Healthcare Solutions Analyst - Payment Integrity

Healthcare Solutions Analyst - Payment Integrity

Virtual Req #26104 Tuesday, April 2, 2024

Company Overview and Culture

EXL (NASDAQ : EXLS) is a global analytics and digital solutions company that partners with clients to improve business outcomes and unlock growth.

Bringing together deep domain expertise with robust data, powerful analytics, cloud, and AI, we create agile, scalable solutions and execute complex operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media, and retail, among others.

Focused on creating value from data for driving faster decision-making and transforming operating models, EXL was founded on the core values of innovation, collaboration, excellence, integrity and respect.

Headquartered in New York, our team is over 40,000 strong, with more than 50 offices spanning six continents. For information, visit .

For the past 20 years, EXL has worked as a strategic partner and won awards in its approach to helping its clients solve business challenges such as digital transformation, improving customer experience, streamlining business operations, taking products to market faster, improving corporate finance, building models to become compliant more quickly with new regulations, turning volumes of data into business opportunities, creating new channels for growth and better adapting to change.

The business operates within four business units : Insurance, Health, Analytics, and Emerging businesses.

About EXL Health

We leverage Human Ingenuity and domain expertise to help clients improve outcomes, optimize revenue and maximize profitability across the healthcare ecosystem.

Technology, data and analytics are at the heart of our solutions. We collaborate closely with clients to transform how care is delivered, managed and paid.

EXL Health combines deep domain expertise with analytic insights and technology-enabled services to transform how care is delivered, managed, and paid.

Leveraging Human Ingenuity, we collaborate with our clients to solve complex problems and enhance their performance with nimble, scalable solutions.

With data on more than 260 million lives, we work with hundreds of organizations across the healthcare ecosystem.

We help payers improve member care quality and network performance, manage population risk, and optimize revenue while decreasing administrative waste and reducing health claim expenditures.

We help Pharmacy Benefit Managers (PBMs) manage member drug benefits and reduce drug spending while maintaining quality.

We help provider organizations proactively manage risk, improve outcomes, and optimize network performance. We provide Life Sciences companies with enriched data, insights through advanced analytics and data visualization tools to get the right treatment to the right patient at the right time.

EXL is seeking a passionate and results-oriented Healthcare Solutions Analyst - Payment Integrity to join our Payment Integrity business.

In this role, you will play a pivotal role in developing and driving product solutions that deliver outstanding value to our clients.

What You'll Do :

• Analyze client information to identify potential improvement areas and partner with internal team to design solutions.
• Collaborate with stakeholders to capture and define business requirements.
• Identify and validate new opportunities through data analysis and assessments in partnership with the internal team and clients.
• Provide insights to build compelling business cases for new products or product enhancements for clients.
• Assist with the complete bid process, from RFI / RFP analysis to win plan development.
• Document business requirements, process flows, and project plans.
• Oversee project progress, proactively address roadblocks, and ensure successful implementations.
• Partner with marketing, sales, and growth teams to create impactful client-facing materials.
• Champion these materials to internal teams to support client pitches and presentations.
• Collaborate with finance, MIS, and reporting teams to extract, build, and maintain key performance indicators (KPIs) and benchmarks.
• Validate and analyze data to provide fact-based insights to leadership.
• Conduct quantitative and qualitative business analysis.

Who You Are :

• Proven Problem Solver : You have 3-4 years of experience (or equivalent combination) in technology and product management, ideally within healthcare IT, claims processing, or data analytics.
• Technical Acumen : You have hands-on experience with systems and software implementation.
• Project Management : experienced in leading large projects.
• Global Collaboration : You have thrived in a global delivery model and understand the complexities of working across diverse teams and time zones.

Strong relationship building and collaboration skills.

• Data Magician : You are proficient in data analysis and process visualization tools, leveraging SQL to extract valuable insights.
• Continuous Learner : You are passionate about staying ahead of the curve and fostering a culture of learning within your team.
• Client Advocate : You always keep the client's perspective at the forefront, proactively understanding their needs and exceeding expectations.
• Results-Oriented : You are a self-starter with a track record of success in delivering projects on time and within budget.
• Communication Master : You have exceptional written and verbal communication skills and can present complex information clearly and concisely.

Bonus Points :

• Knowledge of claims auditing.
• Strong Excel and presentation skills.

What We Offer :

• EXL Health offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.
• From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants.
• You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time-management skills - key aspects for personal and professional growth.
• We provide guidance / coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as advisors.
• Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.

Ready to make a real impact on the Payment Integrity landscape? Join EXL and help us deliver innovative solutions that empower our clients to achieve their financial goals.

EEO / Minorities / Females / Vets / Disabilities To view our total rewards offered click here >

Base Salary Range Disclaimer : The base salary range represents the low and high end of the EXL base salary range for this position.

Actual salaries will vary depending on factors including but not limited to : location and experience. The base salary range listed is just one component of EXL's total compensation package for employees.

Other rewards may include bonuses, as well as a Paid Time Off policy, and many region specific benefits. Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy.

Application & Interview Impersonation Warning Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc.

the Company ) for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct.

If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s).

EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied.

While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate’s full profile.

As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL.

Other details

• Pay Type Salary
• Employment Indicator Regular
• Min Hiring Rate $50,
• Max Hiring Rate $100,
• Telecommute % 100
• Required Education Bachelor’s Degree
1 day ago