudFormation, alongside implementing CI/CD pipelines with GitLab CI, containerization with Docker, and following modern DevOps and cloud-native best practices.
• Provide technical leadership, conduct code reviews, and ensure adherence to high coding and architectural standards.
• Work closely with product managers, QA, DevOps, and other stakeholders in Agile environments to optimize system performance, ensure compliance with security and regulatory requirements, and troubleshoot complex production issues to deliver long-term, sustainable solutions.
• Position may work at various and unanticipated worksites throughout the United States. Telecommuting permitted.

Senior Software Engineer – Manager

Vice President

• Collaborate with client and EXL team to establish relationship with stakeholders, identify new opportunities and potential areas of growth.
• Develop business proposals, facilitate client working sessions, team up with technology or third-party teams to conduct solution exercises based on client needs.
• Participate and own new RFPs, work with Subject Matter Experts to research and develop technical and business case studies. Provide project, client and team management.
• Monitor progress of deliverables on daily basis and ensure timely resolution of any issues.
• Provide technical direction to project team members across data modeling, data manipulation, visualization, predictive modeling, reporting and automation projects across Insurance value chain.
• Ensure industry best practices are followed. Communicate and follow up with delivery team.
• Conduct diagnosis of inefficiencies in current process and develop resolutions.
• Brainstorm pain areas and identify reasons for issues and issue resolution.
• Encourage and motivate team members to develop innovative solutions.
• Establish industry standard framework for absorbing the latest industry developments.
• Perform research and provide solutions for business needs from clients across insurance value chain.

Analyst

• Perform end-to-end testing of software applications to ensure functionality, usability, and compatibility across multiple platforms.
• Develop and execute test cases, scripts, and plans based on project requirements and specifications.
• Conduct thorough regression testing to identify and address any defects or inconsistencies.
• Collaborate closely with cross-functional teams, including developers, product managers, and business analysts, to understand project requirements and timelines.
• Utilize SQL queries to validate data integrity and perform database testing as needed.
• Participate in daily stand-ups, sprint planning, and retrospective meetings to provide testing updates and feedback within an agile scrum framework.
• Document and report issues, bugs, and test results accurately using designated tracking tools.
• Mentor junior team members and provide guidance on testing best practices and methodologies.
• Stay updated on industry trends, emerging technologies, and advancements in software testing techniques.

Senior Quality Analyst

Data Engineer

• Independently and collaboratively design, develop, and maintain high-performance, cloud-native data solutions and ETL pipelines in complex enterprise environments.
• Analyze system specifications, business requirements, and data models to build scalable and secure platforms for analytics, reporting, and real-time processing.
• Architect and implement modern data lake and data warehouse solutions using AWS S3, Glue, and Athena.
• Develop event-driven and batch data pipelines with Kafka, AWS Lambda, and PySpark.
• Manage CI/CD workflows using Jenkins, Git, and Terraform.
• Automate data ingestion, transformation, and provisioning processes, ensuring data quality, lineage, and governance across environments.
• Collaborate with cross-functional stakeholders to deliver secure, high-quality data products for insurance and BFSI business domains.
• Contribute to enterprise-level projects, driving innovation and continuous improvement in data platform capabilities.
• Position may work at various and unanticipated worksites throughout the United States. Telecommuting permitted.

Senior Big Data Engineer

• Apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim.
• Conduct clinical reviews to verify the accuracy of skilled nursing facility billing.
• Apply CMS clinical guidelines and payer-provider contract terms and policies to a variety of claim scenarios to identify overpayments for claims paid under PDPM, RUG, and contracted per diem payment methodologies.
• Apply ICD-10 coding guidelines to validate diagnoses coded on Minimum Data Set assessment.
• Document accurate audit results in a clear, concise, and effective manner using applicable EXL tools, CMS guidelines, payer contractual terms and policies.
• Utilize proprietary workflow systems efficiently and accurately to make audit determinations, generate audit rationales and move claims through workflow process correctly.
• Meet or exceed EXL established program productivity and quality goals.
• Demonstrate knowledge of and compliance with changes and updates to clinical guidelines, reimbursement trends, and client processes and requirements.
• Comply with all EXL policies and procedures including HIPAA and other state and federal regulations.

Skilled Nursing Facility / Resource Utilization Group Auditor III, Healthcare

Project Manager

• Stakeholder Workshop Facilitation: Proven experience designing and running stakeholder workshops for analytics requirements gathering, with the ability to engage senior leaders.
• Conflict Management & Consensus Building: Demonstrated ability to manage conflicting viewpoints among senior stakeholders and drive discussions toward a productive consensus.
• KPI Definition & Prioritization: Experience helping stakeholders define, refine, and prioritize KPIs and requirements.
• Executive Communication & Storytelling: Ability to present KPI roadmaps, progress updates, and readouts to senior leadership.
• Stakeholder Management & Pushback: Confidence and credibility to challenge senior leaders when requirements are unrealistic.
• AI and BI Program Expertise: Solid understanding of how to drive AI Programs/Products and Business Intelligence Program/Products.
• Data Source Identification: Ability to work with client data leaders to identify the data sources required to create the defined KPIs.
• Data Storytelling & Architecture: Ability to stitch datasets together to tell a coherent story that helps senior leaders.
• Technical Translation & Documentation: Ability to translate business and analytics requirements into clear specifications for technical teams.
• Quality Evaluation & Validation: Ability to validate datasets and dashboards against defined requirements.

AI & Analytics Project Manager

• Collaborate with Payment Integrity Audit program leaders, DRG audit professionals and Data & Analytic team members to research, develop and implement inpatient DRG audit selection criteria.
• Analyze performance metrics and results to ensure alignment with team goals.
• Subject matter expert for research, analysis and generation of new concepts and selection rules to identify overpayment opportunities in MS DRG & APR-DRG validation.
• Collaborate with internal stakeholders including the audit and analytic teams to review concepts pre-and post- implementation to monitor concept performance and identify performance issues.
• Effectively utilize internal selection tools to build queries and concepts and test concept effectiveness.
• Deliver results and insights to senior leaders.
• Adjust selection criteria based on specific client requirements.
• Responsible for monthly claim screening and selection.
• Verify the selections output to ensure selection rules are functioning as intended.
• Review appeals/disputes to identify areas for improvement.
• Create education and training documents and conduct handoff meetings with the Audit teams to ensure understanding of new audit concepts.
• Ensure the clinical team is calibrated with client policies and internal concepts.
• Utilize Audit Outcome trend reports to monitor and fine-tune existing queries.

Senior Manager – DRG Concept Development Analyst

• Client Engagement and Relationship Management: Build and maintain strong, long-term relationships with key clients in banking and capital markets. Serve as the primary point of contact for strategic discussions, identifying client needs, pain points, and opportunities for value creation through proactive engagement and consultative advising.
• Technical Proposal Development: Lead the creation and delivery of comprehensive technical proposals tailored to client requirements. Collaborate with cross-functional teams (e.g., technology architects, risk analysts, and compliance experts) to design innovative solutions, including data modernization, digital transformation initiatives, fintech integrations, and capital optimization strategies. Ensure proposals are technically sound, competitively priced, and aligned with industry’s best practices.
• Account Growth Monitoring: Oversee the performance and expansion of assigned client accounts. Utilize data analytics and performance metrics to track key indicators such as client satisfaction, project delivery timelines, and service utilization. Identify trends, risks, and opportunities to inform strategic adjustments and ensure sustained account health.
• Revenue Growth and Target Achievement: Drive revenue expansion by identifying upsell and cross-sell opportunities, negotiating contracts, and implementing growth strategies. Achieve or exceed a 20% year-over-year (YOY) revenue increase for managed accounts through targeted initiatives, such as expanding service offerings, entering new market segments, or leveraging emerging technologies like AI and blockchain in capital markets.
• Leadership: Facilitate mechanisms between internal practices, including advisory, technology, and operations, to ensure cohesive delivery of client solutions. Coordinate with global teams to resolve interdependencies, mitigate silos, and promote knowledge sharing for enhanced efficiency and innovation.
• Market Intelligence and Thought Leadership: Stay abreast of industry trends, regulatory changes (e.g., GDPR; BCBS239; AML, KYC; Mifid II; Basel IV, ESG requirements), and competitive landscapes in banking and capital markets. Contribute to thought leadership through whitepapers, webinars, and client presentations to position the firm as a market leader.
• Team Mentoring and Development: Mentor junior team members and foster a collaborative culture. Provide guidance on client management, proposal crafting, and growth strategies to build a high-performing team.

Data Management Lead – Banking & Capital Markets

Manager

• Lead, mentor, and develop a team of UAT analysts responsible for planning and executing UAT activities.
• Manage team workload, resource allocation, prioritization, and performance evaluations.
• Develop career paths, training plans, and skill-building strategies for the UAT team.
• Foster a culture of quality, accountability, and continuous improvement.
• Own and maintain the organization’s UAT methodologies, frameworks, processes, and best practices.
• Define standards for test planning, acceptance criteria, documentation, defect workflows, and quality controls.
• Establish governance processes for test sign-offs, production readiness, and traceability.
• Direct the team in developing test plans, test scripts, test cases, and test data needs based on business requirements.
• Review and approve testing strategies, scope, timelines, and success criteria.
• Ensure execution quality, completeness of test coverage, adherence to timelines, and proper documentation of evidence.
• Oversee end-to-end defect lifecycle management, ensuring clear documentation, prioritization, communication, and resolution.
• Serve as the primary liaison between business stakeholders, project teams, IT, QA, and operations regarding UAT activities.
• Ensure the team has appropriate test environments, data, and tools in place.
• Oversee creation of UAT dashboards, status reports, test metrics, and executive summaries.
• Identify process inefficiencies and lead initiatives to optimize testing effectiveness and team productivity.

Senior Manager – UAT

• Conduct evaluations and data analysis to ensure quality standards are met
• Collaborate effectively with cross-functional teams to identify areas for process improvement
• Assist in developing and implementing action plans to enhance organizational processes
• Participate in client discussions, providing insights and clarifications as needed
• Support ongoing operational improvements to increase efficiency and effectiveness
• Ensure all reports and documentation are accurate, timely, and compliant with policies
• Work diligently to complete all assigned tasks, including overtime when necessary
• Uphold strong work ethics, punctuality, and attendance standards
• Use critical thinking to reason out issues based on process policies rather than emotions
• Maintain a keen eye for detail to identify discrepancies or areas of concern
• Communicate effectively with team members and clients, fostering a collaborative environment
• Stay updated on organizational processes and quality assurance best practices
• Contribute to a positive team environment with a people-oriented approach

Assistant Manager

• Manage a team of travel counselors
• Implement customer engagement and strategic relationship management
• Manage multiple projects driven by customers and the organization
• Collaborate with internal and external teams
• Responsible for problem solving and designing solutions

• Conduct detailed DRG validation audits on selected inpatient medical records to ensure coding accuracy, completeness, and compliance with ICD-10-CM/PCS, AHA Coding Clinic, and CMS guidelines.
• Review documentation to confirm that all reported diagnoses and procedures are supported and coded to the highest level of specificity.
• Validate the assignment of the discharge disposition, Present on Admission (POA) indicators, and sequencing of diagnoses.
• Identify and correct discrepancies between coded data and clinical documentation.
• Ensure adherence to all official coding guidelines, facility policies, and payer-specific rules.
• Monitor and analyze audit trends to identify coding or documentation issues impacting data quality and reimbursement.
• Collaborate with the Compliance Department to address audit findings and ensure regulatory adherence.
• Provide ongoing feedback and coaching to coders and Clinical Documentation Improvement (CDI) Specialists to enhance coding accuracy and documentation quality.
• Develop and deliver targeted training sessions on DRG optimization, clinical indicators, coding guidelines, and audit findings.
• Maintain detailed and accurate records of all audit activities and findings.
• Prepare periodic audit reports summarizing trends, root causes, and recommendations for improvement.
• Work closely with CDI teams, physicians, and other clinical staff to clarify documentation and ensure accurate code assignment.

AVP AI & Analytics Program Lead

Product Owner – Digital Credit Card Platform

Behavioral Health Auditor III

Senior Software Engineer – Manager

Vice President

Senior Quality Analyst

Senior Big Data Engineer

Skilled Nursing Facility / Resource Utilization Group Auditor III, Healthcare

AI & Analytics Project Manager

Senior Manager – DRG Concept Development Analyst

Data Management Lead – Banking & Capital Markets

Senior Manager – UAT

Assistant Manager

Assistant Manager

Assistant Manager – Coding Auditors