Remote Healthcare Quality & Training Specialist

EXL Talent Acquisition Team; United States; Remote; USD 75,000 - 90,000; Full time

Job summary

EXL Service is seeking a remote, US-based auditor to review completed audit findings, identify overpayment opportunities, and validate claim repricing accuracy with supporting documentation. The role also develops training plans and resources, ensuring alignment with client requirements and pricing rules, while coaching auditors for continuous improvement.

The position offers a salary range of $75,000–$90,000 based on experience, with up to 10% travel for team meetings and client engagements.

Qualifications

• Strong healthcare claims knowledge.
• Ability to analyze data and identify improvements.
• Attention to detail across audits and documentation.
• Ability to deliver virtual training and coaching.
• Clear communicator with stakeholders.

Responsibilities

• Review completed audit findings and validate overpayment opportunities.
• Confirm claim repricing accuracy and ensure supporting documentation.
• Develop and support training plans and learning resources.
• Ensure audit work aligns with client requirements and pricing rules.
• Provide ongoing feedback to improve auditor performance and recovery outcomes.

Skills

Healthcare claims knowledge

Analytical thinking

Attention to detail

Virtual training capability

Effective communication

Feedback and coaching

Job description

EXL Service is seeking a remote, US-based auditor to review completed audit findings, identify overpayment opportunities, and validate claim repricing accuracy with supporting documentation. The role also develops training plans and resources, ensuring alignment with client requirements and pricing rules, while coaching auditors for continuous improvement.

The position offers a salary range of $75,000–$90,000 based on experience, with up to 10% travel for team meetings and client engagements.