Ready to make an impact in healthcare while working from home? EXL is growing, and were looking for passionate healthcare professionals, auditors, trainers, analysts, and operational experts to join our team. Whether youre an experienced auditor or
he Business EXL’s Castle High Value and Risk Control divisions are the nation’s leading residential and commercial insurance survey providers. Castle High Value provides replacement cost estimating and loss prevention services on high value homes for personal
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the
This is a remote office opportunity. The Training Coordinator will work closely with the Training Manager to successfully complete the full training cycle for employees (assess needs, plan, develop, coordinate, monitor and evaluate). The role also
Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage Review and analyze denied claims and identify root causes Initiate outbound calls to provider offices for denial clarification and resolution Document call outcomes and update claim
Why You’ll Love This Role: Work From Anywhere: Enjoy the flexibility of remote work while contributing to a fast-paced, collaborative team. Provider Advocate: Be the trusted liaison for providers, helping them navigate processes, resolve issues, and
The Business EXL’s Castle High Value and Risk Control divisions are the nation’s leading residential and commercial insurance survey providers. Castle High Value provides replacement cost estimating and loss prevention services on high value homes for personal
Are you passionate about accuracy in medical coding and ready to make a real impact in healthcare quality? EXL Health is looking for an experienced Outpatient Quality Analyst – QC Coder to join our remote team! If
In this fully remote position as an HCD Auditor you will apply your expert knowledge of billing HCD claims to perform extensive audit reviews. You will utilize HCPCS codes, medical record review, industry and EXL proprietary tools
We’re looking for a Behavioral Health Auditor III to join us in a fully remote role. In this position, you’ll use your knowledge of payer policies, industry standards, and regulatory guidelines to review and audit Behavioral
Are you an experienced Outpatient Facility Auditor with strong APC reimbursement expertise in hospital-based outpatient services? Do you enjoy analyzing APC groupings, status indicators, payment logic, and CMS OPPS compliance across infusion services, outpatient surgeries, and
The Outpatient Trainer plays a critical role in improving audit consistency, accuracy, and completeness by translating audit outcomes into effective learning experiences. This role supports the Outpatient Audit program by delivering and reinforcing training to improve
We are seeking a highly motivated and experienced Training Manager to lead and evolve training and development activities across Payment Integrity clinical and coding audits. The ideal candidate will bring strong people leadership capability, a proven
We are seeking a skilled SQL Developer with deep Oracle database experience to support a fast-paced database marketing environment. This is a fully remote position, offering the opportunity to work with cross-functional teams from multiple geographies
Manage key client relationships, oversee analytics and AI engagements, and guide cross functional teams. Interact regularly with clients to understand business requirements, define analytical problems, structure and communicate solutions and ensure client satisfaction with strong business
Design, develop, and maintain scalable ETL (Extract, Transform, Load) pipelines to process large volumes of healthcare data. Build and manage data workflows using Python programming and Structured Query Language (SQL) to automate data ingestion, transformation, and
Design, implement and deliver large scale enterprise applications using big data open-source solutions such as Apache Hadoop, Apache Spark, Kafka, and Elastic Search. Implement data pipelines and data driven applications using Python on distributed computing frameworks
The Business EXL’s Castle High Value and Risk Control divisions are the nation’s leading residential and commercial insurance survey providers. EXL Risk Control evaluates commercial businesses and their operations, documenting underwriting concerns and making recommendations for risk improvement.
Job Opportunity Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field appraisal, inspection and risk control
Program Integrity Subject Matter Expert Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers.