E

EXL

Analyzes business data and runs outsourced operations

Vice President Payment Integrity - Innovations & Solutions

Full-Time
$200k - $250k/yr
Expert
Bachelor's, Master's
United States
In Person
Business & StrategyCorporate Strategy

About the job

Requirements
  • A master's degree or bachelor's degree in business administration, Economics, Finance, Engineering, or a related discipline.
  • 20+ years of experience in healthcare technology, healthcare analytics, enterprise solutions, or digital transformation.
  • Demonstrated experience designing and delivering enterprise-scale healthcare platforms, solutions, or transformation initiatives.
  • Strong understanding of the healthcare payer ecosystem, healthcare operations, and technology-enabled solutions.
  • A proven track record engaging with senior client stakeholders and supporting large deal pursuits or solution-led growth initiatives.
  • Experience building scalable enterprise systems leveraging analytics, artificial intelligence and machine learning, and automation technologies.
  • Strong ability to translate complex industry challenges into structured solution architectures.
  • Excellent communication and executive presentation skills with the ability to influence senior stakeholders.
  • An entrepreneurial mindset with the ability to operate in rapidly evolving and innovation-driven environments.
  • Proven ability to build, mentor, and lead high-performing teams.
  • Strong Excel and presentation skills.
Responsibilities
  • Lead the development of scalable, technology-enabled healthcare solutions that address evolving payer and healthcare market needs and expand into other market verticals.
  • Drive the incubation and development of next-generation enterprise platforms leveraging artificial intelligence, automation, and advanced analytics.
  • Define end-to-end solution architectures that integrate data, workflows, and intelligent decision systems to support enterprise transformation initiatives.
  • Continuously assess market dynamics, industry trends, and client challenges to identify opportunities for new solution development and innovation.
  • Partner with internal teams to transform innovative concepts into market-ready offerings that support growth and competitive differentiation.
  • Serve as a client-facing leader engaging with executive stakeholders to understand business priorities and shape transformation roadmaps.
  • Support strategic deal pursuits by presenting differentiated solution capabilities, developing compelling narratives, and demonstrating value to clients.
  • Act as a trusted advisor to clients by providing insights into emerging healthcare trends, technology innovation, and operational transformation.
  • Build and nurture relationships with strategic partners, technology providers, and ecosystem collaborators to enhance solution capabilities.
  • Guide the development and scaling of enterprise-grade technology platforms that support data-driven healthcare solutions.
  • Collaborate with engineering, product, and analytics teams to ensure scalable architecture, interoperability, and seamless integration across systems.
  • Lead experimentation and rapid prototyping initiatives to accelerate innovation cycles and validate new capabilities.
  • Establish frameworks that support modular, reusable, and scalable enterprise solution deployment.
  • Provide leadership with insights into solution performance, innovation pipeline progress, and emerging market opportunities.
  • Define key success metrics to evaluate the impact of new solutions, innovation programs, and client engagements.
  • Establish governance frameworks to track solution development progress and ensure alignment with strategic objectives.
  • Build and mentor cross-functional teams to foster innovation, collaboration, and excellence.
Desired Qualifications
  • Exceptional written and verbal communication skills, with the ability to articulate complex ideas clearly and persuasively to senior leadership.
  • Proven ability to build strong, trusting relationships across all levels of the organization, including with corporate functions.
  • Strong analytical and problem-solving skills, with the ability to break down complex issues into manageable tasks.
  • Professional maturity and credibility to represent the Strategic Growth Unit Head with senior stakeholders and external partners.

About the company

E

EXL

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Website

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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Simplify's Take

What believers are saying

  • Growth supports larger assignments: July 2026 results showed EXL's quarterly sales rose 15.6% year over year.
  • Staff get substantial training: EXL recorded 1.6 million employee learning hours in 2025.
  • Client accounts deepen over time: EXL's relationships typically expand from one service into multiple integrated business processes.

What critics are saying

  • Large accounts shape job stability: EXL's ten largest clients supplied 34% of revenue in 2025.
  • Team turnover is substantial: July 2026 results reported EXL employee attrition of 24.7%.
  • A division faces leadership transition: September 2026 brought a scheduled October departure for insurance and healthcare chief Vivek Jetley.

What makes EXL unique

  • Insurance clients are unusually large: EXL says nine of America's ten largest insurers use its services.
  • Industry data shapes its models: EXL fine-tunes its language models using over a decade of proprietary data.
  • Its AI toolkit extends beyond chatbots: EXL reports over 250 prebuilt agents and accelerators for enterprise workflows.

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Benefits

  • Health Insurance
  • Life Insurance
  • Income Protection Insurance
  • Private Healthcare
  • Pension
  • Professional Development Budget
  • Employee Stock Purchase Plan
  • Flexible Work Hours
  • Hybrid Work Options

Growth & Insights and Company News

Headcount

6 month growth

1%

1 year growth

8%

2 year growth

1%
AI First Hub
Sep 21st, 2026
Reducing medical claims review time with AI on AWS: The EXL Medical IDP solution.

Reducing medical claims review time with AI on AWS: The EXL Medical IDP solution. Original Source AWS Machine Learning by Anutosh EXL built an AI-powered Medical intelligent document processing (IDP) solution on AWS, combining IDP with domain-specific large language models on Amazon SageMaker and Amazon Bedrock to extract, summarize, and query medical records at enterprise scale and cut claims review time f EXL built an AI-powered Medical intelligent document processing (IDP) solution on AWS, combining IDP with domain-specific large language models on Amazon SageMaker and Amazon Bedrock to extract, summarize, and query medical records at enterprise scale and cut claims review time from over 100 minutes per case. Original Content Credit This summary is sourced from AWS Machine Learning. For the complete article with full details, research data, and author insights, please visit the original source.

Outsource Accelerator
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BPO-as-a-service to hit $422Bn by 2035: HFS.

BPO-as-a-service to hit $422Bn by 2035: HFS. Posted on September 12, 2026 BOSTON, UNITED STATES - A new research report from HFS Research projects that Services-as-Software, a model in which enterprises pay for completed work rather than staffed capacity, will generate a $422 billion market within the global business process outsourcing (BPO) sector by 2035, fundamentally repricing the way process work is contracted and delivered. According to the report by HFS Research, the shift toward outcome-based pricing will deflate the overall BPO market by approximately $60 billion relative to its conventional growth trajectory, as enterprises pay less for the same business outcomes under per-unit-of-work pricing. Outcome-based pricing reshapes BPO's commercial model. HFS Research projects the global BPO market will reach $725 billion by 2035 under the Services-as-Software (SaS) disruption scenario, compared to a conventional trajectory of $786 billion, with the $61 billion gap representing work repriced from FTE-based billing to outcome-based contracts. Three in four enterprise leaders expect to shift to SaS models, and more than 40% plan artificial intelligence (AI)-led customer experience within three years, according to the report. Legacy BPO delivery, which the report defines as FTE-based, process-management-oriented service contracts, faces approximately 75% disruption from SaS repricing, while digital BPO faces roughly 25% disruption as it already operates at higher automation levels. HFS Research said SaS models capture the process logic, the exception paths, and the decision rules that have previously lived in people, converting embedded operational knowledge into software platforms that price by the transaction, not the team. Software vendors and AI-native operators enter BPO's competitive field. Published outcome pricing in the SaS market ranges from $0.99 to $2.00 per resolved interaction, with Salesforce Agentforce priced at $2.00 per conversation and approximately $0.30 per three-action case, setting a commercial benchmark that incumbent BPO providers must match or reframe. Heritage BPO providers including Genpact, Firstsource, EXL, and WNS-Capgemini face competitive pressure not only from each other but from software vendors such as Salesforce, ServiceNow, and SAP Joule, alongside AI-native operators recording more than 500,000 daily interactions across 10 or more enterprise clients. HFS Research said the 2026 HFS SaS Awards drew 260 submissions from 126 organizations, with live deployments tracked against pre-deployment baselines, signaling that outcome-based BPO has moved from pilot to production at scale. For buyers and operators evaluating BPO models and pricing structures, the HFS Research data presents the SaS transition as a near-term commercial reality rather than a long-range forecast: established per-transaction pricing benchmarks, Fortune 50 adoption of AI-native operators, and the 2026 awards volume all indicate the market is already setting the terms of the next contracting cycle. BPO buyers renegotiating contracts in 2026 and 2027 should expect outcome-based pricing proposals alongside FTE alternatives, and the $61 billion deflation projection suggests that the same business outcomes will be available at materially lower cost as the SaS segment matures. FREE BPO MATCH Looking for the right outsourcing partner? Matched to your requirements - free, no obligation 5,200+ matches made Disclosure: Outsource Accelerator uses AI tools in the backend of its editorial workflow. Every article is reviewed and verified by a human editor before publication. Stay ahead of the outsourcing industry. Join thousands of business leaders who rely on Outsource Accelerator for the news, trends, and expert insights that matter. Subscribe to our free newsletter and never miss an update.

Law.com
Sep 4th, 2026
Inhouse impact award winner: Ajay Ayyappan, EVP and general counsel, ExlService Holding Inc.

Inhouse impact award winner: Ajay Ayyappan, EVP and general counsel, ExlService Holding Inc. The New York Law Journal honored attorneys and legal professionals at an awards ceremony in early September. Read a Q&A with Ajay Ayyappan, EVP and general counsel at ExlService Holding Inc., below. What are some of your most satisfying successes of the past year and why? Exclusive content. A Subscription is Required to Access this Content. * Strategic Intelligence - Business of law market insights from experts and analysts across all major legal markets * Integrated Insights - Compass and Radar context built right into articles. * Personalized Experience - Tailored homepage content and curated newsletters. * Smart Search & Alerts - Powerful search functionality and real-time updates. Questions? Contact us at [email protected] | 1-855-808-4530 (Americas) | 44(0) 800 098 386009 (UK & Europe) NOT FOR REPRINT Law.com Staff The New York Law Journal will honor attorneys and legal professionals at an awards ceremony in September. September 04, 2026 Law.com Staff The New York Law Journal will honor attorneys and legal professionals at an awards ceremony in September. September 04, 2026 Law.com Staff The New York Law Journal honored attorneys and legal professionals at an awards ceremony in early September. September 04, 2026 Law.com Staff The New York Law Journal honored attorneys and legal professionals at an awards ceremony in early September. September 04, 2026 Law.com Staff The New York Law Journal honored attorneys and legal professionals at an awards ceremony in early September. September 04, 2026

Yahoo Finance
Sep 3rd, 2026
EXL's insurance and healthcare president Vivek Jetley departs after 20 years to lead Hexaware

EXL announced that Vivek Jetley, president and head of Insurance, Healthcare and Life Sciences, will leave the company on 26 October 2026 to become chief executive officer of Hexaware Technologies Limited. Jetley has worked at EXL for nearly 20 years, playing a key role in building the company's analytics capability and leading its insurance and healthcare businesses. EXL chairman and chief executive officer Rohit Kapoor praised Jetley as "a great leader and trusted partner", expressing gratitude for his contributions to the company's evolution. Jetley will continue in his current role and assist with transitioning his responsibilities over the coming months. The New York-based data and AI company, which employs approximately 68,000 people across six continents, said it has a strong leadership team in place to continue executing its strategy.

GlobeNewswire
Sep 2nd, 2026
EXL announces departure of Vivek Jetley, president and Head of Insurance, Healthcare and Life Sciences.

EXL announces departure of Vivek Jetley, president and Head of Insurance, Healthcare and Life Sciences. September 02, 2026 09:15 ET | Source: EXL NEW YORK, Sept. 02, 2026 (GLOBE NEWSWIRE) - ExlService Holdings, Inc. (NASDAQ: EXLS), a global data and AI company, announced today that, effective October 26, 2026, Vivek Jetley, president and head of Insurance, Healthcare and Life Sciences is departing EXL to assume the role of Chief Executive Officer of Hexaware Technologies Limited. He will continue to serve in his current role and assist with the transition of his responsibilities over the coming months. "Vivek has been a great leader and trusted partner to me and our leadership team," said Rohit Kapoor, chairman and chief executive officer of EXL. "Over nearly 20 years, he has been an instrumental part of EXL's evolution - from building our analytics capability to leading our insurance and healthcare businesses. We are grateful for his many contributions and wish him success in this next chapter. EXL is fortunate to have a fantastic leadership team and a deep bench of talent, and we will not miss a beat in executing on our data and AI strategy." "It has been a privilege to be part of the EXL family and to work alongside such talented colleagues," said Mr. Jetley. "I am incredibly proud of all that we have accomplished together, and I look forward to supporting the Company in the coming months to ensure a smooth transition. I will always be rooting for EXL's continued success." About EXL EXL (NASDAQ: EXLS) is a global data and AI company that offers services and solutions to reinvent client business models, drive better outcomes and unlock growth with speed. EXL harnesses the power of data, AI, and deep industry knowledge to transform businesses, including the world's leading corporations in industries including insurance, healthcare, banking and capital markets, retail, communications and media, and energy and infrastructure, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have approximately 68,000 employees spanning six continents. For more information, visit www.exlservice.com. Cautionary Statement Regarding Forward-Looking Statements This press release contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995. You should not place undue reliance on those statements because they are subject to numerous uncertainties and factors relating to EXL's operations and business environment, all of which are difficult to predict and many of which are beyond EXL's control. Forward-looking statements include information concerning EXL's possible or assumed future results of operations, including descriptions of its business strategy. These statements may include words such as "may," "will," "should," "believe," "expect," "anticipate," "intend," "plan," "estimate" or similar expressions. These statements are based on assumptions that we have made in light of management's experience in the industry as well as its perceptions of historical trends, current conditions, expected future developments and other factors it believes are appropriate under the circumstances. You should understand that these statements are not guarantees of performance or results. They involve known and unknown risks, uncertainties and assumptions. Although EXL believes that these forward-looking statements are based on reasonable assumptions, you should be aware that many factors could affect EXL's actual financial results or results of operations and could cause actual results to differ materially from those in the forward-looking statements. These factors, which include recruitment and retention of leadership, our ability to maintain and grow client demand, our ability to hire and retain sufficiently trained employees, and our ability to accurately estimate and/or manage costs, rising interest rates, rising inflation and recessionary economic trends, are discussed in more detail in EXL's filings with the Securities and Exchange Commission, including EXL's Annual Report on Form 10-K. You should keep in mind that any forward-looking statement made herein, or elsewhere, speaks only as of the date on which it is made. New risks and uncertainties come up from time to time, and it is impossible to predict these events or how they may affect EXL. EXL has no obligation to update any forward-looking statements after the date hereof, except as required by applicable law. Contacts: Investor Relations Andrew Thut Head of Investor Relations and Capital Markets [email protected]