Vice President Payment Integrity - Innovations & Solutions

VP, Solutions & Innovation is a highly strategic leadership role responsible for driving solution innovation, enterprise platform strategy, and client-centric transformation initiatives for EXL’s Payment Integrity (PI) Strategic Growth Unit.

This role will focus on identifying emerging opportunities across the healthcare ecosystem and translating them into scalable enterprise solutions that leverage advanced analytics, AI, automation, and data platforms. The leader will play a pivotal role in shaping the future of technology-enabled healthcare solutions by designing differentiated offerings that address complex industry challenges.

As a key driver of innovation and growth, this role will partner closely with cross-functional teams to incubate new solution concepts, develop enterprise platforms, and accelerate the commercialization of next-generation capabilities. The role will also serve as a senior client-facing leader, engaging with executive stakeholders to articulate solution value propositions, support strategic pursuits, and build long-term partnerships.

With a strong focus on solution architecture, enterprise system design, and growth acceleration, this leader will oversee the development of scalable offerings that enhance operational efficiency, enable data-driven decision making, and deliver measurable value to clients. The ideal candidate is a visionary leader with strong industry expertise, exceptional communication skills, and the ability to translate complex healthcare challenges into innovative and scalable solutions.

This role reports directly to the Senior Vice President of Payment Integrity.

Education : 

• Master’s degree or Bachelor’s degree in business administration, Economics, Finance, Engineering, or related discipline

Experience: 

• 20+ years of experience in healthcare technology, healthcare analytics, enterprise solutions, or digital transformation
• Demonstrated experience in designing and delivering enterprise-scale healthcare platforms, solutions, or transformation initiatives
• Strong understanding of healthcare payer ecosystem, healthcare operations, and technology-enabled solutions
• Proven track record of engaging with senior client stakeholders and supporting large deal pursuits or solution-led growth initiatives
• Experience building scalable enterprise systems leveraging analytics, AI/ML, 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
• Entrepreneurial mindset with the ability to operate in rapidly evolving and innovation-driven environments
• Proven ability to build, mentor, and lead high-performing teams

Preferred Skills:

• 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 function
• Strong analytical and problem-solving skills, with the ability to break down complex issues into manageable tasks
• Professional maturity and credibility to represent the SGU Head with senior stakeholders and external partners
• Strong Excel and Presentation skills required

Salary Range:  $200,000 to $250,000

The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.

Solutions Strategy & Innovation:

• Lead the development of scalable, technology-enabled healthcare solutions that primarily address evolving payers and healthcare market needs and expansion to other market verticals
• Drive the incubation and development of next-generation enterprise platforms leveraging AI, automation, and advanced analytics to deliver differentiated capabilities
• 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

Client Engagement & Growth

• 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

Enterprise System Development

• 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

Leadership, Reporting & Strategic Insights

• 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