Qureos Mentor

EXL Service

<div>Job Description: Job Description :
Design, develop, and optimize data platforms that support enterprise-wide data management and analytics. Architect scalable solutions using modern cloud-native data warehouses such as AWS Redshift, Snowflake, and Azure Synapse Analytics. Leverage Microservices Architecture to support various data workloads, including data marts, data warehouses, and AI/ML applications. Implement and test Python applications with a strong understanding of object-oriented programming, multi-tier architecture, and parallel/multi-threaded programming. Leverage expertise in Hadoop and Cloud services such as Lambda, Step Functions, Event Bridge, DynamoDB, and CloudFormation to build efficient, secure, and scalable data solutions. Utilize predictive analytics to enhance data workflows, supporting real-time insights and data-driven decision-making. Play a critical role in improving operational efficiency, enabling business intelligence, and driving innovation in cloud-based data platforms. This position will require up to 10% travel on an as-needed basis for project meetings, trainings, and implementation support. Position may work at various and unanticipated worksites throughout the United States. Telecommuting permitted.</div>
 <div>Responsibilities: .</div>
 <div>Qualifications: Job Requirements :
Requires Bachelor&rsquo;s degree in Computer science, Information Technology, or a directly related field plus Three (3) years of Experience in Data engineering, cloud computing, or software development. Must have at least three (3) years experience with the following: Cloud-based data platforms such as AWS, Azure, or Google Cloud. Expertise with Hadoop ecosystem tools (HDFS, Sqoop, Hive, MapReduce, HBase, Airflow). Data processing frameworks and tools, including Spark, Python, SQL and ETL pipelines. Database management and data modeling in relational and non-relational databases (e.g.,Redshift, Snowflake, DynamoDB). Understanding of microservices architecture and its application in data-driven environments. Familiarity with infrastructure-as-code tools like AWS CloudFormation or Terraform. Troubleshooting complex data integration issues. Experience with GitHub/Bitbucket Actions, CI/CD pipelines, and deployment workflow across dev-to-prod environment. Experience in data visualization using BI tools, including dashboards/reports creation. Collaborating with cross-functional teams, including data governance, DevOps, and business stakeholders. At least one relevant certification in AWS, Azure or Google Cloud is required.
40 hours/week, 9:00am-5:00pm, Salary range: $140,000 to $150,000 per year.
To apply: Send resume and cover letter to us.careers@exlservice.com. Must cite job title and code EXL58 in response. This notice is subject to ExlService.com, LLC's employee referral program. EEO/Minorities/Females/Vets/Disabilities.</div>

Manager (Cloud Data Engineer)

<div>Job Description: Senior Data Engineers lead the development and optimization of complex data systems and pipelines. Responsibilities include managing data projects, ensuring data quality, and mentoring junior engineers. You will work with stakeholders to align data solutions with business goals and drive improvements. Extensive experience in data engineering and leadership skills are required.</div>
 <div>Responsibilities: Lead design and optimization of complex data solutions, Oversee data engineering projects, Mentor junior engineers, Ensure solutions align with organizational goals, Provide strategic guidance.</div>
 <div>Qualifications: Bachelor's/Master's in Engineering 5-8 years</div>

Lead Data Engineer_Databricks

<div>Job Description: &middot; 3+ years of hands-on experience in data engineering with a focus on ETL workflows, data pipelines, and cloud computing.
&middot; Strong experience with AWS services for data processing and storage (e.g., S3, Glue, Athena, Lambda, Redshift).
&middot; Proficiency in programming languages such as Python, PySpark, and TypeScript/JavaScript.
&middot; Deep understanding of microservices architecture and distributed systems.
&middot; Familiarity with AI/ML tools and frameworks (e.g., TensorFlow, PyTorch) and their integration into data pipelines.
&middot; Experience with big data technologies like Snowflake.
&middot; Strong problem-solving and performance optimization skills.
&middot; Exposure to modern DevOps practices, including CI/CD pipelines and container orchestration tools like Docker and Kubernetes.
&middot; Experience working in agile environments delivering complex data engineering solutions.
&middot; Proven expertise or certification in Palantir Foundry is highly preferred.
&middot; Prior experience in the insurance domain is highly desirable.</div>
 <div>Responsibilities: &middot; 3+ years of hands-on experience in data engineering with a focus on ETL workflows, data pipelines, and cloud computing.
&middot; Strong experience with AWS services for data processing and storage (e.g., S3, Glue, Athena, Lambda, Redshift).
&middot; Proficiency in programming languages such as Python, PySpark, and TypeScript/JavaScript.
&middot; Deep understanding of microservices architecture and distributed systems.
&middot; Familiarity with AI/ML tools and frameworks (e.g., TensorFlow, PyTorch) and their integration into data pipelines.
&middot; Experience with big data technologies like Snowflake.
&middot; Strong problem-solving and performance optimization skills.
&middot; Exposure to modern DevOps practices, including CI/CD pipelines and container orchestration tools like Docker and Kubernetes.
&middot; Experience working in agile environments delivering complex data engineering solutions.
&middot; Proven expertise or certification in Palantir Foundry is highly preferred.
&middot; Prior experience in the insurance domain is highly desirable.</div>
 <div>Qualifications: &middot; 3+ years of hands-on experience in data engineering with a focus on ETL workflows, data pipelines, and cloud computing.
&middot; Strong experience with AWS services for data processing and storage (e.g., S3, Glue, Athena, Lambda, Redshift).
&middot; Proficiency in programming languages such as Python, PySpark, and TypeScript/JavaScript.
&middot; Deep understanding of microservices architecture and distributed systems.
&middot; Familiarity with AI/ML tools and frameworks (e.g., TensorFlow, PyTorch) and their integration into data pipelines.
&middot; Experience with big data technologies like Snowflake.
&middot; Strong problem-solving and performance optimization skills.
&middot; Exposure to modern DevOps practices, including CI/CD pipelines and container orchestration tools like Docker and Kubernetes.
&middot; Experience working in agile environments delivering complex data engineering solutions.
&middot; Proven expertise or certification in Palantir Foundry is highly preferred.
&middot; Prior experience in the insurance domain is highly desirable.</div>

Data Engineer Palantir

<div>Job Description: Looking for a candidate with minimum 3 years of experience as Selenium Automation Engineer expertise in Java/Python, strong knowledge of Desktop Applications process automation (e.g,Excel Access database operations), and basic knowledge of SQL and experience in manual testing
The ideal candidate will be responsible for designing, developing and maintaining automated test scripts and integrated desktop application workflows into Selenium Test Scripts.</div>
 <div>Responsibilities: Key Responsibilities: 
<ul><li>Develop, Execute and maintain robust,scalable and high-quality automation scripts using Selenium Webdriver and Java.
</li><li>Automated processes involving desktop applications such as Excel, Text Files (using Apache POI or other libraries) and Access DB(e.g. JDBC/ODBC connections).
</li><li>Integrated desktop application workflow into selenium test scripts for end-to-end automation coverage.
</li><li>Collaborate with cross-functional team to gether requirements and ensure test cases align with business objectives.
</li><li>Design and execute test cases for UI and functional testing of web Application.
</li><li>Debug and troubleshoot issues in test automation and the application under test.
</li><li>Continuously optimize test automation frameworks and processes.
</li><li>Maintain clear and concise test documentation and reports.
</li><li>Stay up to date with the latest automation trends, tools and best practices.</li></ul></div>
 <div>Qualifications: Required Skill and Qualification:
<ul><li>Automation Expertise: Hands-on experience with Selenium webdriver using Java for Web-Based automation.
</li><li>Desktop Applications: Proficiency in automating processes in Excel, TextFiles(e.g., reading/writing using Apache POI or similar libraries) and Access Database(e.g., interating with .accdb files using Java or other suitable tools).
</li><li>Programming Skills:
</li><li>Integration Skills: Ability to integrate desktop application automation workflows with selenium scripts seamlessly.
</li><li>SQL Knowledge: Basic to intermediate knowledge/understanding of SQL for writing queries, validating data and performing backend testing.
</li><li>Problem Solving: Strong debugging and troubleshooting skill for test scripts and application functionality.
</li><li>Version Control: Familiarity with version control like Git.
</li><li>Tools Knowledge: Expertise with test management tools (e.g., JIRA, TestNg or JUnit), build tools like Maven or Gradle and proficiency in development tools like Intellij IDE or Eclipse. Knowledge of CI/CD Pipelines and tools like Jenkins.
</li><li>Communication: Excellent communication skills to work with cross-functional teams. 
</li></ul>Strong command of Java and its ecosystem, including libraries and frameworks for automation.
Knowledge of BDD frameworks such as Cucumber.</div>

Automation Tester

<div>Job Description: In this fully remote position as an HCD Auditor you will apply your expert knowledge of billing HCD claims to perform extensive audit reviews. You will utilize HCPCS codes, medical record review, industry and EXL proprietary tools in the audit process. Write professional communications documenting audit findings and supporting rationales. You will also apply your extensive industry knowledge to identify audit trends and opportunities.</div>
 <div><ul><li>Responsibilities: Conduct HCPCS coding reviews to verify the accuracy of the coding assignment and reimbursement on high cost drug professional and outpatient facility claims.
</li><li>Apply complex medical record reviews to identify discrepancies between physician orders, nursing administration logs, and final claims submissions.
</li><li>Apply Medicare, Medicaid, and commercial guidelines to a variety of claim scenarios and effectively utilize industry and proprietary tools to maximize overpayment identifications.
</li><li>Document audit results in a clear, concise, and effective manner using AMA Guidelines.
</li><li>Utilize proprietary workflow systems to make audit determinations, generate audit rationales, and move claims through workflow process correctly efficiently and accurately.
</li><li>Accurately reprice complex claims utilizing multiple client claims systems.
</li><li>Meet or exceed EXL established program productivity and quality goals, including uphold rate for appeals.
</li><li>Research prescribed drug dosage and related conditions to ensure appropriateness of medical guidelines and accuracy of reimbursement.
</li><li>Comply with all EXL policies and procedures including HIPAA and other state and federal regulations.</li></ul></div>
 <div>Qualifications: Required Qualifications
<ul><li>Three or more years' experience in claims processing or HCD medical billing experience with expert knowledge HCPCS codes.
</li><li>Experience reading and interpreting contract language and fee schedules and medical record review.
</li><li>Intermediate skills in Word and basic computer literacy.
</li><li>Intermediate skills in Excel including comfort working with charts, graphs, and percentages.
</li><li>Basic math skills with ability to do conversion calculations.
</li><li>High school diploma obtained
</li></ul>Preferred Qualifications
<ul><li>Certified Pharmacy Technician or one or more of the following credentials: RHIA or CPC; preference given to those with multiple credentials.
</li><li>Expert in HCPCS codes with advanced knowledge of medical terminology.
</li><li>Experience with encoder tools and industry systems (FACETS, NASCO, Encoder Pro, TrueCode, 3M, Webstrat, Pricers).
</li></ul>Professional Qualifications
<ul><li>Works independently in a remote environment and delivers exceptional results during EXL core business hours.
</li><li>Possesses excellent time management and work prioritization skills.
</li><li>Takes ownership of problem solving.
</li><li>Demonstrates excellent written and verbal communication skills, strong analytical skills, and attention to detail.
</li><li>Enthusiastic about Auditing with a desire to work in an environment thriving on teamwork, excellence, collaboration, inclusiveness, and support.
</li></ul>Salary range $50,000.00-$65,000.00.
0-10% travel may be required.
For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits</div>

Assistant Manager - High Cost Drug (HCD) Auditor II