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Telephonic Case Manager, Registered Nurse | Remote Are you a compassionate and dedicated RN looking to make a difference? Join our team as an RN Case Manager and provide comprehensive case management services for Tricare beneficiaries with multiple or complex conditions. You'll use your clinical knowledge, communication skills, and collaborative spirit to help our beneficiaries regain their optimum health or improve their functional capabilities. This involves performing comprehensive assessment ...Read more about Telephonic Case Manager, Registered Nurse | RemoteMore
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Atlanta, GA, USA ● Boston, MA, USA ● Chicago, IL, USA ● Dallas, TX, USA ● Houston, TX, USA ● Jacksonville, FL, USA ● Little Rock, AR, USA ● Miami, FL, USA ● Minneapolis, MN, USA ● Nashville, TN, USA ● Philadelphia, PA, USA ● Phoenix, AZ, USA ● Raleigh, NC, USA ● Salt Lake City, UT, USA ● St. Louis, MO, USA ● United States ● Virtual ● Washington, DC, USA ● Req #27909Friday, May 2, 2025As the Senior Manager, Sales Consultant, Health Solutions & Bid Management Team, you will drive transformative healthcare solutions as the end-to-end architect of EXL’s Data & Analytics, Clinical Services, and Payment Integrity strategies. The Senior Manager will collaborate closely with product and development teams to identify and meet current and emerging client, prospect, and market needs. This is an opportunity to shape industry-leading capabilities in Population Health Analytics, Utiliza ...Read more about Senior Manager, Sales Consultant, Health Solutions & Bid Management TeamMore
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111 Ryan Ct, Pittsburgh, PA 15205, USA ● Allegheny County, PA, USA ● Bethel Park, PA, USA ● Carnegie, PA 15106, USA ● McKees Rocks, PA 15136, USA ● Pittsburgh, PA, USA ● Req #27675Thursday, May 1, 2025Exciting Opportunity for Document Processors – Be Part of a Mission that Matters! Are you detail-oriented, organized, and ready to make an impact on healthcare? EXL Health is on the hunt for enthusiastic Document Processors to join our Medical Records Management Team! This full-time role is based in our vibrant Pittsburgh, PA office in the Robinson area. Shifts available. Monday to Friday, 6:00 am to 2:30 pm Monday to Friday, 8:00 am to 4:30 pm Part-Time hours Monday to Friday You will e ...Read more about Medical Records Management - Multiple Openings and ShiftsMore
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Albuquerque, NM, USA ● Atlanta, GA, USA ● Austin, TX, USA ● Bozeman, MT, USA ● Cedar Rapids, IA, USA ● Dallas, TX, USA ● Denver, CO, USA ● Fargo, ND, USA ● Houston, TX, USA ● Indianapolis, IN, USA ● Kalispell, MT 59901, USA ● Kansas City, KS, USA ● Little Rock, AR, USA ● Louisville, KY, USA ● Memphis, TN, USA ● Minneapolis, MN, USA ● Missoula, MT, USA ● Nashville, TN, USA ● New Orleans, LA, USA ● Oklahoma City, OK, USA ● Omaha, NE, USA ● Phoenix, AZ, USA ● Pocatello, ID, USA ● Salt Lake City, UT, USA ● Sioux Falls, SD, USA ● St. Louis, MO, USA ● United States ● Virtual ● Req #27930Thursday, May 1, 2025Utilization Management & Complex Case Manager, Registered Nurse | Remote Are you passionate about ensuring patients receive the care they need? Join our team as a Utilization Management & Complex Case Management Nurse, where you will play a crucial role in reviewing and approving authorization requests for appropriate care and provide comprehensive case management services for beneficiaries with multiple or complex conditions. You will follow established guidelines and policies, and when necessa ...Read more about Telephonic Utilization Management & Case Management Operations Registered Nurse | RemoteMore
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EXL’s US Tax Team is looking to hire immediately a tax summer intern primarily to help test Project Renaissance tax reports. EXL is in the process of transitioning to a new ERP system, and there are various tax-specific reports under development. The intern’s role is primarily to run testing to ensure that the tax specific reports meet the tax team’s request/expectations. This is an important large volume, time-sensitive project the US Tax Team needs to address over the next few months. The inte ...Read more about Tax Department InternMore
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Virtual ● Req #28021Thursday, May 1, 2025The successful candidate must have specific experience as an individual contributor selling BPO & Advisory services into the North America Banking & Financial Services (BFS) client industry. This is a fully remote role. Applicants must be based in the mainland U.S. Travel required up to 40% Base salary range - $170k - $215k (based on location and experience) Total compensation includes sales rewards & commission plan and RSU's For total rewards information, visit us at https://www.exlservice.co ...Read more about VP New Logo Growth - Banking & Capital Markets Client FocusMore
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United States ● Virtual ● Req #27975Thursday, May 1, 2025🚀 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 r ...Read more about Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Model (PDPM) Trainer & Quality AnalystMore
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Remote Certified Outpatient Auditor Are you a skilled Certified Outpatient Auditor with a passion for ensuring fair reimbursement and maintaining high standards of healthcare coding integrity? If so, we want you to join our dynamic, remote team at EXL Health! As a Remote Certified Outpatient Auditor, you’ll bring your expert knowledge of outpatient coding, CPT coding guidelines, and reimbursement methodologies to audit outpatient and professional fee medical records. Your work will directly cont ...Read more about Outpatient - Auditor IIIMore
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Remote Certified Outpatient Auditor Are you a skilled Certified Outpatient Auditor with a passion for ensuring fair reimbursement and maintaining high standards of healthcare coding integrity? If so, we want you to join our dynamic, remote team at EXL Health! As a Remote Certified Outpatient Auditor, you’ll bring your expert knowledge of outpatient coding, CPT coding guidelines, and reimbursement methodologies to audit outpatient and professional fee medical records. Your work will directly cont ...Read more about Outpatient - Auditor III, HealthcareMore
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Join EXL as an Auditor III – Home Health (Remote)Bring your clinical expertise to a role where your insights truly make a difference. Are you a skilled clinician with a passion for accuracy, compliance, and making a real impact in healthcare? EXL is looking for a Home Health Auditor III to join our team — and we’re offering a 100% remote, work-from-home opportunity! At EXL, we blend cutting-edge technology with expert clinical knowledge to improve outcomes for our clients and their patients. As ...Read more about Home Health - Auditor IIIMore
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United States ● Virtual ● Req #27960Thursday, May 1, 2025Join Our Team as a DRG Auditor III – Make an Impact in Healthcare! Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team! This role offers a fully remote work experience with possible 10% travel per year. The rest of the time, you'll enjoy the flexibility of working from your home office. Why EXL? At EXL, we believe in fostering an environment where our employe ...Read more about Diagnosis Related Group (DRG) Auditor IIIMore
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United States ● Virtual ● Req #27911Thursday, May 1, 2025Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) - Auditor III, Healthcare (Remote) – Join Our EXL Team! Are you passionate about healthcare auditing? Do you have a keen eye for detail and a deep understanding of Skilled Nursing Facility (SNF) billing and reimbursement? If so, EXL wants you on our team as an Auditor III – SNF/RUG! 💻 Remote Opportunity – Work from Home! At EXL, we bring together sharp, innovative professionals eager to make an impact in healthcare. In this role, ...Read more about Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) - Auditor III, HealthcareMore
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EXL is hiring a CVA Auditor III Summary: In this fully remote position as a Clinical Validation Auditor you will apply your expert clinical knowledge in the auditing of inpatient medical records to validate or revise the provider's billed DRG code. You will utilize industry and EXL proprietary tools in the DRG assignment process, and will write professional communications documenting audit findings and supporting rationales. You will also apply your extensive clinical and industry knowledge to ...Read more about Clinical Validation Auditor IIIMore
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United States ● Virtual ● Req #27858Thursday, May 1, 2025Skilled Nursing Facility (SNF) Auditor III (Remote) – Join Our EXL Team! Are you passionate about healthcare auditing? Do you have a keen eye for detail and a deep understanding of Skilled Nursing Facility (SNF) billing and reimbursement? If so, EXL wants you on our team as an Auditor III – SNF/RUG! 💻 Remote Opportunity – Work from Home! At EXL, we bring together sharp, innovative professionals eager to make an impact in healthcare. In this role, you'll apply your clinical expertise to review c ...Read more about Skilled Nursing Facility (SNF) Auditor IIIMore
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Wilmington, DE, USA ● Req #28016Wednesday, April 30, 2025The Company 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 services to support our clients’ underwriting processes. EXL delivers industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. Castle High Value is the premier provider of high valu ...Read more about Residential High Value Insurance Appraiser - Wilmington, DEMore
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Hampton Bays, NY, USA ● Req #28012Wednesday, April 30, 2025The Position EXL Risk Control is looking for self-directed independent contractors who possess excellentcommunication skills, computer proficiency, and a commitment to meeting client quality andtimeliness standards. You will work from your own home or office, and service onsitesurvey/inspection assignments in the Hampton Bays, NY area, and other locations withinapproximately 30 miles of Hampton Bays. Preferred experience in commercial insurance, real estate, inspection, construction, claim,los ...Read more about Commercial Insurance Inspector- (Hampton Bays, NY.)More
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Jacksonville, FL, USA ● Missouri, USA ● United States ● Virtual ● Req #27723Wednesday, April 30, 2025In this fully remote position as a Clinical Validation Auditor you will apply your expert clinical knowledge in the auditing of inpatient medical records to validate or revise the provider's billed DRG code. You will utilize industry and EXL proprietary tools in the DRG assignment process, and will write professional communications documenting audit findings and supporting rationales. You will also apply your extensive clinical and industry knowledge to identify audit trends and identify referra ...Read more about Clinical Validation Auditor IIIMore
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Company: EXLService.com, LLC Location: 320 Park Avenue, 29th Floor, New York, NY 10022 Position Title: Assistant Vice President Job Description: The Assistant Vice President at EXLService.com, LLC in New York, NY, will drive business metrics that add to the profitability of EXL’s healthcare revenue optimization business. Manage the overall product roadmap for reporting, coordinate scoping walk-throughs and sign-offs and ensure that business needs are defined and docum ...Read more about Assistant Vice PresidentMore
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Company: ExlService Technology Solutions, LLC Location: 10201 North Illinois Street, Suite 420, Indianapolis, IN 46290 Position Title: Technical Architect Job Description: The Technical Architect at EXLService Technology Solutions, LLC in Indianapolis, IN, will be responsible for software development for EXL’s proprietary LifePro product. Triage client reported production issues and perform Root Cause Analysis (RCA) of the issues reported during user acceptance testi ...Read more about Technical ArchitectMore
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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. EXL delivers industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. https://www.exlservice.com/survey-and-risk-contr ...Read more about Senior Loss Control Reviewer (Part Time)More
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The Position EXL’s Castle High Value business provides replacement cost estimating and loss prevention services on high value homes for personal lines insurance carriers and is the recognized leader in the industry. Castle High Value is looking for an ambitious professional to join our Team as a High Value Regional Manager. The High Value Regional Manager is responsible for operational results within a specified geography, including the results of Field Managers reporting to them. The High Valu ...Read more about High Value Regional ManagerMore
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The Company: 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 inspection and risk control services to support our clients’ underwriting processes. EXL’s consultants deliver industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. https://www.exlservice.com/survey-and-risk-control ...Read more about High Value Field ManagerMore
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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 lines insurance carriers, and is the recognized leader in the industry. EXL Risk Control evaluates commercial businesses and their operations, documenting underwriting concerns and making recommendations for risk improvement. EXL deli ...Read more about Appraisal Coordinatior-Remote PositionMore