Logo for EXL

Senior Manager - Data Mining & Exploratory Intelligence

Role overview

Summary

This role focuses on exploratory claims analysis within the CRE – Concept research & exploratory team at EXL. You will leverage your expertise to identify patterns and inform data-driven strategies, enhancing the company's data mining capabilities.

Qualifications

  • Extensive hands-on claims experience.
  • Experience in data mining and exploratory analysis.
  • Ability to reverse engineer claims behavior.
  • Knowledge of Medicare and Medicaid systems.
  • Strong analytical and problem-solving skills.

Responsibilities

  • Identify claims patterns and anomalies across various platforms.
  • Support the development of advanced data mining capabilities.
  • Translate operational insights into actionable analytics concepts and solutions.
  • Analyze potential overpayments in Medicare, Medicaid, and commercial claims.

Key facts

Hard skills

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

We are seeking a seasoned Claims Domain Subject Matter Expert in our CRE – Concept research & exploratory team within our Datamining COE for exploratory claims analysis and support the development of advanced data mining capabilities. This role will focus on identifying claims patterns, anomalies, and potential overpayments across Medicare, Medicaid and commercial platforms, while translating deep operational insight into actionable analytics concepts and solutions.

The ideal candidate brings extensive hands-on claims experience and can “reverse engineer” claims behavior to inform data-driven strategies, tools, and controls.

*Base Pay Range: $93,900- $154,200

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 jobs

Other jobs at EXL