Jobs in the United States

25+ jobs

Added just now
AS
Test Engineer II
Air Squared Manufacturing, LLC
Thornton, CO
- $82,000 to $98,000 USD / year
We are seeking a Test Engineer II to join our growing team. This role is focused on designing test stands and testing new scroll compressors and vacuum pump designs, including liquid-cooled…
Added just now
E
Senior Analytics Engineer
Extend
Remote, United States
- $155,000 to $170,000 USD / year
…engineering best practices across SQL, dbt, code reviews, CI/CD, and development workflows. Identify opportunities to optimize performance, simplify architecture, and reduce manual…
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Civil Engineer - Land Development
GPAC
Irving, TX
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
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Civil Engineer - Land Development
GPAC
Dallas, TX
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
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Reliability Engineer
Louisville, CO · Salt Lake City, UT · Houston, TX
The Reliability Engineer supports a larger operations team and serves as a domain expert for technical and engineering matters related to the reliable and available operation of MV/HV…
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Civil Engineer - Land Development
GPAC
Dallas, TX
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added just now
Civil Engineer - Land Development
GPAC
Dallas, TX
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added just now
G
Civil Engineer - Land Development/Design
GPAC
Greenville, SC
- $115,000 to $145,000 USD / year
We are looking to add a Civil Engineer to our Engineering team. Our Civil Engineer's primary role is to provide engineering design & leadership for private land development projects.
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Civil Engineer - Land Development
GPAC
Camp Hill, PA
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added just now
Civil Engineer - Land Development
GPAC
Harrisburg, PA
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added just now
Civil Engineer - Land Development
GPAC
Harrisburg, PA
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added 1 min ago
CI
Senior Systems Engineer
Cintal, Inc.
Chillicothe, IL
- $80,000 to $105,000 USD / year
…advanced technologies to reduce product costs, shorten design and development lead times, and accelerate the introduction of high-quality products to the…
Added 1 min ago
AR
Systems Engineer - Journeyman
Applied Research Solutions
Bedford, MA
- $140,000 to $154,000 USD / year
Applied Research Solutions is seeking a full-time Systems Engineer at Hanscom AFB, in Bedford, Massachusetts.
Added 1 min ago
Civil Engineer - Land Development
GPAC
Brentwood, TN
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added 1 min ago
Civil Engineer - Land Development
GPAC
Brentwood, TN
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added 1 min ago
Civil Engineer - Land Development
GPAC
Brentwood, TN
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added 1 min ago
Transportation Engineer
GPAC
Raleigh, NC
Civil Roadway/Transportation Design Engineer with responsible for the planning, design, and development of transportation and roadway infrastructure projects from preliminary concepts…
Added 1 min ago
Transportation Engineer
GPAC
Chicago, IL
Civil Roadway/Transportation Design Engineer with responsible for the planning, design, and development of transportation and roadway infrastructure projects from preliminary concepts…
Added 1 min ago
Civil Engineer - Land Development
GPAC
Chicago, IL
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added 1 min ago
Product Engineer I
UST Global Inc
Summit, WA
We are seeking a motivated Product Engineer I to support the planning, coordination, and execution of engineering projects. This entry-level role is ideal for candidates eager to apply…
Added 1 min ago
Transportation Engineer
GPAC
Chicago, IL
Civil Roadway/Transportation Design Engineer with responsible for the planning, design, and development of transportation and roadway infrastructure projects from preliminary concepts…
Added 1 min ago
Civil Engineer - Land Development
GPAC
Chicago, IL
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added 1 min ago
Civil Engineer - Land Development
GPAC
Jacksonville, FL
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added 1 min ago
Civil Engineer - Land Development
GPAC
Tampa, FL
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…
Added 1 min ago
Civil Engineer - Land Development
GPAC
Tampa, FL
…experienced engineers and project managers to deliver innovative land development projects throughout the Nashville area. This is an excellent opportunity for an engineer who enjoys…

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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