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EXL

Analyzes business data and runs outsourced operations

Manager – Quality Excellence

Operations & LogisticsConfirmed live in the last 24 hours
Full-timeKochi, Kerala, IndiaNo salary listedIn-person

About the Job

Requirements

  • 5–7 years of experience in Quality / Process Excellence, preferably in US Healthcare payer processes such as claims, Medicare, appeals, prior authorization, or utilization management.
  • Lean Six Sigma Green Belt or Black Belt certification from a reputed organization.
  • Strong grasp of sampling, calibration, root cause analysis, and quality metrics.
  • Experience leading quality excellence teams and working with Operations and client stakeholders.
  • Strong Excel, dashboard, and reporting skills.
  • Clear communication and comfort presenting to leadership and clients.
  • Expertise in claims adjudication, appeals review, and contact center operations is preferred.
  • Facets or similar claims platform exposure is an advantage.
  • Power BI is a plus.

Responsibilities

  • Set up and lead the quality function for a US healthcare client in Kochi.
  • Own the quality methodology from transition through steady state, working closely with Operations, Training, and client stakeholders.
  • Manage the QE team, including assistant managers and quality control analysts, covering certification, monitoring, feedback, and productivity.
  • Drive governance through daily, weekly, and monthly quality reporting, root cause analysis and action plans, and client quality reviews.
  • Partner with Operations to improve accuracy, reduce errors, and meet client service-level agreements and pay-for-performance metrics.
  • Support the transition by validating standard operating procedures, building quality checkpoints, and running user acceptance testing, dry runs, and go-live readiness.
  • Lead process improvement and standardization projects using Lean Six Sigma tools.
  • Support internal and client audits and interactions, and contribute to requests for proposals and requests for information when needed.
  • Mentor and develop team members.

Desired Qualifications

  • Facets.
  • Appeals and grievances.
  • Prior authorization and utilization management.
  • Transition management.
  • Standard operating procedure development.
  • Power BI and advanced Excel.
  • Pay-for-performance and service-level agreement management.
  • Client governance and reporting.

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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