Logo for EXL

Data Mining Specialist (Payment Integrity)

Role overview

Qualifications

  • Expertise in data mining queries
  • Extensive knowledge of Medicare, Medicaid, and Commercial claims
  • Experience with multiple claims payment systems
  • Ability to analyze complex claims

Responsibilities

  • Identify and develop effective data mining queries
  • Analyze complex claims and identify payment anomalies
  • Translate findings into actionable data mining concepts
  • Adapt concepts and query logic across different client environments

Key facts

Hard skills

Other skills

  • Analytical Thinking
  • Problem Solving

About the company

EXL logo

EXL

  • Outsourcing & BPO
  • XLarge
  • 10,001+
Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

The Data Mining Specialist role will require a high level of expertise in identifying, developing, and implementing effective data mining queries. This individual must have extensive knowledge across multiple lines of business, including Medicare, Medicaid, and Commercial claims, as well as experience navigating multiple claims payment systems. The role also requires the ability to analyze complex claims, identify payment anomalies and new recovery opportunities, and translate findings into accurate, actionable data mining concepts. These capabilities are critical to maintaining a strong pipeline of opportunities and adapting concepts and query logic across different client environments. 

*Base Pay Range: $93,900 - $134,100/yr

For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
 

Related jobs

See all Data Analyst jobs

Other jobs at EXL