highlisted

Manager

EXL·Chennai

Pay not stated7–13 yrsFull-time

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About the role

As a Data Mining Manager, you will lead the development and execution of data mining strategies across multiple projects. You will be responsible for ensuring that all data mining activities are aligned with the organization�s strategic goals. This role involves managing a larger team, including data analysts, senior associates, and assistant managers, and ensuring that they have the resources and support they need to succeed.

What you'll do

  • Lead exploratory analysis of claims paid data to identify utilization patterns, anomalies, and potential overpaid or inappropriate claims
  • Apply deep knowledge of CMS rules, contract interpretation, 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

What you need

  • 7–13 years in data & business analytics
  • Data analysis
  • Statistics
  • Claims processing
  • Product strategy
  • B.Tech or B.E. or B.Sc or BCA

What you get

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