Jobs in the United States

25+ jobs

Added 1 min ago
UO
Flight Software Simulation Engineer
University of Colorado Denver
Boulder, CO
- $34,986 USD / year
LASP is looking for a Flight Software Simulation Engineer to join the spacecraft simulator team for a deep space mission that will tour the inner solar system and explore the main asteroid…
Added 8 mins ago
W
Software Engineer II | Bentonville, Arkansas
Walmart
BENTONVILLE, AR
- $80,000 to $155,000 USD / year
As a Software Engineer II, you will deliver high-quality software solutions by collaborating with cross-functional teams to design, develop, and maintain scalable applications and services.…
Added 8 mins ago
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Staff, Data Engineer | Bentonville, Arkansas
Walmart
BENTONVILLE, AR
- $110,000 to $220,000 USD / year
Walmart is seeking a Staff Data Engineer to design and implement scalable data solutions that support business objectives across multiple domains. This role involves translating complex…
Added 8 mins ago
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(USA) Staff, Data Engineer
Walmart
BENTONVILLE, AR
- $110,000 to $220,000 USD / year
As a Staff Data Engineer at Walmart, you will design and implement scalable data solutions that align with business strategies and regulatory requirements. This role involves translating…
Added 13 mins ago
Solutions Lead, International Upmarket
Toast
Remote, United States
Engineer workarounds, and know when to hold the line. Design and document solutions to complex gaps, and judge when a workaround creates debt we'll pay for at go-live.
Added 34 mins ago
Air Proprietary Senior Tooling Engineer
The Boeing Company
Berkeley, MO
+ Drive tooling lifecycle management, configuration control, change management, and documentation (process plans, inspection procedures, safety analyses, maintenance procedures).
Added 34 mins ago
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Process Engineer
Blucor
Lawrenceville, GA
- $85,000 to $95,000 USD / year
ETRIA Manufacturing USA Inc. (EMUS), a member of the Ricoh family of companies and part of a joint venture with Toshiba TEC, is seeking a Process Engineer for its Toner Department in…
Added 34 mins ago
Automation Controls Engineer
Blucor
Lawrenceville, GA
Working knowledge of the practical application of engineering science and technology to produce various products. (Experience in chemical manufacturing process/powder handling is a plus.)
Added 42 mins ago
Senior Contract Software Engineer (Data & Platform)
Nimble
Remote, United States
We're looking for a senior contractor to help tackle some of our most challenging data and platform problems. You'll work directly with our engineering team on high-impact projects with…
Added 54 mins ago
ENGINEER TEST 1 - ALIGNMENT SPECIALIST
HII
Pascagoula, MS
The Engineer Test (Alignment Specialist) supports alignment, measurement, and verification activities for radar and gun foundations within the Test & Trials organization. This role requires…
Added 55 mins ago
RC
Assistant Quality Manager
Ryan Companies US, Inc.
Denver, CO
- $40,123 USD / year
Review Architect/Engineer field reports to ensure all quality-related issues are communicated to the project team and trade partners.
Added 55 mins ago
RC
Quality Engineer
Ryan Companies US, Inc.
Denver, CO
- $40,123 USD / year
…hours worked, employment status, length of service, location, and other considerations. Detailed information will be shared with eligible candidates during the hiring process, and the…
Added 1 hour ago
Release Train Engineer
Amentum
Springfield, VA
The Geospatial Enterprise Open Data Store (GEODS) contract provides integration, design, development, and sustainment for data services in support of the Federal Government.
Added 1 hour ago
Product Manager, Data Management
Amentum
Merrifield, VA
The Geospatial Enterprise Open Data Store (GEODS) contract provides integration, design, development, and sustainment for data services in support of the Federal Government.
Added 1 hour ago
Senior Materials and Process Engineer
ColdQuanta
Louisville, CO
We are seeking a Senior Materials and Process Engineer to own materials and manufacturing process development for the Quantum Gravity Gradiometer (QGG) program. This hands-on role turns…
Added 1 hour ago
Electrical Engineer- Tooling
NLIGHT Inc
Longmont, CO
Added 1 hour ago
Electrical Engineer - Tooling
NLIGHT Inc
Longmont, CO
Added 1 hour ago
Mission IT Integration Engineer
The Aerospace Corpor
Colorado Springs, CO
The Aerospace Corporation is the trusted partner to the nation's space programs, solving the hardest problems and providing unmatched technical expertise. As the operator of a federally…
Added 1 hour ago
Software QA Engineer
Maxar Intelligence I
Colorado Springs, CO
Added 1 hour ago
Software QA Engineer
Maxar Intelligence I
Colorado Springs, CO
Added 1 hour ago
2027 Cloud Solutions Engineer / Site Reliability Grad Intern
The Aerospace Corpor
Colorado Springs, CO
The Aerospace Corporation is the trusted partner to the nation's space programs, solving the hardest problems and providing unmatched technical expertise. As the operator of a federally…
Added 1 hour ago
IR Plume M&S System Engineer
deciBel Research, Inc.
Colorado Springs, CO
Added 1 hour ago
ETL Test Engineer
IDR Inc.
Denver, CO
IDR is seeking a ETL Test Engineer to join one of our top healthcare clients!. In this role, you will help ensure the quality and reliability of cloud-based data integration and ETL…
Added 1 hour ago
EC
Regional Application Engineer
Eaton Corporation
Denver, CO · Littleton, CO
- $99,000 to $145,000 USD / year
Eaton’s Global Energy Infrastructure Solutions (GEIS) division is currently seeking a Regional Application Engineer supporting the commercial and industrial markets as part of the Regional…
Added 1 hour ago
Analytics Engineer
Benchmark Utility Services
Remote, United States
The Analytics Engineer builds and supports the reporting, data preparation, and business solutions layer of the technology environments NextEra delivers to its clients. This role turns…

Senior Manager - Data Mining & Exploratory Intelligence

United States

*Base Pay Range: $93,900- $154,200 For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits

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Job details

Pay: *Base Pay Range: $93,900- $154,200 For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
Experience: 10+ years of experience in operations with a strong focus on claims adjudication and payment Integrity
Posting language: English
Posted: Nov 4, 2026

Original job description

We are seeking a seasoned Claims Domain Subject Matter Expert in our CRE – Concept research & exploratory team within our Datamining COE for exploratory claims analysis and support the development of advanced data mining capabilities. This role will focus on identifying claims patterns, anomalies, and potential overpayments across Medicare, Medicaid and commercial platforms, while translating deep operational insight into actionable analytics concepts and solutions.

The ideal candidate brings extensive hands-on claims experience and can “reverse engineer” claims behavior to inform data-driven strategies, tools, and controls.

*Base Pay Range: $93,900- $154,200 For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits

Lead exploratory analysis of claims data to identify utilization patterns, anomalies, and potential overpaid or inappropriate claims
Apply deep knowledge of billing rules, coding, reimbursement, and workflows to guide data mining and investigative efforts
Perform reverse engineering of claims outcomes to understand root causes of payment issues and system behaviors
Translate operational and claims insights into clear use cases, concepts, and solution ideas for analytics and product teams
Partner closely with analytics, product, and strategy teams to ensure solutions align with real-world claims operations
Validate data-driven findings against practical claims and payment realities
Clearly communicate insights, risks, and opportunities to both technical and non-technical stakeholders
Support ongoing refinement and scaling of claims monitoring and overpayment detection capabilities
10+ years of experience in operations with a strong focus on claims adjudication and payment Integrity
Extensive experience across Medicare, Medicaid or/ and commercial platforms
Demonstrated expertise in 360-degree claims review, auditing, and payment integrity
Proven ability to identify patterns, anomalies, and inappropriate payments within large claims datasets
Strong analytical mindset with the ability to bridge operations and data science
Experience collaborating with cross-functional teams (analytics, product, strategy, compliance)
Excellent communication skills with the ability to explain complex claims concepts clearly
Prior involvement in payment integrity, SIU, or recovery initiatives
Experience supporting or designing claims analytics or data mining programs
Familiarity with common coding schemes, authorization models, and provider billing behaviors

*The posted base salary range is the hiring base salary range for this role. 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.

EXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, 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 more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com.

EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.

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Skills

Data mining
Reverse engineering
Auditing
Regulatory compliance
Communication skills

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