EXL Service

Assistant Vice President

EXL Service$150K — $180K *
US-AnywhereRemote in United States
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of experience in AI/ML and cloud architecture
  • Hands-on engineering experience with AI agents
  • Deep understanding of U.S. healthcare payer operations
  • Proficiency in coding and system configuration
  • Ability to integrate modern solutions with legacy systems

Responsibilities

  • Own the technical architecture for AI-powered healthcare solutions
  • Design and implement agent orchestration and data ingestion pipelines
  • Integrate AI solutions with existing client infrastructure
  • Collaborate with client teams to understand workflows and constraints
  • Iterate on solutions based on real-time feedback to deliver value

Benefits

  • Opportunity to work directly with large healthcare payers
  • Engagement in innovative projects utilizing cutting-edge AI technology
  • Collaborative environment with frequent client interaction
  • Ability to influence and shape technical solutions in a significant industry
  • Continuous learning and development opportunities in AI and healthcare technology
Full Job Description
JOB DESCRIPTION

We are seeking a technically deep, hands-on AI Architect / Forward Deployed Engineer (AVP) to embed directly within client environments and own the end-to-end technical delivery of EXL's Agentic AI and Generative AI solutions for large U.S. healthcare payers. This role sits at the intersection of cloud architecture, AI agent engineering, and healthcare payer domain expertise—spanning Prior Authorization, Utilization Management, Care Management, and Claims.

As a Forward Deployed Engineer, you will sit alongside client teams, understand their real workflows and constraints firsthand, and rapidly architect, build, deploy, and harden AI solutions inside their infrastructure. You will move fluidly between whiteboard architecture and hands-on implementation—writing code, configuring environments, integrating with legacy systems, and iterating in tight feedback loops until solutions are live and creating measurable value.

The ideal candidate brings a rare combination of hands-on AI/ML and cloud architecture depth, agentic AI engineering experience, and deep understanding of U.S. healthcare payer operations. Deep cloud, AI Agents, and healthcare experience are mandatory for this role.


JOB RESPONSIBILITIES

1. AI Solution & Reference Architecture Ownership

  • Own the end-to-end technical architecture for AI-powered healthcare solutions—covering agent orchestration, LLM serving, retrieval pipelines, data ingestion, and integration with legacy payer systems.

    About EXL Service

    EXL Service is a leading operations management and analytics company that helps businesses enhance growth and profitability. The company provides services in areas such as finance and accounting, customer service, and healthcare. EXL Service was founded in 1999 and is headquartered in New York, New York.
    Learn more about EXL Service
    Size
    31,000 employees
    Industry

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