EXL (NASDAQ: EXLS) is a leading operations management and analytics company that designs and enables agile, customer-centric operating models to help clients improve their revenue growth and profitability. Our delivery model provides market-leading business outcomes using EXL’s proprietary Business EXLerator Framework™, cutting-edge analytics, digital transformation and domain expertise. At EXL, we look deeper to help companies improve global operations, enhance data-driven insights, increase customer satisfaction, and manage risk and compliance. EXL serves the insurance, healthcare, banking and financial services, utilities, travel, transportation and logistics industries. Headquartered in New York, New York, EXL has more than 26,000 professionals in locations throughout the United States, Europe, Asia (primarily India and Philippines), South America, Australia and South Africa. For more information, visit www.exlservice.com.
JOB SUMMARY: The Senior Director (SD) of Utilization Management & Physician Review Services has overall responsibility for driving the development and implementation of operational and functional support for the highest quality of utilization management for Health Integrated. This position will oversee Medical, Behavioral and Physician Review Services including prospective, level of care, retrospective, referral management, triage, and UM services in all HI locations and across all clients. The SD directs and coordinates UM operations to ensure compliance with product development, policy / procedures and regulatory standards, while leading these departments to a market-leading level of UM performance. This position ensures that staff are trained, supervised, reviewed and have the oversight to deliver the highest levels of internal / external client services. The SD will assist in working with the appropriate departments to: a) implement new UM information systems; b) coordinate operations across the operational and account servicing departments; and, c) support development of product collateral, new business presentations and product launches.