Director – WTS

🕒 il y a 4 jours

🤠 Texas – Distant

🤠 Texas – Remote

💵 $150 000 - $160 000 / an

⏰ Temps Plein

🔴 Expert

👔 Directeur

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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WNS

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1996

⚖️ Juridique

📦 Logistique

📣 Marketing

Legal • Logistics • Marketing

WNS est une entreprise mondiale de gestion des processus métiers, opérant dans 13 pays avec plus de 66 centres de livraison et employant plus de 62 000 personnes. L'organisation s'engage en faveur de l'inclusivité et de la diversité, favorisant une culture unique de co-création et d'apprentissage continu. WNS offre diverses opportunités de carrière à travers l'Asie Pacifique, l'Europe, l'Afrique et les Amériques, et se distingue par son processus de recrutement transparent et basé sur le mérite. En tant que leader dans son domaine, WNS se concentre sur le développement des futurs leaders et décideurs tout en maintenant une forte emphase sur la responsabilité sociale à travers des initiatives comme la fondation WNS Cares.

Description

• Partner with leadership to define and execute the product strategy for Utilization Management solutions • Lead product and feature definition, translating business, clinical, and regulatory needs into product concepts and requirements • Develop and maintain product roadmaps for new capabilities and legacy system enhancements • Identify opportunities to improve utilization review processes, cost management, compliance, and user experience • Develop business cases for new products and major enhancements, including ROI, cost-benefit analysis, and operational impact • Quantify expected improvements in utilization efficiency, turnaround times, cost savings, and quality outcomes • Present recommendations and investment justifications to senior leadership • Partner with finance, operations, and clinical teams to validate assumptions and track realized value • Drive product initiatives from concept through delivery and post-launch optimization • Create detailed requirements for development teams • Evaluate technologies that improve HealthHelp’s competitive positioning • Prioritize backlog based on business value, regulatory requirements, and user impact • Collaborate with IT, clinical, operations, and compliance teams to ensure successful delivery • Assess UM platforms, workflows, and capabilities to identify gaps and enhancement opportunities • Lead improvements in automation, scalability, usability, and compliance • Drive continuous improvement of UM program performance through product innovation and optimization • Define, track, and report KPIs including turnaround time, denial/approval accuracy, cost containment, and user adoption • Use data insights and stakeholder feedback to identify performance gaps and implement targeted solutions • Liaise across product, clinical, operations, IT, compliance, and executive stakeholders • Facilitate alignment on priorities, timelines, and success metrics • Support change management, training, and adoption of new features and enhancements

🎯 Exigences

• Bachelor’s degree in Healthcare Administration, Business, Technology, or related field • 5–8+ years of experience in product management, utilization management, or healthcare operations • Strong knowledge of UM processes (prior authorization, concurrent review, medical necessity review) • Experience developing business cases and leading product/feature definition • Proven ability to manage complex, cross-functional initiatives • Strong analytical and problem-solving skills • Experience with UM platforms, care management systems, or health IT solutions preferred • Familiarity with CMS, NCQA, URAC, and other regulatory frameworks preferred • Experience in Agile or hybrid product environments preferred • Clinical background (e.g., RN, LPN) or equivalent experience preferred

🏖️ Avantages

• 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 • Performance-based bonuses, incentive pay, or commissions may be available

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