Trainer / Quality Analyst – Data Mining, Payment Integrity

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

This position reviews completed audit findings, validates overpayment opportunities, confirms claim repricing accuracy and supporting documentation, develops and supports training plans and learning resources, and ensures audit work aligns with client requirements, coding guidelines, pricing rules, and claim payment methodologies. The ideal candidate brings strong healthcare claims knowledge, analytical thinking, attention to detail, virtual training capability, effective communication skills, and the ability to provide clear feedback, coaching, and training support that strengthens auditor performance, continuous improvement, and recovery outcomes.

Salary Range: $75,000 – $90,000 (based on experience, skills, and qualifications)
Location: 100% Remote (U.S.-based)
Up to 10% annual travel (for team meetings and limited client onsite engagements.)

For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits