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Nurse, Concurrent Review at WNS Global Services
Houston, Texas, United States - Full Time
Skills Needed
Concurrent Review, Utilization Management, Interqual Criteria, Clinical Collaboration, Medical Necessity Determination, Case Management, Hipaa Compliance, Urac Standards, Ncqa Standards, Microsoft Office, Critical Thinking, Time Management, Clinical Intake, Transitional Care Planning, Patient Advocacy, Medical Documentation
Specialization
Requires an active unrestricted US RN license and at least two years of experience in an acute care setting. Proficiency in Microsoft Office and familiarity with InterQual or similar clinical decision support criteria is preferred.
Experience Required
Minimum 2 year(s)
Accounts Payable with German at WNS Global Services
Bucharest, Bucharest, Romania - Full Time
Skills Needed
Accounts Payable, German Language, English Language, Invoice Processing, Vendor Master Data Management, Payment Processing, T&E Claim Management, Microsoft D365, Ms Excel, Three Way Matching, Gl/Cc Coding, Sox Compliance, Gr/Ir Reconciliation, Tax Compliance, Analytical Skills, Stakeholder Management
Specialization
Candidates must have at least one year of experience in Accounts Payable and fluency in both German (B2 level) and English. A bachelor's degree in Finance, Accounting, or a related field and proficiency in ERP systems like Microsoft D365 are required.
Sr. Group Manager_SF (EC Payroll)_ REF102027N_2026240091 at WNS Global Services
Mumbai, maharashtra, India - Full Time
Skills Needed
Sap Payroll, Employee Central Payroll, Ricef, Pcrs, Rest/Soap Integrations, Badis, Bapis, Odata Services, Dme Configuration, Statutory Payroll Execution, Payroll Posting To Finance, Successfactors Ecp, Payroll Control Center, Cds Views, Time Management, Sap Certification
Specialization
Requires a graduate degree and over 10 years of techno-functional experience in SAP Payroll, specifically with RICEF and connectivity protocols. Proficiency in payroll processing, integration with Finance, and year-end operations is essential.
Experience Required
Minimum 10 year(s)
Walk in Interviews Nashik at WNS Global Services
Nashik, maharashtra, India - Full Time
Skills Needed
Communication Skills, Analytical Skills, Logical Interpretation, Computer Skills, Operating System Skills, Problem Solving, Collaboration, Written English, Verbal English
Specialization
Candidates must possess excellent verbal and written English communication skills and proficiency in computer operating systems. Educational requirements include being an undergraduate, graduate, or postgraduate.
PUN - REF104010N_2026259127 - General Ledger - Senior Associate at WNS Global Services
Pune City, maharashtra, India - Full Time
Skills Needed
General Ledger, Tenant Recoveries, Lease Interpretation, Financial Reconciliation, Analytical Skills, Microsoft Excel, Accounting, Attention To Detail, Organizational Skills, Written Communication, Verbal Communication
Specialization
Candidates must have a Bachelor's or Postgraduate degree in Accounting or Commerce with 2 to 5 years of domain experience. Proficiency in Microsoft Excel and strong analytical and communication skills are essential.
Experience Required
Minimum 2 year(s)
Symitar Engineer I, II, III, Senior at Global Credit Union
, , - Full Time
Skills Needed
Symitar Development, Unit Testing, Configuration Management, Agile, Devops, Software Development Lifecycle, System Architecture, Coding Standards, Software Modeling, Technical Design
Specialization
Requires a Bachelor's degree in Engineering or Computer Science, or equivalent technical experience. Preference is given to candidates with at least one year of professional experience in Symitar development and familiarity with Agile and DevOps practices.
Experience Required
Minimum 2 year(s)
SAP FICO S/4 Hana Consultant at HTC Global Services
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Data Scientist I at S&P Global Mobility
Gurugram, haryana, India - Full Time
Skills Needed
Python, Pandas, Numpy, Scikit Learn, Machine Learning, Sql, Workflow Automation, Generative Ai, Regression, Classification, Model Tuning, Data Analysis
Specialization
Requires a Bachelor's or Master's degree in a quantitative field and 1 to 3 years of data science experience. Must be proficient in Python and its data libraries with a solid theoretical understanding of machine learning.
Experience Required
Minimum 2 year(s)
Senior Accountant at Global Tobacco FZCO
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
WNS Walk in Indore Hiring - Associate / Sr. Associate at WNS Global Services
Indore, Madhya Pradesh, India - Full Time
Skills Needed
Communication Skills, Customer Service, Typing Speed, Webchat, Multitasking, Teamwork, Ms Office
Specialization
Candidates must possess strong communication skills, a minimum typing speed of 30 WPM, and proficiency in MS Office. Flexibility regarding shifts and weekly offs is required, with webchat experience preferred.
Senior Associate - Operations at WNS Global Services
Chennai, tamil nadu, India - Full Time
Skills Needed
Cash Application, Bank Reconciliations, Ar Ageing Analysis, Soa, Basic Accounting, Reporting, Communication Skills, Computer Literacy
Specialization
Candidates must have a undergraduate degree and strong basic accounting knowledge. Proficiency in computer literacy and good communication skills are required.
Experience Required
Minimum 2 year(s)
Senior Analyst - MEI at WNS Global Services
Houston, Texas, United States - Full Time
Skills Needed
Sql, Tableau, Sas, Medical Economics, Healthcare Informatics, Data Visualization, Claims Analysis, Pmpm Metrics, Icd 10, Cpt Coding, Microsoft Excel, Data Management, Statistical Analysis, Healthcare Financial Business Cycle, Quality Reporting, Critical Thinking
Specialization
Requires a Bachelor's degree in a healthcare or quantitative field and over 5 years of experience in healthcare analytics. Proficiency in SQL, Tableau, and medical claims data analysis is essential.
Experience Required
Minimum 5 year(s)
Health Care Support Worker at GLOBAL DYNAMICS LLC
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
REF99996K I Senior Associate - Collections I Pune I UK Shifts at WNS Global Services
Pune, maharashtra, India - Full Time
Skills Needed
B2b Collections, Order To Cash (O2c), Cash Application, Account Reconciliation, Sap, Customer Relationship Management, Analytical Thinking, Problem Solving, Verbal Communication, Written Communication, Root Cause Analysis, Financial Accounting
Specialization
Requires 2-4 years of corporate collections experience and proficiency as an SAP end user. A bachelor's degree in Finance, Accounting, or Business Administration is required along with strong analytical and communication skills.
Experience Required
Minimum 2 year(s)
Pre-Sales Engineer at TechBiz Global GmbH
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
WNS Walk in Indore Hiring - Associate / Sr. Associate at WNS Global Services
Indore, Madhya Pradesh, India - Full Time
Skills Needed
Communication Skills, Customer Service, Typing Speed, Webchat, Multitasking, Teamwork, Ms Office
Specialization
Candidates must possess strong communication skills, a minimum typing speed of 30 WPM, and proficiency in MS Office. Flexibility with shifts and weekly offs is required, with a preference for experience in webchat.
Systems Analyst I, II, III, Senior at Global Credit Union
, , - Full Time
Skills Needed
Business Analysis, Systems Analysis, Agile, Devops, Scrum, Kanban, Software Development Lifecycle, User Story Documentation, System Architecture Documentation, Test Case Execution, Technical Communication, Data Flow Mapping
Specialization
Requires a Bachelor's degree in computer science or information systems, or equivalent experience, with at least one year of professional analyst experience. Familiarity with Agile, DevOps, and software development lifecycles is essential.
Experience Required
Minimum 2 year(s)
Nursery Person – Team Leader at Global Fruit Co Ltd
Sydney, New South Wales, Australia - Full Time
Skills Needed
N/A
Lead Associate - Operations at WNS Global Services
Chennai, tamil nadu, India - Full Time
Skills Needed
Intercompany Transactions, Reconciliation, Financial Investigation, Intercompany Recharges, Stakeholder Coordination
Specialization
Candidates must possess a bachelor's degree. The role requires the ability to perform monthly reconciliations and investigate financial differences between counterparties.
Experience Required
Minimum 2 year(s)
Sales Development Representative (SDR) at TechBiz Global GmbH
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Nurse, Concurrent Review at WNS Global Services
Houston, Texas, United States -
Full Time


Start Date

Immediate

Expiry Date

15 Sep, 26

Salary

75000.0

Posted On

17 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Concurrent Review, Utilization Management, InterQual Criteria, Clinical Collaboration, Medical Necessity Determination, Case Management, HIPAA Compliance, URAC Standards, NCQA Standards, Microsoft Office, Critical Thinking, Time Management, Clinical Intake, Transitional Care Planning, Patient Advocacy, Medical Documentation

Industry

Business Consulting and Services

Description
Company Description WNS, 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 MAJOR RESPONSIBILITIES 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 SCHEDULE 7AM – 5PM PST/9AM – 7PM CST Monday- Friday while you should remain flexible based on business needs which could include weekends or alternative daytime hours. Qualifications 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 Additional Information Additional Information The base salary for this position is $75,000 annually. This represents the base pay range that we reasonably expect to offer for this position. Final compensation will be determined based on a variety of factors, including but not limited to the candidate’s experience, education, skillset, and location. • 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 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. Location - Remote WNS HealthHelp (A Capgemini Company) provides cutting-edge technology to streamline the review process, including our proprietary HIPAA – compliant portal and Physician App, ensuring efficiency and ease of use for our specialists. WNS HealthHelp (A Capgemini Company) is an Equal Opportunity Employer. At WNS HealthHelp, we celebrate diversity and are committed to creating an inclusive environment that extends to our suppliers and vendors. All qualified Independent Contractors will receive consideration 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.
Responsibilities
Perform concurrent inpatient utilization reviews using InterQual criteria to determine medical necessity for admissions and continued stays. Collaborate with physicians and care teams to support appropriate level-of-care decisions and ensure regulatory compliance.
Nurse, Concurrent Review at WNS Global Services
Houston, Texas, United States - Full Time
Skills Needed
Concurrent Review, Utilization Management, Interqual Criteria, Clinical Collaboration, Medical Necessity Determination, Case Management, Hipaa Compliance, Urac Standards, Ncqa Standards, Microsoft Office, Critical Thinking, Time Management, Clinical Intake, Transitional Care Planning, Patient Advocacy, Medical Documentation
Specialization
Requires an active unrestricted US RN license and at least two years of experience in an acute care setting. Proficiency in Microsoft Office and familiarity with InterQual or similar clinical decision support criteria is preferred.
Experience Required
Minimum 2 year(s)
Accounts Payable with German at WNS Global Services
Bucharest, Bucharest, Romania - Full Time
Skills Needed
Accounts Payable, German Language, English Language, Invoice Processing, Vendor Master Data Management, Payment Processing, T&E Claim Management, Microsoft D365, Ms Excel, Three Way Matching, Gl/Cc Coding, Sox Compliance, Gr/Ir Reconciliation, Tax Compliance, Analytical Skills, Stakeholder Management
Specialization
Candidates must have at least one year of experience in Accounts Payable and fluency in both German (B2 level) and English. A bachelor's degree in Finance, Accounting, or a related field and proficiency in ERP systems like Microsoft D365 are required.
Sr. Group Manager_SF (EC Payroll)_ REF102027N_2026240091 at WNS Global Services
Mumbai, maharashtra, India - Full Time
Skills Needed
Sap Payroll, Employee Central Payroll, Ricef, Pcrs, Rest/Soap Integrations, Badis, Bapis, Odata Services, Dme Configuration, Statutory Payroll Execution, Payroll Posting To Finance, Successfactors Ecp, Payroll Control Center, Cds Views, Time Management, Sap Certification
Specialization
Requires a graduate degree and over 10 years of techno-functional experience in SAP Payroll, specifically with RICEF and connectivity protocols. Proficiency in payroll processing, integration with Finance, and year-end operations is essential.
Experience Required
Minimum 10 year(s)
Walk in Interviews Nashik at WNS Global Services
Nashik, maharashtra, India - Full Time
Skills Needed
Communication Skills, Analytical Skills, Logical Interpretation, Computer Skills, Operating System Skills, Problem Solving, Collaboration, Written English, Verbal English
Specialization
Candidates must possess excellent verbal and written English communication skills and proficiency in computer operating systems. Educational requirements include being an undergraduate, graduate, or postgraduate.
PUN - REF104010N_2026259127 - General Ledger - Senior Associate at WNS Global Services
Pune City, maharashtra, India - Full Time
Skills Needed
General Ledger, Tenant Recoveries, Lease Interpretation, Financial Reconciliation, Analytical Skills, Microsoft Excel, Accounting, Attention To Detail, Organizational Skills, Written Communication, Verbal Communication
Specialization
Candidates must have a Bachelor's or Postgraduate degree in Accounting or Commerce with 2 to 5 years of domain experience. Proficiency in Microsoft Excel and strong analytical and communication skills are essential.
Experience Required
Minimum 2 year(s)
Symitar Engineer I, II, III, Senior at Global Credit Union
, , - Full Time
Skills Needed
Symitar Development, Unit Testing, Configuration Management, Agile, Devops, Software Development Lifecycle, System Architecture, Coding Standards, Software Modeling, Technical Design
Specialization
Requires a Bachelor's degree in Engineering or Computer Science, or equivalent technical experience. Preference is given to candidates with at least one year of professional experience in Symitar development and familiarity with Agile and DevOps practices.
Experience Required
Minimum 2 year(s)
SAP FICO S/4 Hana Consultant at HTC Global Services
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Data Scientist I at S&P Global Mobility
Gurugram, haryana, India - Full Time
Skills Needed
Python, Pandas, Numpy, Scikit Learn, Machine Learning, Sql, Workflow Automation, Generative Ai, Regression, Classification, Model Tuning, Data Analysis
Specialization
Requires a Bachelor's or Master's degree in a quantitative field and 1 to 3 years of data science experience. Must be proficient in Python and its data libraries with a solid theoretical understanding of machine learning.
Experience Required
Minimum 2 year(s)
Senior Accountant at Global Tobacco FZCO
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
WNS Walk in Indore Hiring - Associate / Sr. Associate at WNS Global Services
Indore, Madhya Pradesh, India - Full Time
Skills Needed
Communication Skills, Customer Service, Typing Speed, Webchat, Multitasking, Teamwork, Ms Office
Specialization
Candidates must possess strong communication skills, a minimum typing speed of 30 WPM, and proficiency in MS Office. Flexibility regarding shifts and weekly offs is required, with webchat experience preferred.
Senior Associate - Operations at WNS Global Services
Chennai, tamil nadu, India - Full Time
Skills Needed
Cash Application, Bank Reconciliations, Ar Ageing Analysis, Soa, Basic Accounting, Reporting, Communication Skills, Computer Literacy
Specialization
Candidates must have a undergraduate degree and strong basic accounting knowledge. Proficiency in computer literacy and good communication skills are required.
Experience Required
Minimum 2 year(s)
Senior Analyst - MEI at WNS Global Services
Houston, Texas, United States - Full Time
Skills Needed
Sql, Tableau, Sas, Medical Economics, Healthcare Informatics, Data Visualization, Claims Analysis, Pmpm Metrics, Icd 10, Cpt Coding, Microsoft Excel, Data Management, Statistical Analysis, Healthcare Financial Business Cycle, Quality Reporting, Critical Thinking
Specialization
Requires a Bachelor's degree in a healthcare or quantitative field and over 5 years of experience in healthcare analytics. Proficiency in SQL, Tableau, and medical claims data analysis is essential.
Experience Required
Minimum 5 year(s)
Health Care Support Worker at GLOBAL DYNAMICS LLC
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
REF99996K I Senior Associate - Collections I Pune I UK Shifts at WNS Global Services
Pune, maharashtra, India - Full Time
Skills Needed
B2b Collections, Order To Cash (O2c), Cash Application, Account Reconciliation, Sap, Customer Relationship Management, Analytical Thinking, Problem Solving, Verbal Communication, Written Communication, Root Cause Analysis, Financial Accounting
Specialization
Requires 2-4 years of corporate collections experience and proficiency as an SAP end user. A bachelor's degree in Finance, Accounting, or Business Administration is required along with strong analytical and communication skills.
Experience Required
Minimum 2 year(s)
Pre-Sales Engineer at TechBiz Global GmbH
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
WNS Walk in Indore Hiring - Associate / Sr. Associate at WNS Global Services
Indore, Madhya Pradesh, India - Full Time
Skills Needed
Communication Skills, Customer Service, Typing Speed, Webchat, Multitasking, Teamwork, Ms Office
Specialization
Candidates must possess strong communication skills, a minimum typing speed of 30 WPM, and proficiency in MS Office. Flexibility with shifts and weekly offs is required, with a preference for experience in webchat.
Systems Analyst I, II, III, Senior at Global Credit Union
, , - Full Time
Skills Needed
Business Analysis, Systems Analysis, Agile, Devops, Scrum, Kanban, Software Development Lifecycle, User Story Documentation, System Architecture Documentation, Test Case Execution, Technical Communication, Data Flow Mapping
Specialization
Requires a Bachelor's degree in computer science or information systems, or equivalent experience, with at least one year of professional analyst experience. Familiarity with Agile, DevOps, and software development lifecycles is essential.
Experience Required
Minimum 2 year(s)
Nursery Person – Team Leader at Global Fruit Co Ltd
Sydney, New South Wales, Australia - Full Time
Skills Needed
N/A
Lead Associate - Operations at WNS Global Services
Chennai, tamil nadu, India - Full Time
Skills Needed
Intercompany Transactions, Reconciliation, Financial Investigation, Intercompany Recharges, Stakeholder Coordination
Specialization
Candidates must possess a bachelor's degree. The role requires the ability to perform monthly reconciliations and investigate financial differences between counterparties.
Experience Required
Minimum 2 year(s)
Sales Development Representative (SDR) at TechBiz Global GmbH
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
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