EXL—Manager– Data Mining & Exploratory Intelligence

Job description

Description: Extensive experience across Medicare, Medicaid or commercial business • Demonstrated expertise in 360-degree claims review, auditing, and payment integrity • Proven ability to identify patterns, anomalies, and inappropriate payments within large claims datasets • Strong analytical mindset with the ability to bridge operations and data science • Experience collaborating with cross-functional teams (analytics, product, strategy, compliance) • Excellent communication skills with the ability to explain complex claims concepts clearly • Prior involvement in payment integrity data mining or recovery initiatives • Experience supporting or designing claims analytics or data mining non-clinical programs