Jobs in the United States

25+ jobs

Added 1 min ago
Senior Electrical Engineer - Projects
Freeport McMoRan
Safford, AZ
Provide technical expertise and guidance throughout all phases of electrical engineering projects. Lead the development and implementation of innovative electrical engineering solutions…
Added 1 min ago
Advanced Commercialization Engineer IV (ACE Engineer IV)
Applied Materials, Inc
Kalispell, MT
· Engages suppliers as key technical partners, leading hands-on co-development, capability assessments, manufacturing process development, and TRM alignment for complex parts and…
Added 2 mins ago
A
Quality Engineer
Actalent
Eden Prairie, MN
- $43 to $52 USD / hour
Collaborate closely with manufacturing and other cross-functional development teams to support product and process improvements.
Added 2 mins ago
A
Project Engineer
Actalent
Eden Prairie, MN
- $75,000 to $106,000 USD / year
Job Title: Project Engineer / Project ManagerJob DescriptionThis role leads cross-functional automotive engineering projects through the full product development life cycle, ensuring…
Added 4 mins ago
Senior Software Engineer - Fullstack with Rust
Veeva
Remote, United States
We are looking for a Fullstack Sr. Software Engineer who is energized by building a new agent first CRM platform from 0 to 1. You will have a high degree of ownership over the entire stack:…
Added 5 mins ago
MP
Electrical Engineer II
MESA POWER SOLUTIONS LLC
Evansville, WY
- $96,000 to $106,000 USD / year
…responsible power systems to industrial markets nationwide. We engineer and build advanced, sound-attenuated, temperature-controlled generator sets designed to perform in the toughest…
Added 5 mins ago
Software Development Engineer II, Selling Partner Trust & Compliance
Amazon.com Services LLC
Seattle, WA
…Amazon easier and safer in your first few weeks? As a Software Development Engineer on the Selling Partner Services team you will be actively working on systems and features that accomplish…
Added 5 mins ago
Software Development Engineer
Amazon.com Services LLC
Seattle, WA
…You'll design, build, and operate distributed systems that process massive datasets, meet strict SLA requirements, and break fresh ground in product and technical innovation every day. This…
Added 5 mins ago
Software Development Manager, AWS Tagris
Amazon Development Center U.S., Inc.
Seattle, WA
…what will help each team member develop into a better-rounded engineer and enable them to take on more complex tasks in the…
Added 5 mins ago
Senior System Development Engineer, Leo - Payload and Terminals
Amazon Kuiper Manufacturing Enterprises LLC
Redmond, WA
The Amazon LEO Payload and Terminals team owns all Antenna development lab activities and provides lab as a fully managed service. We make it possible to develop, build and test on real…
Added 5 mins ago
Software Dev Engineer, Antenna Calibration, Amazon Leo
Amazon Kuiper Manufacturing Enterprises LLC
Redmond, WA
- 1+ years of software development engineer or related occupational experience
Added 5 mins ago
Security Engineer, Field Innovation, Security Search and Observability (SSO)
Amazon Development Center U.S., Inc.
Austin, TX · Arlington, VA · Santa Clara, CA
We are hiring a Security Engineer to work at the intersection of customer impact and AI. Our team builds and operates the detection, correlation, and vulnerability-management capabilities…
Added 6 mins ago
Hardware Systems Engineer, Hardware Tools / Firmware
Cloudflare
Austin, TX
Cloudflare’s Hardware Team is hiring a Systems Engineer, with a firmware focus, in the U.S. to help deliver the Hardware team’s security goals and projects in 2027 & beyond.
Added 6 mins ago
Hardware Systems Engineer - AI Hardware
Cloudflare
Austin, TX
…as well as PDUs and network hardware. As a Hardware Systems Engineer, you will work with colleagues on the Engineering teams, Product and Performance teams, and Hardware Sourcing teams to…
Added 7 mins ago
Plant Engineer
Bridgestone Americas Tire Operations, LLC
United States
The Engineering Services Manager or Plant Engineer is a key plant leadership role focusing on the factory, the property, infrastructure, and the equipment used to manufacture tires. This…
Added 8 mins ago
Manufacturing Engineer II
Inertia Dynamics LLC
New Hartford, CT
Monitor timelines and project deliverables to ensure adherence with approved project plans for manufacturing process development.
Added 8 mins ago
Sr. Reliability Engineer
Westlake Management Services, Inc.
Longview, TX
Participate in the maintenance budgeting process.
Added 8 mins ago
GI
Data Engineer/Analyst
Guidehouse Inc.
VA
- $98,000 to $163,000 USD / year
Contribute to client delivery, business development, internal firm initiatives, and continued professional development in data engineering, analytics, data science, and federal consulting.
Added 8 mins ago
Senior Principal Software Engineer – GlobalProtect (Windows & macOS Internals)
Palo Alto Networks, Inc.
CA
As a Senior Principal Software Engineer for GlobalProtect, you will be the hands-on technical authority for our endpoint networking stack across the Windows driver and macOS…
Added 8 mins ago
Systems Engineer II
RTX
United States
…environments? Raytheon is seeking a talented and motivated Systems Engineer II to join our team within the Systems Engineering and Test Capabilities (SETC) Discipline, supporting the LTAMDS…
Added 8 mins ago
Electrical Engineer 1 (Onsite)
RTX
United States
…businesses, world-class operations and investments in research and development, we offer capabilities and opportunity no one else can. Together, we push the boundaries of known science and…
Added 8 mins ago
Systems Requirements & Specification Engineer Onsite
RTX
United States
Raytheon’s Systems Engineering and Test Capabilities (SE&TC) Surface Radars & Sensors Center is seeking a Senior System Engineer interested in leading requirements and specification…
Added 8 mins ago
Scrum Master – Senior Software Engineer
RTX
United States
…looking for a Software Scrum Master (SM) – Senior Software Engineer for the AN/TPY-2 radar program Orcas agile software team. The Orcas team provides subject matter expertise for concept…
Added 8 mins ago
Scrum Master –Software Engineer II
RTX
United States
…Raytheon is looking for a Software Scrum Master (SM) – Software Engineer II for the AN/TPY-2 radar program Orcas agile software team. The Orcas team provides subject matter expertise for…
Added 8 mins ago
Sr Service Engineer, Avionics Service and Support (Onsite)
RTX
United States
…businesses, world-class operations and investments in research and development, we offer capabilities and opportunity no one else can. Together, we push the boundaries of known science and…

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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