Senior Manager - Product Solution, Healthcare Payment Integrity
: Job Details :


Senior Manager - Product Solution, Healthcare Payment Integrity

EXL

Job Location : Jersey City,NJ, USA

Posted on : 2024-12-19T08:32:04Z

Job Description :

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

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

Step into the heart of innovation at EXL, where opportunities are not just jobs; they are gateways to shaping the future. As a key contributor reporting to the Senior Associate Vice President of Payment Integrity, your role is a pivotal one, offering a unique blend of creativity and strategic impact.

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. But this isn't just about managing products; it's about guiding them through lifecycles, understanding market needs, and collaborating with business units to deliver scalable, repeatable solutions.

Beyond the nuts and bolts, you'll be instrumental in shaping our digital and external market strategy, working alongside leadership to modernize and scale the Payment Integrity business unit. Stakeholder engagement is at the core of what you do - understanding their challenges and crafting solutions that resonate comprehensively.

As our Solution Maestro, you'll be the voice behind the product, developing core positioning and messaging that resonates with our audience. Collaborating cross-functionally with internal teams and external clients, you'll conduct thorough analyses of business needs and operations, translating them into tangible, impactful strategies.

Your impact extends to project management, where you'll plan, manage, and execute projects within defined timelines and budgets. Serving as a liaison between cross-functional stakeholders and executive leadership, you'll keep the momentum alive, providing regular updates and ensuring alignment with project expectations.

In the face of challenges, you won't just navigate - you'll lead. Identifying potential roadblocks, you'll proactively address issues, ensuring projects stay on course. Your ability to provide support and feedback throughout the product lifecycle will be the catalyst for success.

Education:

* 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 global delivery model.

* Knowledge in SQL for querying the underlying data in the system for analysis.

* Proficient in the analysis of data and the use of process visualization software.

* Excellent attention to detail and the ability to work independently without supervision, be self-directed and demonstrate initiative.

* Project management skills

* Ability to conceptualize and explain business opportunities.

* Demonstrated experience working with cross-functional teams.

* Excellent 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 with others to achieve common goals and positive results.

* Continuous Learning

* Creating the environment and processes to ensure continuous learning, leading to an increasing capacity to create the future - at an individual and organizational level.

* Customer Advocate

* Keeping the customer top of mind at all times, from daily interactions through seeking and understanding current and future needs.

* Manage Change

* Managing, leading, and enabling the process of change and its effect on individuals and the organization.

If you're ready to be more than an employee and join a team where your contributions shape the narrative of innovation, this is your moment. Apply now, and let's embark on a journey where your skills and ambitions find their perfect match. Become a vital part of EXL's mission to redefine what's possible.

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.

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 $115,000.00

* Max Hiring Rate $125,000.00

* Travel Required Yes

* Travel % 5

* Telecommute % 100

* Required Education Bachelor's Degree

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* Jacksonville, FL, USA

* Jersey City, NJ, USA

* Kansas City, MO, USA

* Missouri, USA

* Virtual

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