WNS Global Services

Role Description As part of your global remit, you will be accountable for overseeing and ensuring the accuracy, timeliness, and compliance of financial reporting and control activities across all business units and regions. Your responsibilities will include: - Financial Close and Reporting - Lead the preparation and/or review of key financial journals, including: - Fixed asset capitalization and depreciation entries - Sales reporting - Review of accruals and prepayment - Ensure timely and accurate completion of: - Bank reconciliations across multiple currencies and jurisdictions - Revenue reconciliations, ensuring alignment with billing and collections - Balance sheet reconciliations, with a focus on risk identification and resolution - Facilitate preparation of business unit Profit & Loss statements - Coordinate and lead monthly financial reviews with business unit leaders and budget holders - Attend and contribute to monthly business unit performance meetings, providing financial insights and strategic recommendations - Audit and Compliance - Ensure all financial records are audit-ready by the end of the first month of the financial year - Maintain robust internal controls and documentation to support external audit requirements and internal governance standards - Team Leadership and Development - Manage and mentor finance team member(s) globally, fostering a high-performance culture and supporting professional development - Continuous Improvement and Transformation - Drive the evolution of the Financial Reporting function to support the needs of a dynamic, fast-growing, and internationally expanding business - Identify and implement process improvements, automation opportunities, and best practices across regions - Ad Hoc Projects - Support strategic initiatives and special projects as required by senior leadership, including finance system implementation, financial modelling, scenario analysis, and business case development - Transactional Finance Oversight - Liaise with global transactional finance operations (AP, AR, Cash Allocation), where applicable Qualifications - Qualified accountant (minimum 3 years PQE or actively pursuing qualification) - Excellent communication skills – verbal and written - Advanced knowledge of Excel - Great organisational skills - Strong attention to detail - At least 2 years previous experience in a similar role Requirements - Technical & Financial Expertise - Strong understanding of financial accounting principles (IFRS/UK GAAP) - Experience in treasury operations and financial systems administration - Proficiency in ERP systems - Ability to interpret and apply financial controls and compliance requirements - Skilled in reconciliations, month-end close, and reporting - Process & Controls Orientation - Proven track record of improving processes & automation - Strong focus on accuracy, timeliness, and control - Experience implementing or enhancing financial controls and risk mitigation strategies - Comfortable working in an audit-heavy environment - Stakeholder & Team Management - Ability to manage and develop transactional finance teams - Strong communication skills to liaise with internal departments (e.g., FP&A, procurement, treasury) - Experience working with shared service centres or outsourced finance functions - Collaborative mindset with a service-oriented approach - Analytical & Problem-Solving Skills - Ability to identify root causes of transactional issues and implement solutions - Comfortable working with large datasets and using tools like Excel, Power BI, or Tableau - Continuous improvement mindset - Personal Effectiveness - High attention to detail and accountability - Resilience under pressure and ability to manage competing priorities - Strong organisational and time management skills - Adaptability in fast-paced or changing environments Benefits

Role Description - Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including: - Admission reviews - Continued stay reviews - Transitional care reviews (Skilled Nursing Facility, Inpatient Rehabilitation Facility, Long-Term Acute Care Hospital) - Related follow-up activities and documentation updates - Engages in clinical collaboration with attending physicians, hospitalists, and care teams to obtain clinical information, discuss medical necessity determinations, and support appropriate level-of-care decisions. - Capable of communicating clinical rationale to attending physicians, hospitalists, and facility staff during real-time concurrent review interactions. - Facilitates resolution of escalated cases that may require special handling. - Refers cases to a Physician Reviewer or to a Specialty Program Medical Director per guidelines. - Assists Physician Reviewers and Medical Directors, as necessary, to ensure compliance with review timeframes. - Maintains written documentation according to HealthHelp’s documentation policy. - Has a working knowledge of regulations, accreditation requirements, and payer-specific guidelines by state and market; applies InterQual level-of-care criteria and applicable HealthHelp or client medical policies to inpatient review determinations. - Adheres to all HIPAA, state, and federal regulations pertaining to the clinical programs. - Complies with URAC & NCQA standards or other requisite regulating bodies. - Ensures consistency in implementation of policy, procedure, and regulatory requirements in collaboration with Nursing Management. - Keeps current with regulation changes as provided by Compliance Department and Nursing Management. - Functions as subject matter expert to support Compliance Department initiatives and updates. - Collects and enters confidential information ensuring the highest level of confidentiality in all areas. - Performs clinical intake and reviews cases according to the policies and procedures of HealthHelp for markets and cases requiring expedited turnaround times. - Maintains availability to support concurrent review coverage requirements, which may include non-standard business hours, weekends, or holidays as determined by client contractual obligations and regulatory review timeframes. - Ability to perform multiple tasks simultaneously, prioritize projects, work independently under pressure, and meet critical deadlines. - Appropriately identifies and refers quality issues to UM Leadership. - Collaborates with client personnel to resolve customer concerns. - Provides quality customer service through interaction with providers, administrative staff, and others. - Creates, encourages, and supports an environment that fosters teamwork, respect, diversity, and cooperation with others. - Promotes business focus which demonstrates an understanding of the company’s vision, mission, and strategy. - Participates in the HealthHelp Quality Management Program, as required. - Performs other related duties and projects as assigned to meet business needs. Qualifications - RN graduate from an accredited school of nursing (BSN preferred). - Current, active unrestricted RN license in the state or territory of the U.S. (USRN equivalent). - Two (2) years of experience in an acute care setting, required. - Two (2) years of inpatient clinical nursing, utilization management, or case management experience, preferred. - Experience with InterQual or similar evidence-based clinical decision support criteria, preferred. - Willingness to complete and maintain InterQual certification and ongoing competency requirements. - Familiarity with inpatient level-of-care criteria, observation versus inpatient status determinations, and transitional care planning, preferred. - Working knowledge of medical necessity criteria, level-of-care determination standards, and payer-specific utilization review requirements. - Knowledge of insurance terminology. - Experience working with state and federal regulatory and compliance standards, preferred. - Proficient technical skills in Microsoft Office (Word, Excel, and PowerPoint), required. - Good organizational and time management skills. - Excellent written and verbal communication skills. - Ability to utilize critical thinking skills. - Highly motivated, self-starter who can work efficiently and independently, or as a team member. Benefits - Medical, dental, and vision insurance. - Paid time off (PTO), holidays, and sick leave. - 401(k) with company match or other retirement plan. - Life and AD&D Insurance. - Employee Assistance Program.

Role Description - Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including: - Admission reviews - Continued stay reviews - Transitional care reviews (Skilled Nursing Facility, Inpatient Rehabilitation Facility, Long-Term Acute Care Hospital) - Related follow-up activities and documentation updates - Engage in clinical collaboration with attending physicians, hospitalists, and care teams to obtain clinical information, discuss medical necessity determinations, and support appropriate level-of-care decisions. - Capable of communicating clinical rationale to attending physicians, hospitalists, and facility staff during real-time concurrent review interactions. - Facilitates resolution of escalated cases that may require special handling. - Refers cases to a Physician Reviewer or to a Specialty Program Medical Director per guidelines. - Assists Physician Reviewers and Medical Directors, as necessary, to ensure compliance with review timeframes. - Maintains written documentation according to HealthHelp’s documentation policy. - Has a working knowledge of regulations, accreditation requirements, and payer-specific guidelines by state and market; applies InterQual level-of-care criteria and applicable HealthHelp or client medical policies to inpatient review determinations. - Adheres to all HIPAA, state, and federal regulations pertaining to the clinical programs. - Complies with URAC & NCQA standards or other requisite regulating bodies. - Ensures consistency in implementation of policy, procedure, and regulatory requirements in collaboration with Nursing Management. - Keeps current with regulation changes as provided by Compliance Department and Nursing Management. - Functions as subject matter expert to support Compliance Department initiatives and updates. - Collects and enters confidential information ensuring the highest level of confidentiality in all areas. - Performs clinical intake and reviews cases according to the policies and procedures of HealthHelp for markets and cases requiring expedited turnaround times. - Maintains availability to support concurrent review coverage requirements, which may include non-standard business hours, weekends, or holidays as determined by client contractual obligations and regulatory review timeframes. - Ability to perform multiple tasks simultaneously, prioritize projects, work independently under pressure, and meet critical deadlines. - Appropriately identifies and refers quality issues to UM Leadership. - Collaborates with client personnel to resolve customer concerns. - Provides quality customer service through interaction with providers, administrative staff, and others. - Creates, encourages, and supports an environment that fosters teamwork, respect, diversity, and cooperation with others. - Promotes business focus which demonstrates an understanding of the company’s vision, mission, and strategy. - Participates in the HealthHelp Quality Management Program, as required. - Performs other related duties and projects as assigned to meet business needs. Qualifications - RN graduate from an accredited school of nursing (BSN preferred). - Current, active unrestricted RN license in the state or territory of the U.S. (USRN equivalent). - Two (2) years of experience in an acute care setting, required. - Two (2) years of inpatient clinical nursing, utilization management, or case management experience, preferred. - Experience with InterQual or similar evidence-based clinical decision support criteria, preferred. - Willingness to complete and maintain InterQual certification and ongoing competency requirements. - Familiarity with inpatient level-of-care criteria, observation versus inpatient status determinations, and transitional care planning, preferred. - Working knowledge of medical necessity criteria, level-of-care determination standards, and payer-specific utilization review requirements. - Knowledge of insurance terminology. - Experience working with state and federal regulatory and compliance standards, preferred. - Proficient technical skills in Microsoft Office (Word, Excel, and PowerPoint), required. - Good organizational and time management skills. - Excellent written and verbal communication skills. - Ability to utilize critical thinking skills. - Highly motivated, self-starter who can work efficiently and independently, or as a team member. Requirements - The base salary for this position is $75,000 annually. - Final compensation will be determined based on a variety of factors, including but not limited to: - Geographic location - Overall professional experience - Directly relevant experience - Education and certifications - Industry knowledge and expertise - Skills and competencies - In addition to base pay, this role may be eligible for performance-based bonuses, incentive pay, or commissions, which are not included in the listed base salary range. - WNS complies with all applicable federal, state, and local pay transparency laws, including those in California, Colorado, New York, Washington, and Illinois. - Note: For complete compensation information, please refer to the job posting on our official careers page. Benefits - Medical, dental, and vision insurance. - Paid time off (PTO), holidays, and sick leave. - 401(k) with company match or other retirement plan. - Life and AD&D Insurance. - Employee Assistance Program.

Role Description - Conducts training for staff members pertaining to Utilization Review process, clinical rules/guidelines, client/module/modality-specific workflows, and software enhancements - Creates educational material for review tiers by collaborating with key resources across departments to ensure clinical scenarios are properly incorporated into the educational content - Partners with Workforce Planning to develop training schedules conducive to achieving desired program specific outcomes - Proactively identifies targeted improvement opportunities - Partners with Human Resources and Clinical Operation leaders to highlight possible concerns amongst staff - Conducts focused training to ensure that all staff are properly educated on HealthHelp policies and clinical processes - Reviews monthly quality audit findings and conducts one-on-one coaching with staff to assist with resolving issues related to education and adherence to process and/or client-specific directives - Leverages tools and methodologies to assess the effectiveness of educational content and delivery - Advises Leadership Teams/Medical Director of opportunities for individual performance improvement - Reviews reports from the Quality Department to identify training opportunities - Serves as contact point for staff in order to answer questions/provide clarification related to criteria, policy, and process - Partners with Products to develop training material designed to promote process efficiency and desired program-specific outcomes - Recognizes and informs management of process/performance gaps and offers solutions - Adheres to all regulatory requirements and complies with HealthHelp policies and procedures - Upholds professional standards and performs all work in a manner respectful of others - Provides a high level of service and support to both internal and external clients - Promotes business focus which demonstrates an understanding of the company’s vision, mission, and strategy - Performs other duties as assigned to meet business needs Qualifications - Graduate of an accredited school of nursing, required - Current, active, and unrestricted RN, LVN, or LPN license in a state or territory of the U.S., required - 2 years of prior experience in direct clinical care or managed care setting, required - 1 year of direct virtual and/or face-to-face training experience, required - 1 year of Utilization Management, Case Management, or Clinical Care Coordination, preferred - Remote education/training experience, preferred - Ability to flex work hours based on business needs - Excellent listening, oral, and written communication/presentation skills - Ability to communicate complex information in a clear and concise manner - Strong problem solving, interpersonal, and customer service skills in both face-to-face and remote settings - Ability to work on multiple projects simultaneously and prioritize work to meet adapting deadlines - Ability to recognize potential and actual problems and work effectively within a team to develop appropriate solutions and implement effective action plans to address the problems - Ability to effectively perform in a fast-paced environment - Demonstrated knowledge and experience in using critical thinking skills - Proficient with Microsoft Office Suite and Windows products - Proficient with setting up webinars and multi-participant conference calls Benefits - Medical, dental, and vision insurance - Paid time off (PTO), holidays, and sick leave - 401(k) with company match or other retirement plan - Life and AD&D Insurance - Employee Assistance Program

Role Description - Process and confirm purchase orders, identifying and resolving discrepancies between purchase requisitions, purchase orders, and confirmations. - Record confirmed purchase order details in ERP systems and notify internal stakeholders of any changes (e.g., Microsoft D365 or similar). - Process PO and Non-PO invoices in accordance with three-way matching and internal controls. - Validate invoice accuracy, completeness, tax compliance, and correct vendor details. - Post approved invoices and credit notes, ensuring proper GL/CC and project coding. - Prepare, validate, and execute payment proposals across multiple payment methods (ACH, wire, cheque, AP card, direct debit, and bank transfer). - Review and resolve payment exceptions, blocked vendors, advances, and reconciliations. - Coordinate payment approvals with Treasury and Finance Controllers. - Generate and distribute remittance advice to vendors. - Process payable taxes, prepare tax return reports, and coordinate tax payments with AP, GL, and government portals. - Create and maintain vendor accounts following required documentation and verification standards. - Perform invoice audits and quality checks, report findings, and recommend process improvements. - Respond to vendor and internal queries related to invoices, payments, tax documentation, and account status within defined SLAs. - Investigate and resolve payment discrepancies, missing invoices, and vendor statement issues. - Route requests appropriately to internal teams in compliance with SOX and internal controls. - Prepare month-end accrual reports and post accrual journal entries. - Perform GR/IR reconciliations, vendor statement reconciliations, and debit balance analysis. - Identify discrepancies, coordinate corrective actions, and obtain approvals for write-offs and adjustments. - Maintain accurate documentation to support audits and compliance reviews. - Validate and report expense-related tax data in required formats. - Process reimbursement and advance payments, including urgent manual payments where approved. - Ensure adherence to internal policies, SOX controls, accounting standards, and statutory tax requirements. - Maintain accurate records and supporting documentation for audit and regulatory purposes. Qualifications - At least 1-year experience in Accounts Payable. - Fluency in Italian language (minimum B2 level) and good command of English is a must. - Bachelor’s degree in Finance, Accounting, or a related field (or equivalent experience). - In-depth knowledge of invoice processing, payments, vendor master, and T&E claims. - Strong understanding of accounting principles and internal controls. - Proficiency in ERP systems (Microsoft D365 or equivalent) and MS Excel. - High attention to detail, strong analytical skills, and ability to meet deadlines. - Effective communication skills for internal and external stakeholder management. - Ability to manage multiple priorities and meet tight deadlines. - Experience in shared services or multinational environments preferred.

Role Description We are seeking a Senior VP of Growth, Managed Services to join our team and be a member of the WNS Procurement, Part of Capgemini leadership team and directly contribute to the continued success of the business. You will collaborate closely with a talented, multi-disciplined team to develop and execute strategies that will significantly grow the company's revenue and market penetration. Key Responsibilities - Support the North America Managing Director in executing the regional Go-to-Market strategy to drive profitable growth. - Develop and close revenue opportunities by engaging and building strong relationships with C-level and VP-level executives at target accounts. - Collaborate with Marketing to generate demand, support campaigns, events, and other critical growth-oriented initiatives. Actively participate in market-facing activities. - Generate a healthy pipeline of qualified opportunities by leveraging your network, cold calling, managing inbound leads from demand generation efforts, and other prospecting activities. - Confidently demonstrate procurement service and product knowledge to prospective clients; clearly articulating the value of bundled solutions that include advisory, managed services, intelligence and analytics, and enabling technologies. - Work closely with Solutions, Product, Client Success and other WNS teams to develop value-driven, compelling solution proposals leveraging WNS Procurement’s full complement of capabilities. - Effectively maintain and manage a robust pipeline, while providing dependable revenue forecasts to the business. - Achieve targets for pipeline coverage, opportunity conversion, and closed revenue by applying proven growth strategies, account planning, and disciplined execution. - Lead effective commercial and contractual negotiations in collaboration with subject matter experts and legal resources. - Maintain timely and accurate CRM data; understand your portfolio of opportunities and be ready to discuss them in detail. - An ability to travel an estimated 25-30% of the time. Qualifications - Deep procurement knowledge, including Category Management, Source-to-Contract, and Procurement Operations; as well as an understanding of industry dynamics and trends. - Bachelor's degree in a related field and a minimum of 10-15 years of sales experience. - A proven track record in consistently meeting/exceeding sales goals. - Executive presence and relationship development skills. - Effective listening and communication skills. - This is a US-based position; applicants must be fully authorized to work in the US. Requirements - Experience selling procurement consulting, managed services (BPO/BPM), intelligence and analytics solutions, and digital enablers preferred. Benefits - Medical, dental, and vision insurance - Paid time off (PTO), holidays, and sick leave - 401(k) with company match or other retirement plan - Life and AD&D Insurance - Employee Assistance Program Compensation Disclosure The base salary range for this position is $190K to $250K annually. This range reflects the base pay range that we reasonably expect to offer for the role across our hiring locations. Final compensation will be determined based on a combination of factors, including but not limited to: - Geographic location (state and city of residence) - Overall professional experience - Directly relevant experience - Education and certifications - Industry knowledge and expertise - Skills and competencies In addition to base pay, this role may be eligible for performance-based bonuses, or incentive pay, or commissions, which are not included in the listed base salary range. Equal Opportunity Employer Statement WNS is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected under federal, state, or local law. We also provide reasonable accommodations to individuals with disabilities and for sincerely held religious beliefs in all aspects of employment, including the application process.

Role Description The Site CSR is primarily responsible for making outbound calls to and accepting inbound calls from healthcare providers to answer questions about the requirement to participate, assistance with registration and login, assessment completion and questions regarding scoring results. Qualifications - Must have an active PRC License - 2 years bedside / clinical experience - Preferably with 6 months BPO healthcare account experience - Excellent communication skills Benefits - Structured career path - Growing and expanding team – more internal career progression opportunities for all - Safe work environment - Free HMO coverage from day 1, including your domestic partner - Skills training opportunities - Paid leaves - Annual appraisal

Role Description As a senior financial analyst on the Financial Planning & Analysis (FP&A) team, you will work with other departments (operations, accounting, strategy, etc.) to drive business results and perform key analytical work to understand our rapidly growing and evolving business and forecast future results. - Develop and analyze key performance indicators to support revenue growth and cost-saving initiatives - Create and maintain financial models to explain past results and forecast future performance - Analyze budget-actual variances of monthly, quarterly, and annual results to explain organization performance - Support budget/forecast preparation working with various departments across the company - Provide supporting schedules for monthly financial reporting package for the Board - Assist with M&A due diligence on target acquisitions - Work as a team player and assist with other projects and assignments as needed Qualifications - Bachelor’s degree in Accounting, Finance, or Business required; STEM preferred - Two (2) years of experience in a Finance or Accounting position required; Three (3) years preferred Requirements - Intermediate knowledge of Excel required, advanced knowledge preferred (examples include: Pivot Tables, Sumifs, Xlookup, Index Match, conditional formatting, etc.) - Knowledge of financial modeling - Basic understanding of GAAP - Knowledge of business intelligence software preferred (PowerBI, Power Query, Alteryx or similar tool) - Solid problem solving and analytical skills - Strong attention to detail (tie-outs & checking figures) - Proven ability to work both independently and collaboratively with different levels of employees - Ability to communicate effectively across the organization - Good customer service skills - Knowledge of SQL preferred (or willingness to learn) Physical Demands and Work Environment - May be required to stand; reach with hands and arms, stoop and kneel - May be required to sit for long periods of time - May be required to lift, carry, push, pull or move up to 15 pounds - May be required to travel overnight occasionally - Typically working remotely from home and/or in an office environment

Company Description WNS Healthhelp, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services, Healthcare, Insurance, Shipping and Logistics, and Travel and Hospitality. We bring together deep domain excellence - WNS’ core differentiator - with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience in a world defined by disruption. Our purpose is clear: to enable lasting business value by designing intelligent, human-led solutions that deliver sustainable outcomes and a differentiated impact. With three global headquarters across four continents, operations in 13 countries, 65 delivery centers and more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact. Job Description - Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including - - Admission reviews - Continued stay reviews - Transitional care reviews (Skilled Nursing Facility, Inpatient Rehabilitation Facility, Long-Term Acute Care Hospital) - Related follow-up activities and documentation updates - Engage in clinical collaboration with attending physicians, hospitalists, and care teams to obtain clinical information, discuss medical necessity determinations, and support appropriate level-of-care decisions - Capable of communicating clinical rationale to attending physicians, hospitalists, and facility staff during real-time concurrent review interactions - Facilitates resolution of escalated cases that may require special handling - Refers cases to a Physician Reviewer or to a Specialty Program Medical Director per guidelines - Assists Physician Reviewers and Medical Directors, as necessary, to ensure compliance with review timeframes - Maintains written documentation according to HealthHelp’s documentation policy - Has a working knowledge of regulations, accreditation requirements, and payer-specific guidelines by state and market; applies InterQual level-of-care criteria and applicable HealthHelp or client medical policies to inpatient review determinations - Adheres to all HIPAA, state, and federal regulations pertaining to the clinical programs - Complies with URAC & NCQA standards or other requisite regulating bodies - Ensures consistency in implementation of policy, procedure, and regulatory requirements in collaboration with Nursing Management - Keeps current with regulation changes as provided by Compliance Department and Nursing Management - Functions as subject matter expert to support Compliance Department initiatives and updates - Collects and enters confidential information ensuring the highest level of confidentiality in all areas - Performs clinical intake and reviews cases according to the policies and procedures of HealthHelp for markets and cases requiring expedited turnaround times - Maintains availability to support concurrent review coverage requirements, which may include non-standard business hours, weekends, or holidays as determined by client contractual obligations and regulatory review timeframes - Ability to perform multiple tasks simultaneously, prioritize projects, work independently under pressure, and meet critical deadlines - Appropriately identifies and refers quality issues to UM Leadership - Collaborates with client personnel to resolve customer concerns - Provides quality customer service through interaction with providers, administrative staff, and others - Creates, encourages, and supports an environment that fosters teamwork, respect, diversity, and cooperation with others - Promotes business focus which demonstrates an understanding of the company’s vision, mission, and strategy - Participates in the HealthHelp Quality Management Program, as required - Performs other related duties and projects as assigned to meet business needs Qualifications - RN graduate from an accredited school of nursing (BSN preferred) - Current, active unrestricted RN license in the state or territory of the U.S. (USRN equivalent) - Two (2) years of experience in an acute care setting, required - Two (2) years of inpatient clinical nursing, utilization management, concurrent experience required - Experience with InterQual or similar evidence-based clinical decision support criteria, preferred - Willingness to complete and maintain InterQual certification and ongoing competency requirements - Familiarity with inpatient level-of-care criteria, observation versus inpatient status determinations, and transitional care planning, - Working knowledge of medical necessity criteria, level-of-care determination standards, and payer-specific utilization review requirements - Knowledge of insurance terminology - Experience working with state and federal regulatory and compliance standards, preferred - Proficient technical skills in Microsoft Office (Word, Excel, and PowerPoint), required - Good organizational and time management skills - Excellent written and verbal communication skills - Ability to utilize critical thinking skills - Highly motivated, self-starter who can work efficiently and independently, or as a team member Additional Information Start Date: 5/18/2026 Schedule: Monday- Friday 8hr. shift between 7AM - 5PM PST Location: Remote Benefits: Health, Dental, Vision, 401K, PTO Salary: $75,000/yr + quarterly bonus based on performance Equipment: Provided Compensation Disclosure The base salary range for this position is $75,000 [RN] annually. This represents the base pay range that we reasonably expect to offer for this position. In addition to base pay, this role may be eligible for performance-based bonuses, incentive pay, or commissions, which are not included in the listed base salary range. WNS complies with all applicable federal, state, and local pay transparency laws, including those in California, Colorado, New York, Washington, and Illinois. Note: For complete compensation information, please refer to the job posting on our official careers page. Benefits Overview Our benefits package includes (but is not limited to): - Medical, dental, and vision insurance - Paid time off (PTO), holidays, and sick leave - 401(k) with company match or other retirement plan - Life and AD&D Insurance - Employee Assistance Program Equal Opportunity Employer Statement WNS is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected under federal, state, or local law. We also provide reasonable accommodations to individuals with disabilities and for sincerely held religious beliefs in all aspects of employment, including the application process. How to Apply Please submit your application, including a resume and optional cover letter, through our careers page or email to [email protected].

Company Description WNS Healthhelp, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services, Healthcare, Insurance, Shipping and Logistics, and Travel and Hospitality. We bring together deep domain excellence - WNS’ core differentiator - with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience in a world defined by disruption. Our purpose is clear: to enable lasting business value by designing intelligent, human-led solutions that deliver sustainable outcomes and a differentiated impact. With three global headquarters across four continents, operations in 13 countries, 65 delivery centers and more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact. Job Description - Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including - - Admission reviews - Continued stay reviews - Transitional care reviews (Skilled Nursing Facility, Inpatient Rehabilitation Facility, Long-Term Acute Care Hospital) - Related follow-up activities and documentation updates - Engage in clinical collaboration with attending physicians, hospitalists, and care teams to obtain clinical information, discuss medical necessity determinations, and support appropriate level-of-care decisions - Capable of communicating clinical rationale to attending physicians, hospitalists, and facility staff during real-time concurrent review interactions - Facilitates resolution of escalated cases that may require special handling - Refers cases to a Physician Reviewer or to a Specialty Program Medical Director per guidelines - Assists Physician Reviewers and Medical Directors, as necessary, to ensure compliance with review timeframes - Maintains written documentation according to HealthHelp’s documentation policy - Has a working knowledge of regulations, accreditation requirements, and payer-specific guidelines by state and market; applies InterQual level-of-care criteria and applicable HealthHelp or client medical policies to inpatient review determinations - Adheres to all HIPAA, state, and federal regulations pertaining to the clinical programs - Complies with URAC & NCQA standards or other requisite regulating bodies - Ensures consistency in implementation of policy, procedure, and regulatory requirements in collaboration with Nursing Management - Keeps current with regulation changes as provided by Compliance Department and Nursing Management - Functions as subject matter expert to support Compliance Department initiatives and updates - Collects and enters confidential information ensuring the highest level of confidentiality in all areas - Performs clinical intake and reviews cases according to the policies and procedures of HealthHelp for markets and cases requiring expedited turnaround times - Maintains availability to support concurrent review coverage requirements, which may include non-standard business hours, weekends, or holidays as determined by client contractual obligations and regulatory review timeframes - Ability to perform multiple tasks simultaneously, prioritize projects, work independently under pressure, and meet critical deadlines - Appropriately identifies and refers quality issues to UM Leadership - Collaborates with client personnel to resolve customer concerns - Provides quality customer service through interaction with providers, administrative staff, and others - Creates, encourages, and supports an environment that fosters teamwork, respect, diversity, and cooperation with others - Promotes business focus which demonstrates an understanding of the company’s vision, mission, and strategy - Participates in the HealthHelp Quality Management Program, as required - Performs other related duties and projects as assigned to meet business needs Qualifications · - RN graduate from an accredited school of nursing (BSN preferred) - Current, active unrestricted RN license in the state or territory of the U.S. (USRN equivalent) - Two (2) years of experience in an acute care setting, required - Two (2) years of inpatient clinical nursing, utilization management, concurrent experience required - Experience with InterQual or similar evidence-based clinical decision support criteria, preferred - Willingness to complete and maintain InterQual certification and ongoing competency requirements - Familiarity with inpatient level-of-care criteria, observation versus inpatient status determinations, and transitional care planning, - Working knowledge of medical necessity criteria, level-of-care determination standards, and payer-specific utilization review requirements - Knowledge of insurance terminology - Experience working with state and federal regulatory and compliance standards, preferred - Proficient technical skills in Microsoft Office (Word, Excel, and PowerPoint), required - Good organizational and time management skills - Excellent written and verbal communication skills - Ability to utilize critical thinking skills - Highly motivated, self-starter who can work efficiently and independently, or as a team member Additional Information Start Date: 5/18/2026 Schedule: Monday- Friday 8hr. shift between 7AM - 5PM PST Location: Remote Benefits: Health, Dental, Vision, 401K, PTO Salary: $75,000/yr + quarterly bonus based on performance Equipment: Provided Compensation Disclosure The base salary range for this position is $75,000 [RN] annually. This represents the base pay range that we reasonably expect to offer for this position. In addition to base pay, this role may be eligible for performance-based bonuses, incentive pay, or commissions, which are not included in the listed base salary range. WNS complies with all applicable federal, state, and local pay transparency laws, including those in California, Colorado, New York, Washington, and Illinois. Note: For complete compensation information, please refer to the job posting on our official careers page. Benefits Overview Our benefits package includes (but is not limited to): - Medical, dental, and vision insurance - Paid time off (PTO), holidays, and sick leave - 401(k) with company match or other retirement plan - Life and AD&D Insurance - Employee Assistance Program Equal Opportunity Employer Statement WNS is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected under federal, state, or local law. We also provide reasonable accommodations to individuals with disabilities and for sincerely held religious beliefs in all aspects of employment, including the application process. How to Apply Please submit your application, including a resume and optional cover letter, through our careers page or email to [email protected].