Senior Manager

Job Description

JD (Job Description) for Solutions Architect for Provider 360 – C2 role About EXL Health Payments Analytics At EXL Health Payments Analytics Center of Excellence, we are looking for passionate individuals with growth/startup mindset to experiment, fail fast, learn and contribute to our 5 fold growth story of $200M to $1B EXL is considered Special investigation Unit by 6 of top 10 US health insurance companies (~1/3rd US healthcare data is handled by us) helping with error/overpayment detection of the hospital/doctor claims. Unlike typical services and consulting companies we make our revenue from the savings we identify for the client(Commission/Outcome basis). We Productize algorithms and R&D accelerators that are intended to be used across multiple health insurance clients for the above business case. So Expect An Ecosystem That Has Massive Data Assets (Millions of structured data and thousands of unstructured records processed monthly) Tech investment (On Prem GPUs, Azure, AWS, Databricks, On Prem- Hadoop-Hive, Hive etc) Leadership push to Digitization, Data-led decisions and AI 100+ members Analytics team of data enthusiasts, decision scientists and Business/Subject matter experts. Our Typical Day Monitoring business performance and operations – Problem solve by applying the different analytics levers or involving different teams doing -- ML models, SQL rules, Hospital Profiling, Pattern Mining etc to meet client savings target. The Analytics teams acts as the R&D and Operational excellence team who constantly find new patterns through all the state of art libraries, technologies from SQL queries to LLM agents. About The Role We are looking for a Self driven Analytics Consultant to join our team of data and domain enthusiasts in Health Care payment integrity. you will get an opportunity to work with various payers and providers and get to know how we reduce provider abrasion and help provider engagement with our innovative and highly scalable solutions. Responsibilities Ø Ability to design data driven solutions and Frameworks (Descriptive and Predictive) from scratch & consult in a leadership capacity on potential Solutions/Storyboards and POCs Ø Drives business metrics that add to the top-line and/or profitability Ø Perform quantitative and qualitative analysis like (r aw) data analysis, data deep-dives etc. to acquire insights from data Ø Develops Descriptive (reporting) through to Prescriptive Analytics for business monitoring and operational excellence Ø Translates data insights with business stakeholders to communicate and get equivalent business context Ø Applies next-gen technology to all parts of the analytics lifecycle from data extraction, exploratory data analysis, Data Mining and information extraction from unstructured data to visualization & story boarding Ø Manages a small team of data analyst Skillsets >7 yrs. of experience in the field of Strategy and Business Optimization background Post Graduate or MBA (preferred) OR Graduates in Engineering / Mathematics / Operations Research / Science / Statistics Experience in the healthcare industry is preferred. With atleast 7+ years’ experience in analytics using SQL,SAS, Python, basic statistical concepts and analyzing data & interpreting results to the business Ability to translate and structure business problems to deliver technical solutions Proven experience working in a fast-paced environment supporting multiple concurrent projects Collaborative and team player Desire to work within a fast-paced environment Ability to work in a team environment and be flexible in taking on various projects