Lead Assistant Manager - Training and Quality Home Health, Healthcare

This is a 100% remote office opportunity. EXL is looking for a licensed RN with strong organizational skills, a proactive, self-motivated attitude and training experience. This is a dual-impact role where your clinical expertise and love for teaching will shape the performance and accuracy of our healthcare audit team. You will play a pivotal role in developing training while also ensuring quality through expert review of audits and feedback. In this role you will oversee work performed by the home health clinical audit program to ensure that EXL’s standard of accuracy is met and will provide feedback to clinical auditors, clinicians, and managers to enhance the accuracy and completeness of audits performed. Additionally, you will develop and provide training to all new Home Health auditors. The ideal candidate should possess both home health expertise, prior experience in auditing and training.

Clinical Training Excellence:

• Mentor and inspire Home Health auditors through 1:1 and group training sessions
• Develop and maintain engaging training materials, online modules, and interactive guides
• Evaluate training effectiveness, identify knowledge gaps, and implement creative solutions
• Conduct employee assessments and track growth over time
• Provide timely, constructive coaching to boost performance and compliance

Audit & Clinical Review:

• Perform medical record audits to verify documentation accuracy and service alignment
• Ensure audits are consistent, clearly documented, and findings are well-articulated
• Compile detailed reports and maintain audit logs

Performance & Team Development:

• Drive productivity, quality, and internal savings goals
• Respond proactively to communications and collaborate across teams
• Participate in team meetings, brainstorms, and calibration sessions
• Identify and report issues affecting audit processes or provider performance

Continuous Learning & Innovation:

• Stay up to date with CMS/Chapter 7 Home Health Coverage Guidelines, National Coverage Guidelines and HH PPS Reimbursement
• Contribute to continuous improvement efforts by attending training and sharing insights
• Bring new ideas to the table to evolve training and auditing processes
• RN with a license in good standing in the state that you reside.
• 5+ years home health experience
• OASIS certification and/or coding certification preferred but not mandatory.
• Previous experience in corporate training, clinical auditing, or utilization review
• Proficiency with Excel, PowerPoint, Word, Outlook, and Encoder tools (Optum, TrueCode, 3M, Webstrat)

Knowledge And Skills:

• Experience, or equivalent, coding or auditing of Home Health OASIS and non-OASIS claims
• Ability to review SOC/ROC/Recert assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
• Ability to ensure appropriate ICD-10 coding and sequencing as it relates to the patient’s medical condition.
• Knowledge of CMS/Chapter 7 Home Health Coverage Guidelines, National Coverage Guidelines, and HH PPS Reimbursement
• Ability to pinpoint, extract, and use record information to cite issues related to overpayment.

What We Offer:

• A fast-paced, innovative environment with a team of industry-leading experts.
• Hands-on experience with top-tier clients in the healthcare industry.
• Mentorship and career development programs to help you grow professionally.
• A strong culture of collaboration, support, and inclusivity.
• Competitive benefits package, including healthcare, vision, dental, and 401(k) options.

 Ready to Make a Difference?

If you're driven by education, precision, and healthcare excellence, we’d love to connect with you. Apply today and become part of a forward-thinking, mission-driven team where your knowledge powers performance.

EXL Health – Where Expertise Meets Opportunity.

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.