Director – WTS

🔥 2 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $150k - $160k / year

⏰ Full Time

🔴 Lead

👔 Director

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This company has sponsored H1B visas in the past.

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WNS

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1996

⚖️ Legal

📦 Logistics

📣 Marketing

Legal • Logistics • Marketing

WNS is a global business process management company that operates across 13 countries with over 66 delivery centers and employs more than 62,000 people. The organization is committed to inclusivity and diversity, fostering a unique culture of co-creation and continuous learning. WNS offers various career opportunities across the Asia Pacific, Europe, Africa, and the Americas, and prides itself on its transparent and merit-based recruitment process. As a leader in its field, WNS focuses on nurturing future leaders and decision-makers while maintaining a strong emphasis on social responsibility through initiatives like the WNS Cares Foundation.

📋 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

🎯 Requirements

• 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

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

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