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EXL

Analyzes business data and runs outsourced operations

VP of Client Success - Program Director, Healthcare

Program ManagementPosted on Nov 13
Full-timeNew York, NY, USA$180k - $250k /yr

About the Job

Requirements

  • At least 15 years of experience in program management within U.S. healthcare payer, provider, care management, case management, data and analytics, and/or platform technology organizations, including direct experience overseeing healthcare case management and analytics platforms.
  • At least 15 years of experience delivering complex healthcare platform solutions, including implementation, integration, adoption, operations, and ongoing client value realization.
  • Strong understanding of U.S. healthcare payer, provider, PBM, life sciences, and government program client needs, including Medicare Advantage, Medicaid, Commercial lines of business, care coordination, utilization management, quality programs, member and patient engagement, and value-based care.
  • Experience managing programs for a diverse U.S. healthcare client base, including health plans, provider organizations, PBMs, healthcare services organizations, and technology-enabled healthcare operations.
  • Experience with healthcare data domains including claims, eligibility, member, provider, clinical, authorizations, encounters, quality, and financial data, and familiarity with analytics, reporting, interoperability, and data governance expectations.
  • Working knowledge of healthcare compliance, privacy, and security expectations relevant to U.S. healthcare clients, including HIPAA, data protection, audit readiness, and secure platform delivery practices.
  • Executive communication, client-facing presentation, and stakeholder management skills to engage healthcare business, clinical, technology, compliance, and analytics leaders.
  • Ability to translate complex healthcare, clinical, operational, technical, and analytical information into clear, actionable terms for executive and operational audiences.
  • Experience working with global, multicultural, and diverse teams across different time zones.
  • A bachelor's degree in business administration, management, or a related field is required.
  • U.S. citizenship is required, and the candidate must be able to obtain a Department of Defense security clearance.

Responsibilities

  • Serve as the primary delivery voice for EXL Health teams, coordinating cross-functional activities for U.S. healthcare payers, providers, PBMs, life sciences, and government program clients in a cohesive, outcome-driven manner.
  • Bridge clinical, operational, regulatory, data, analytics, and digital platform priorities across contracted care management, case management, utilization management, and population health solutions.
  • Enable delivery teams to deliver, communicate, escalate, and prioritize services and solutions aligned with client objectives, service-level commitments, and healthcare program outcomes.
  • Act as a liaison between clients, business programs, and executive leadership by providing updates, addressing concerns, and shaping recommendations that connect client business problems to company strategy, roadmap priorities, and partnership opportunities.
  • Translate ambiguous or evolving client requests into structured workplans, tactical next steps, executive-ready decision points, and cross-functional action plans.
  • Assess how client business problems, market pressures, regulatory priorities, and operational constraints should inform strategy, delivery models, and growth opportunities.
  • Hold delivery teams accountable for measurable healthcare outcomes, including implementation milestones, adoption, operational performance, quality measures, compliance readiness, and client satisfaction.
  • Achieve annual growth targets aligned with client objectives and targets.
  • Develop and maintain an in-depth understanding of the U.S. healthcare portfolio and client base, including payers, providers, PBMs, life sciences organizations, government healthcare programs, care management, case management, utilization management, quality, risk adjustment, member and patient engagement, data, analytics, and AI-enabled platform solutions.
  • Collaborate with executive leadership to identify and prioritize initiatives that improve healthcare outcomes, support value-based care objectives, reduce administrative burden, and strengthen client growth opportunities.
  • Work with clinical operations, product, technology, data science, analytics, finance, compliance, security, marketing, sales, and client success teams to ensure seamless healthcare program integration and execution.
  • Develop and manage program budgets, ensuring efficient resource allocation and cost-effectiveness.
  • Monitor financial performance against established budgets and implement corrective actions as needed.
  • Maintain a deep understanding of program strategy, delivery status, platform roadmap, regulatory dependencies, data integration needs, reporting requirements, and client commitments.
  • Identify potential risks and develop mitigation strategies to ensure successful program implementation.
  • Monitor external factors that may affect program success, including CMS guidance, payer market trends, interoperability expectations, quality and Stars-related priorities, privacy and security requirements, and evolving client needs, and adapt strategies accordingly.
  • Establish key performance indicators for each program, covering operational, financial, clinical, quality, adoption, compliance, and client satisfaction metrics, and regularly assess performance against them.
  • Prepare and present executive reports and client updates communicating delivery progress, business value, healthcare outcomes, risks, decisions needed, and improvement opportunities.
  • Lead, mentor, and oversee a team of program/project managers, coordinators, and other relevant staff.
  • Cultivate relationships with internal and external stakeholders, including clients, vendors, and partners.
  • Co-create collateral, presentations, business reviews, and other materials communicating the value proposition of care management, case management, analytics, and platform solutions for U.S. healthcare clients.
  • Participate in client meetings with account representatives to provide healthcare domain expertise, platform delivery context, analytics-driven insights, and practical interpretation of client needs.
  • Educate internal teams and customers on solution capabilities, implementation approach, workflow impact, reporting outputs, adoption strategy, and measurable business value.
  • Partner with customers, vendors/partners, and internal departments—including sales, marketing, client success, solutioning, services, training, support, clinical operations, technology, data, analytics, privacy, and security—to translate healthcare problem statements into scalable solutions.
  • Measure adoption and utilization of features, products, and services to determine business value for customers and the company, and drive increased adoption, workflow optimization, and outcome realization.

Desired Qualifications

  • Experience in sales enablement or a similar role.
  • A detail-oriented approach and commitment to delivering high-quality support.
  • Ability to translate business needs, workflow pain points, and executive input into clear tactical actions for delivery teams.
  • Industry-oriented thinking and a strong understanding of payer care management operations, workflow adoption, and how client realities shape solution success.
  • Ability to balance healthcare domain expertise, regulatory awareness, client priorities, and practical delivery considerations.
  • Ability to collaborate effectively with cross-functional teams.
  • Proactive, self-motivated approach with a strong sense of ownership and accountability.
  • Ability to adapt to a dynamic and fast-paced work environment.
  • Strong business acumen and strategic ability to connect healthcare platform delivery to client outcomes, revenue growth, operational efficiency, and long-term partnership value.
  • An advanced degree is preferred.

About the Company

EXL

Analyzes business data and runs outsourced operations

EXL analyzes business data and runs outsourced operations for insurers, healthcare payers, banks, retailers, and other large organizations. Its teams combine industry expertise with data engineering and AI to handle tasks such as claims processing, payment reviews, customer service, and finance within existing technology environments. The company also builds software, including LifePRO, which manages insurance policies, and EXLdata.ai, which connects fragmented data for use in AI systems. Clients pay for consulting projects, ongoing managed services, and software delivered through the cloud. EXL was founded in 1999 and is headquartered in New York City.

Company size
10,001+
Company stage
IPO
Headquarters
New York City, New York
Founded
1999

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