Demo

Senior Manager - Product Solution, Healthcare Payment Integrity

ExlService
Kansas, MO Full Time
POSTED ON 1/20/2025
AVAILABLE BEFORE 4/20/2025

Senior Manager - Product Solution, Healthcare Payment Integrity

Do you have the skills to fill this role Read the complete details below, and make your application today.

Jacksonville, FL, USA

  • Jersey City, NJ, USA
  • Kansas City, MO, USA
  • Missouri, USA
  • Virtual Req #27392 Tuesday, January 14, 2025

Company Overview and Culture

EXL (NASDAQ : EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit http : / / www.exlservice.com.

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.

Position Overview

EXL is looking for a Senior Manager of Product Solutions in our Healthcare Payment Integrity Business Unit. This is a remote opportunity!

In this position, you will spearhead Solution Support, dedicating 50% of your focus to designing and developing a roadmap for both existing and new products. Your role will involve managing product lifecycles, understanding market needs, and collaborating with business units to deliver scalable, repeatable solutions.

You'll shape our digital and external market strategy, working alongside leadership to modernize and scale the Payment Integrity business unit. Stakeholder engagement is essential – understanding their challenges and crafting resonant solutions.

Your responsibilities include developing core positioning and messaging, conducting thorough analyses of business needs and operations, and translating them into impactful strategies. Project management will be key, as you'll plan, manage, and execute projects within defined timelines and budgets, serving as a liaison between stakeholders and executive leadership.

Minimum Requirements :

  • Bachelor’s Degree and 6-8 years’ experience or equivalent combination.
  • To Be Successful in this role, you’ll need :

  • Experience with Healthcare IT, claims processing, data analytics domains
  • Prior experience with systems and software implementation
  • Ability to create technical implementation strategies and provide staff-level guidance
  • Experience working in a global delivery model
  • Knowledge in SQL for querying underlying data
  • Proficient in data analysis and process visualization software
  • Excellent attention to detail and ability to work independently
  • Project management skills
  • Ability to conceptualize and explain business opportunities
  • Experience working with cross-functional teams
  • Strong research and analysis skills
  • Strong Excel and presentation skills required
  • Knowledge of claims auditing is a plus
  • Additional Core Strengths and Skills :

  • Teamwork : Working collaboratively to achieve common goals
  • Continuous Learning : Creating processes for ongoing learning
  • Customer Advocate : Keeping the customer top of mind
  • Manage Change : Leading and enabling the process of change
  • If you're ready to be more than an employee and join a team where your contributions shape the narrative of innovation, apply now. Become a vital part of EXL's mission to redefine what's possible.

    What We Offer :

  • An exciting, fast-paced and innovative environment
  • Work closely with experienced, world-class Healthcare consultants
  • Opportunities for personal and professional growth
  • Guidance through our mentoring program
  • Unique experiences that set the stage for further growth
  • EEO / Minorities / Females / Vets / Disabilities

    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. Other rewards may include bonuses, a Paid Time Off policy, and many region-specific benefits.

    Application & Interview Impersonation Warning : Purposely impersonating another individual when applying and / or participating in an interview to obtain employment with EXL is a crime. Measures have been implemented to deter and uncover such conduct.

    Other details :

  • Pay Type : Salary
  • Employment Indicator : Regular
  • Min Hiring Rate : $115,000.00
  • Max Hiring Rate : $125,000.00
  • Travel Required : Yes (5%)
  • Telecommute : 100%
  • Required Education : Bachelor’s Degree
  • View our total rewards offered

    Apply Now

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    Salary : $125,000

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