Jobs in the United States

25+ jobs

Added 3 mins ago
D
Senior Principal Full Stack Engineer
DigiCert
Sterling, VA
- $179,000 to $215,000 USD / year
Participate in system architecture, service design, and data modeling to ensure scalability, reliability, and performance (15%).
Added 4 mins ago
Instrumentation & Controls Engineer II
AtkinsRealis USA Inc.
United States
We're AtkinsRéalis, a world-class engineering services and nuclear organization. We connect people, data and technology to transform the world's infrastructure and energy systems. Together,…
Added 4 mins ago
Staff Machine Learning Engineer - Commerce & Growth Intelligence
Apple
Cupertino, CA · San Francisco, CA
The Commerce & Growth Intelligence team is looking for a Staff Machine Learning Engineer to build the systems that bring ML capabilities into customer-facing products.
Added 10 mins ago
OA
Interdisciplinary General Engineer/Physical Scientist - Recent Graduate
Other Agencies and Independent Organizations
Grand Junction, CO · Menlo Park, CA · Morgantown, WV · Richland, WA · Paducah, KY · Golden, CO · Lexington, KY · Warrenville, IL · Chicago, IL · Germantown, MD · Lemont, IL · Idaho Falls, ID · New Orleans, LA · Anchorage, AK · Moab, UT · Ames, IA · Hanford, WA · Washington, DC · Berkeley, CA · Westminster, CO · Albany, OR · Upton, NY · Oak Ridge, TN · Pittsburgh, PA · Piketon, OH · Las Vegas, NV · Plainsboro, NJ · Aiken, SC · Portsmouth, OH · West Valley, NY · Albuquerque, NM · Weldon Spring, MO · Los Alamos, NM · Carlsbad, NM · Cincinnati, OH
- $50,460 to $100,315 USD / year
…and responsibilities will be discussed during the interview…
Added 10 mins ago
OA
Interdisciplinary General Engineer/Physical Scientist - Recent Graduate
Other Agencies and Independent Organizations
Anchorage, AK · Lemont, IL · Chicago, IL · Hanford, WA · Golden, CO · Germantown, MD · Ames, IA · Warrenville, IL · Washington, DC · Menlo Park, CA · Idaho Falls, ID · Richland, WA · Grand Junction, CO · Morgantown, WV · Moab, UT · Lexington, KY · Paducah, KY · Westminster, CO · New Orleans, LA · Berkeley, CA · Pittsburgh, PA · Carlsbad, NM · Albany, OR · Upton, NY · Weldon Spring, MO · Cincinnati, OH · Piketon, OH · Albuquerque, NM · West Valley, NY · Oak Ridge, TN · Plainsboro, NJ · Las Vegas, NV · Los Alamos, NM · Aiken, SC · Portsmouth, OH
- $56,039 to $100,315 USD / year
…and responsibilities will be discussed during the interview…
Added 10 mins ago
OA
General Engineer - Recent Graduate
Other Agencies and Independent Organizations
Golden, CO · New Orleans, LA · Moab, UT · Idaho Falls, ID · Paducah, KY · Richland, WA · Hanford, WA · Menlo Park, CA · Grand Junction, CO · Morgantown, WV · Berkeley, CA · Westminster, CO · Warrenville, IL · Germantown, MD · Anchorage, AK · Lexington, KY · Chicago, IL · Washington, DC · Lemont, IL · Ames, IA · Pittsburgh, PA · Los Alamos, NM · Piketon, OH · Cincinnati, OH · Carlsbad, NM · Albuquerque, NM · Oak Ridge, TN · Upton, NY · West Valley, NY · Albany, OR · Weldon Spring, MO · Aiken, SC · Las Vegas, NV · Plainsboro, NJ · Portsmouth, OH
- $56,039 to $100,315 USD / year
…and responsibilities will be discussed during the interview…
Added 10 mins ago
DevOps Engineer
Initiate Government Solutions
Washington, DC
Create and foster Self-Service Principles - create automated process for creating on-demand platform for deploying containerized applications and exposing API endpoints to federal data…
Added 12 mins ago
MicroStrategy Engineer
PACSUN
Anaheim, CA
The MicroStrategy Engineer is a hands-on technical role responsible for developing, enhancing, administering, and supporting Pacsun’s enterprise reporting and analytics solutions using…
Added 14 mins ago
Junior Data Engineer/Scientist - Washington, D.C
Serco USA
Washington Navy Yard, DC · Alexandria, VA · Arlington, VA · Washington, DC · VA · MD · Fairfax, VA · Herndon, VA · Crystal City, VA · Falls Church, VA · Manassas, VA · McLean, VA · Vienna, VA · Reston, VA · Rosslyn, VA · Dumfries, VA · Fredericksburg, VA · Gainesville, VA · Springfield, VA · Glen Allen, VA · Clintwood, VA · Potomac Falls, VA
…opportunity for you! Serco has an exciting opportunity for a Junior Data Engineer/Scientist to support U.S. Navy’s Team Submarine Program Offices at the Washington Navy Yard in Washington,…
Added 15 mins ago
Firmware Engineer II
Spectra Logic
Boulder, CO
Spectra Logic is hiring a Firmware Engineer to design, build and validate embedded firmware for its tape library systems, including the Cube and TFinity platforms. You will write the code…
Added 19 mins ago
UG
Lead AI/ML Platform Engineer - Remote
UnitedHealth Group
Eden Prairie, MN
- $145,500 to $249,500 USD / year
…commitments and committed audit-related deliverables. As a Lead AI/ML Engineer, you will help design and build this end-to-end AI lifecycle governance platform. You will establish technical…
Added 19 mins ago
Software Engineer
LendingTree
Denver, CO
Help build the technology that powers our advertiser platform and supports our business. As a Full Stack Engineer, you’ll solve complex problems, create exceptional customer experiences,…
Added 23 mins ago
Senior Software Engineer
DK Crown Holdings Inc.
Boston, MA
As a Senior Software Engineer, you'll help build the technology powering DraftKings Exchange, a new business vertical at the intersection of technology, financial markets, and…
Added 26 mins ago
Senior Sales Engineer (Houston)
DQQ Cohesity Inc.
Remote, United States
We are seeking a driven and technically strong Senior Sales Engineer to support enterprise sales engagements and help customers adopt Cohesity’s modern data security and management…
Added 26 mins ago
Senior SLED Sales Engineer - Public Healthcare (West Accounts)
DQQ Cohesity Inc.
Remote, United States
We are seeking a driven and technically strong Senior Sales Engineer to support public healthcare sales engagements and help customers adopt Cohesity’s modern data security and management…
Added 30 mins ago
Technical Program Manager, Release & Certification
Anduril Industries
Costa Mesa, CA · Seattle, WA
…OS, an AI-powered operating system that turns thousands of data streams into a realtime, 3D command and control center. As the world enters an era of strategic competition, Anduril is…
Added 32 mins ago
Engineer- Product Definition
GE Gas Turbines (Greenville) L.L.C.
United States
…both operational and technical excellence. As a technical and process owner, this role will follow and champion strategies for continuous improvements and problem-solving, potentially…
Added 35 mins ago
Forward Deployed Engineer, AI Transformation -Senior Vice President
Citigroup
Tampa, FL
business process owners and technology leaders to fundamentally reimagine and re-engineer core business processes. You will help define principled approaches to agentic solution design and…
Added 35 mins ago
Management Consultant - Data Engineer
IBM
Miami, FL · Naples, FL
As a Data Engineer specializing in Data Platforms-Databricks, you will play a critical role in building and enhancing the Databricks platform for client's Data and AI use cases. This…
Added 35 mins ago
EG
Senior Software Engineer, Quality Engineering
Eliassen Group
Orlando, FL
- $80 to $86 USD / hour
Our client seeks a Senior Software Engineer, Quality Engineering to support the Core IAM ecosystem across diverse business units. The role will design and implement scalable test strategies…
Added 36 mins ago
A
Data Center Construction Land Surveyor
Actalent
West Fargo, ND
- $40 USD / hour
Collect and process survey data using modern surveying technologies and software.
Added 36 mins ago
A
Data Center Land Surveyor
Actalent
Ellendale, ND
- $40 USD / hour
Collect and process survey data using modern surveying technologies and software.
Added 36 mins ago
A
2D Design Engineer
Actalent
Austin, TX
- $55 to $65 USD / hour
Job Title: 2D Design Engineer / Layout EngineerLocation: Long term will be located in Austin, TX (first 2-3 months will be traveling/working onsite in Pittsburg, PA for training)Job…
Added 38 mins ago
Senior Staff Software Engineer - AI/ML Inference Engineering
ServiceNow
Santa Clara, CA
It all started when engineer Fred Luddy wrote code that automated a tedious task for his coworker, Phyllis. She cried tears of joy. That moment inspired Fred to build a company that could…
Added 38 mins ago
Senior Staff Software Engineer - AI/ML Inference Engineering
ServiceNow
San Diego, CA
It all started when engineer Fred Luddy wrote code that automated a tedious task for his coworker, Phyllis. She cried tears of joy. That moment inspired Fred to build a company that could…

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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