Vice President Payment Integrity - Innovations & Solutions

Posted Yesterday
Be an Early Applicant
Hiring Remotely in United States
Remote
200K-250K Annually
Expert/Leader
Information Technology • Database • Consulting
The Role
Leads innovation and enterprise solution strategy for healthcare payment integrity, developing scalable platforms using AI, automation, analytics, and data technologies. Engages senior clients, supports strategic pursuits, shapes transformation roadmaps, and builds partnerships. Oversees solution architecture, enterprise system development, prototyping, governance, performance metrics, and commercialization. The role also mentors cross-functional teams and translates complex healthcare payer challenges into differentiated, market-ready solutions.
Summary Generated by Built In

VP, Solutions & Innovation is a highly strategic leadership role responsible for driving solution innovation, enterprise platform strategy, and client-centric transformation initiatives for EXL’s Payment Integrity (PI) Strategic Growth Unit.

This role will focus on identifying emerging opportunities across the healthcare ecosystem and translating them into scalable enterprise solutions that leverage advanced analytics, AI, automation, and data platforms. The leader will play a pivotal role in shaping the future of technology-enabled healthcare solutions by designing differentiated offerings that address complex industry challenges.

As a key driver of innovation and growth, this role will partner closely with cross-functional teams to incubate new solution concepts, develop enterprise platforms, and accelerate the commercialization of next-generation capabilities. The role will also serve as a senior client-facing leader, engaging with executive stakeholders to articulate solution value propositions, support strategic pursuits, and build long-term partnerships.

With a strong focus on solution architecture, enterprise system design, and growth acceleration, this leader will oversee the development of scalable offerings that enhance operational efficiency, enable data-driven decision making, and deliver measurable value to clients. The ideal candidate is a visionary leader with strong industry expertise, exceptional communication skills, and the ability to translate complex healthcare challenges into innovative and scalable solutions.

This role reports directly to the Senior Vice President of Payment Integrity.

Responsibilities

Solutions Strategy & Innovation:

  • Lead the development of scalable, technology-enabled healthcare solutions that primarily address evolving payers and healthcare market needs and expansion to other market verticals
  • Drive the incubation and development of next-generation enterprise platforms leveraging AI, automation, and advanced analytics to deliver differentiated capabilities
  • Define end-to-end solution architectures that integrate data, workflows, and intelligent decision systems to support enterprise transformation initiatives
  • Continuously assess market dynamics, industry trends, and client challenges to identify opportunities for new solution development and innovation
  • Partner with internal teams to transform innovative concepts into market-ready offerings that support growth and competitive differentiation

Client Engagement & Growth

  • Serve as a client-facing leader engaging with executive stakeholders to understand business priorities and shape transformation roadmaps
  • Support strategic deal pursuits by presenting differentiated solution capabilities, developing compelling narratives, and demonstrating value to clients
  • Act as a trusted advisor to clients by providing insights into emerging healthcare trends, technology innovation, and operational transformation
  • Build and nurture relationships with strategic partners, technology providers, and ecosystem collaborators to enhance solution capabilities

Enterprise System Development

  • Guide the development and scaling of enterprise-grade technology platforms that support data-driven healthcare solutions
  • Collaborate with engineering, product, and analytics teams to ensure scalable architecture, interoperability, and seamless integration across systems
  • Lead experimentation and rapid prototyping initiatives to accelerate innovation cycles and validate new capabilities
  • Establish frameworks that support modular, reusable, and scalable enterprise solution deployment

Leadership, Reporting & Strategic Insights

  • Provide leadership with insights into solution performance, innovation pipeline progress, and emerging market opportunities
  • Define key success metrics to evaluate the impact of new solutions, innovation programs, and client engagements
  • Establish governance frameworks to track solution development progress and ensure alignment with strategic objectives
  • Build and mentor cross-functional teams to foster innovation, collaboration, and excellence
Qualifications

Education : 

  • Master’s degree or Bachelor’s degree in business administration, Economics, Finance, Engineering, or related discipline

Experience: 

  • 20+ years of experience in healthcare technology, healthcare analytics, enterprise solutions, or digital transformation
  • Demonstrated experience in designing and delivering enterprise-scale healthcare platforms, solutions, or transformation initiatives
  • Strong understanding of healthcare payer ecosystem, healthcare operations, and technology-enabled solutions
  • Proven track record of engaging with senior client stakeholders and supporting large deal pursuits or solution-led growth initiatives
  • Experience building scalable enterprise systems leveraging analytics, AI/ML, and automation technologies
  • Strong ability to translate complex industry challenges into structured solution architectures
  • Excellent communication and executive presentation skills with the ability to influence senior stakeholders
  • Entrepreneurial mindset with the ability to operate in rapidly evolving and innovation-driven environments
  • Proven ability to build, mentor, and lead high-performing teams

Preferred Skills:

  • Exceptional written and verbal communication skills, with the ability to articulate complex ideas clearly and persuasively to senior leadership.
  • Proven ability to build strong, trusting relationships across all levels of the organization, including with corporate function
  • Strong analytical and problem-solving skills, with the ability to break down complex issues into manageable tasks
  • Professional maturity and credibility to represent the SGU Head with senior stakeholders and external partners
  • Strong Excel and Presentation skills required

Salary Range:  $200,000 to $250,000


The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.



About Us
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.
About the TeamEXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.

Skills Required

  • Bachelor's or master's degree in business administration, economics, finance, engineering, or a related discipline
  • 20+ years of experience in healthcare technology, healthcare analytics, enterprise solutions, or digital transformation
  • Experience designing and delivering enterprise-scale healthcare platforms, solutions, or transformation initiatives
  • Strong understanding of the healthcare payer ecosystem, healthcare operations, and technology-enabled solutions
  • Experience engaging senior client stakeholders and supporting large deal pursuits or solution-led growth initiatives
  • Experience building scalable enterprise systems using analytics, AI/ML, and automation technologies
  • Ability to translate complex industry challenges into structured solution architectures
  • Excellent communication and executive presentation skills
  • Entrepreneurial mindset in rapidly evolving, innovation-driven environments
  • Ability to build, mentor, and lead high-performing teams
  • Exceptional written and verbal communication skills for senior leadership audiences
  • Ability to build strong relationships across organizational levels and with external partners
  • Strong analytical and problem-solving skills
  • Professional maturity and credibility with senior stakeholders and external partners
  • Strong Microsoft Excel and presentation skills
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The Company
HQ: New York, NY
30,246 Employees
Year Founded: 1999

What We Do

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.

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