You will contribute to designing agentic workflows that automate complex operations across Prior Authorization, Utilization Management, Care Management, Claims, and Provider interactions—combining LLMs, tool use, and decision graphs to replicate expert human judgment.
A key part of your role will involve fine-tuning and evaluating LLMs (e.g., instruction tuning, prompt optimization, retrieval-augmented generation, and domain adaptation) on healthcare policy and operational data to improve accuracy, consistency, and explainability. You will also help prototype multi-agent systems, integrate external tools (APIs, browsers, FHIR data), and build feedback loops for continuous learning and governance.
This role is ideal for candidates with strong Python skills, familiarity with LLM frameworks, and a keen interest in building production-ready, auditable AI agents that drive real operational impact at scale.
Choosing a digital partner is about more than capabilities — it’s about collaboration and character.
Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments.
At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations.
Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale.
Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact.
We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition.
At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward.
For more information, visit www.exlservice.com.
