Health & life sciences

Health & life sciences

Together, let’s transform how care is delivered, managed, and paid

Health & life sciences

Together, let’s transform how care is delivered, managed, and paid

A data-led, AI-driven approach to client success

We believe in the power of Human Ingenuity – our innate ability to work together with our clients to improve outcomes, optimize revenue, and maximize profitability. By combining our human in the loop approach with domain expertise, data-led digital and AI solutions, advanced analytics, and proprietary technologies, we make healthcare transformation happen.

We do this through our value-added capacity, industry-leading solutions, and insight and advisory services.

Health solutions

Health solutions

Clinical services

Together, let’s drive quality outcomes and impact medical spend

Data & analytics services

Together, let’s drive innovation and informed decision-making

Digital services

Digital innovations that transform how healthcare is delivered, managed and paid.

Life sciences

Together, let’s get the right treatment to the right patient at the right time

Payment services

Ensure payment claim accuracy and reduce fraud, waste, and abuse

Pharmacy services

Together, let’s enable the power of pharmacy.

Provider finance & accounting operations

Digital and AI solutions that transform healthcare operations.

Risk adjustment & quality

Industry-leading and KLAS recognized risk adjustment and quality expertise
Featured insights
As generative AI makes the transition from novelty to an indispensable business tool, healthcare companies (among others) are exploring how they can capitalize on the technology to power their business. And for good reason.
In healthcare, the volume of data is growing exponentially, yet for many organizations, the ability to extract operational value from that data is lagging behind other more data-led industries.
Analysis from EXL experts shows that investing in a data led strategy and embracing the widespread deployment of digital technology including GenAI will result in major reductions in waste via dramatically lowering administration costs, significantly reducing benefit expenses, and improving member satisfaction.
A leading healthcare organization was looking to improve its provider-focused contact center operations for precertification processing. EXL recommended our AI solution EXELIA.AI™and trained it to be able to instantly solve pre-certification queries using next-generation natural language processing and contextual understanding. EXL received a nine-out-of-ten score on implementation, performance, and ability to successfully deliver customer experience trans...
In today’s healthcare environment, clinical and non-clinical teams can spend more than one-third of their time on administrative tasks as part of the case management process. This work often requires accessing multiple systems and an excessive amount of manual tasks.
Payment integrity programs are moving beyond a post-payment approach to identify billing and payment anomalies before claims are paid. By shifting payment integrity audit activities earlier in the claims-adjudication process, payers achieve improved efficiencies, greater insights, and higher savings through improper payments prevention, without upsetting the claim adjudication lifecycle.

Why EXL Health

Applying our expertise in AI, analytics and cloud, we make sense of your health-related data, enabling you to improve outcomes, optimize revenue, and maximize profitability across the care continuum. Our digital dexterity and Human Ingenuity are the catalysts to solve complex healthcare problems.

We accelerate your ability to transform how healthcare is delivered, managed and paid. We amplify how quickly, efficiently and affordably you deliver quality care—enhancing your performance with nimble, scalable solutions.

Together, we will do this.

6,000+
Healthcare professionals including 1,900+ clinical resources

300+
Coding and claims experts

260+ million
Unique life touch points

550+
Data scientists

1,000+
Employer groups represented

 

30+ hospital networks and
IDNs in the clentele as per EXL Corporate Overview
7 of the top 10
US payers in the clientele
2 of the top 3
PBMs