Job Description

• Update and maintain SOPs, ensuring proper version control and standardization of all process documents.
• Monitor and maintain key metrics including KRA updates, KAT reports, calibration data, and team performance dashboards.
• Track and analyze production, quality, attendance, and downtime reports on a daily and monthly basis.
• Conduct one-on-one sessions, identify training needs for low performers, and collaborate with training teams for improvement plans.
• Lead weekly bottom performer reviews and ensure continuous feedback and development of team members.
• Ensure timely response to internal and client communications (within 24-hour TAT) and meet all committed deliverables.
• Drive team engagement, resolve process/people-related issues with supervisors, and identify automation and innovation opportunities for process enhancement.

Key Functions and Responsibilities:

1. Process SOP updation and maintenance
2. Monitoring the version control of process documents.
3. Final review on Internal and Client feedback analysis and rebuttals
4. Updating KRA Metrics
5. Maintaining reports for KAT and Calibration for Team
6. Tracking Team Reports – Production, Quality and Attendance (Daily/Monthly)
7. Downtime Tracker Maintenance (Daily / Monthly)
8. Conducting one on one with Team members
9. Identifying the training need for bottom performers and sharing the TNI with Training team
10. Weekly Bottom Performer review with Team and Supervisor
11. Addressing Internal/client emails with 24hrs.TAT
12. Making sure to meet the Internal/Client committed monthly deliverables.
13. Team engagement activities – Initiating and conducting
14. Addressing any issues/challenges (Process or People) with supervisor as priority.
15. Identifying Automation opportunities for process enhancement.
16. Idea generation campaign and implementation with support of manager for productivity and quality improvement.
17. ATA Sampling for SME/QC’s.

Qualifications:

• Graduate in Life science, preferred
• Experience: 8 to 10 years of experience with HCC Risk Adjustment
• Team Handling Experience: With team size of 20 to 30 users
• CRC / CPC / CCS / COC certification – Any one Mandatory

Additional Skills:

• HCC coding experience
• Strong Knowledge of ICD-10 CM and HCC coding guidelines
• Previously clinical background preferred but not mandate
• Strong personal and professional ethics
• Excellent communication skills both written and verbal
• Working Hours:

8 hours

• Skills and abilities:

Basic Knowledge in MS office

Strong Personal and Professional ethics.

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.