Senior ManagerEXL SM 1433582 Payment ServicesChennai Posted On 26 Jul 2025 End Date 09 Sep 2025 Required Experience 12 - 18 Years Basic Section Number Of Positions 1 Band C2 Band Name Senior Manager Cost Code D005930 Campus Non Campus NON CAMPUS Employment Type Permanent Requisition Type Backfill Max CTC 1100000 0000 - 2200000 0000 Complexity Level Not Applicable Work Type Hybrid - Working Partly From Home And Partly From Office Organisational Group Healthcare Sub Group Healthcare Organization Payment Services LOB Payment Services SBU Payment Integrity - Operations Country India City Chennai Center IN Chennai C51 Skills Skill MEDICAL CODING AUDIT SME ANALYSIS MANAGEMENT Minimum Qualification BACHELOR OF SCIENCE Certification No data available Skills Requirements Job Name Manager Position Title Senior Manager Band C2 Role Managment Reporting to AVP Sr AVP Location Site EXL India Overview Senior Manager is responsible for leading strategic initiatives that ensure accurate and appropriate healthcare payments This includes leveraging advanced medical coding analysis enforcing policy adherence and driving overpayment recovery programs The role plays a critical part in identifying automation and digitalization opportunities to streamline coding processes and enhance operational efficiency Qualifications Bachelor s Degree B sc M Sc Nursing Pharmacy Biotech Certifications CPC COC - Certified Professional Outpatient coder CCS - Certified Coding Specialist CIC - Certified Inpatient Coder Experience Sr Manager 12 to 18 years experience in medical coding auditing and automation Skills and Abilities Advanced knowledge of medical coding software platforms e g 3M Code Finder Optum360 True Code Epic Cerner etc Minimum 12 years of hands-on experience in multispecialty medical coding Knowledge of automation tools is an added advantage Payer experience is an added advantage Expertise in Microsoft outlook excel word Power BI Analytical skills Team management Program management - TAT escalations Quality Strategic thinking decision making Cost management - GM GC RPE Primary Roles and Responsibilities Strategic leadership Client Market share analysis strategy to hold more shares by conducting chance analysis planning Prepare and present reports on new finding opportunities financial impacts and existing High and low finding opportunities to leadership Digital Design and lead initiatives to optimize claims processing and identify fraud waste and abuse To identify and implement automation and digital transformation to enhance organizational growth Leverage advanced analytics to identify overpayments Explore and implement AI ML solutions for fraud detection and claim validation Team management Lead team of SMEs AMs and Managers providing mentorship performance reviews and training Cross-functional collaboration collaboration with clinical operations coding operations quality repricing training digital IT and technology to align with organizational growth Interface with onshore and clients to resolve disputes and explain audit findings Data and Reporting Analyze large data sets to detect aberrant payment patterns and coding patterns trends Prepare and maintain SOPs Audit manuals wherever necessary Additional Roles and Responsibilities Handle Think team which has subject matter experts Oversee Think operations of payment integrity Manage staffing scheduling and resource allocation Stay updated on changes in healthcare Develop and implement quality improvement initiatives Strategic planning process to align organizational goals Engage in market analysis to understand the competitive landscape Maintaining SOP and Audit manual Track key performance indicators KPIs Workflow Workflow Type L S-DA-Consulting

📌 Senior Manager (Tamil Nadu)
🏢 EXL Service
📍 Tamil Nadu