Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Model (PDPM) Trainer & Quality Analyst

United States ● Virtual Req #27975
Wednesday, April 23, 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.

🚀 Join EXL as a Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Model (PDPM) Trainer & Quality Analyst – 100% Remote! 🌎

Are you passionate about clinical training, coding quality, and driving excellence in post-acute care? Do you thrive on empowering others through education and making a measurable impact? If so, we’ve got the perfect opportunity for you!

EXL is on the lookout for a dynamic SNF/RUG/PDPM Trainer & Quality Analyst to join our growing remote team in the U.S. This is a dual-impact role where your clinical expertise and love for teaching will shape the performance and accuracy of our healthcare audit teams. You’ll play a pivotal role in developing world-class training programs while also ensuring quality through expert audits and feedback.

Why Join Us?

100% Remote – Work from anywhere in the U.S.
Be a Leader – Own training strategies and quality initiatives
Impact Lives – Help healthcare teams provide better patient outcomes
Work with the Best – Join a supportive, collaborative, and innovative team at EXL


🌟 What You’ll Do

Clinical Training Excellence

  • Mentor and inspire SNF/RUG/PDPM auditors through 1:1 and group training sessions
  • Develop and maintain engaging training materials, online modules, and interactive guides
  • Evaluate training effectiveness, identify knowledge gaps, and implement creative solutions
  • Conduct employee assessments and track growth over time
  • Provide timely, constructive coaching to boost performance and compliance

Audit & Clinical Review

  • Perform medical record audits to verify documentation accuracy and service alignment
  • Ensure audits are consistent, clearly documented, and findings are well-articulated
  • Compile detailed reports and maintain audit logs

Performance & Team Development

  • Drive productivity, quality, and internal savings goals
  • Respond proactively to communications and collaborate across teams
  • Participate in team meetings, brainstorms, and calibration sessions
  • Identify and report issues affecting audit processes or provider performance

Continuous Learning & Innovation

  • Stay up to date with CMS guidelines and reimbursement models
  • Contribute to continuous improvement efforts by attending trainings and sharing insights
  • Bring new ideas to the table to evolve training and auditing processes

What You’ll Bring

  • RN, LPN, or LVN license (active and in good standing)
  • 5+ years of experience with MDS processes and completion
  • Strong background in SNF, RUG, PDPM, and Medicaid 48 grouper reimbursement
  • Previous experience in corporate training, clinical auditing, or utilization review
  • RAC-CT certification (active, or willing to recertify)
  • Deep understanding of HIPPS billing codes, MDS 3.0 coding rules, and case management
  • Proficiency with Excel, PowerPoint, Word, Outlook, and Encoder tools (Optum, TrueCode, 3M, Webstrat)
  • Excellent communication, time management, and decision-making skills
  • Self-starter mentality with a passion for teaching and continuous learning

What We Offer:

A fast-paced, innovative environment with a team of industry-leading experts.
Hands-on experience with top-tier clients in the healthcare industry.
Mentorship and career development programs to help you grow professionally.
A strong culture of collaboration, support, and inclusivity.
Competitive benefits package, including healthcare, vision, dental, and 401(k) options.

 

Ready to Make a Difference?

If you're driven by education, precision, and healthcare excellence, we’d love to connect with you. Apply today and become part of a forward-thinking, mission-driven team where your knowledge powers performance.

EXL Health – Where Expertise Meets Opportunity.

 

EEO/Minorities/Females/Vets/Disabilities 

To view our total rewards offered click here —> https://www.exlservice.com/us-careers-and-benefits
 
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 $75,000.00
  • Max Hiring Rate $90,000.00
  • Telecommute % 100
  • Required Education Associate Degree
Location on Google Maps
  • United States
  • Virtual