• Responsible for planning, tracking, and coordinating payment integrity projects to ensure timely delivery of audit, coding review, and claims validation initiatives. Monitors project metrics, manage governance reporting, tracks risks and action items, supports stakeholder communication, and ensures compliance with client and payer requirements. Works closely with operations, quality, audit, MIS, and leadership teams to drive process improvements, productivity, and operational excellence. Clinical experience and skillset, to review clinical information/medical record and summarize relevant clinical information based on set of guidelines/criteria. Performs best practice reviews and identify areas for improvement

Responsibilities
Roles & Responsibilities:

• Strong personal and skilled ethics.

• Strong written (documentation) and oral communication skills.

• Must have strong analytical, problem-identification and process analysis skills with the ability to envision a solution from requirements.





• Working within the timelines and getting necessary sign-off on each stage of work from stakeholders.

• Maintenance and updating reports as required.

• Must ensure availability for meeting/calls as required.

• Work independently and as a team.

• Liaison with the program/project manager as required.

• Good team player & collaborative approach.

• Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs.

• Track project milestones, deliverables, and timelines.

• Evaluate and analyze MIS reports, dashboards, and governance presentations.

• Monitor productivity, quality, and SLA performance.

• Coordinate with operations, audit, coding, and client teams.

• Manage risks, issues, and action-item closures.

• Support process improvement and compliance initiatives.

• Facilitate meetings and maintain project documentation.

• Collaborate with cross-functional teams

📌 Assistant Manager (India)
🏢 EXL
📍 India