Jobs in the United States

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Added 16 mins ago
J
Project Manager IV- Implementation Lead
Jobgether
Remote, United States
- $124,441 to $180,842 USD / year
We are seeking an experienced Project Manager to lead complex, cross-functional Enterprise Resource Planning (ERP) implementations and strategic IT initiatives. In this role, you will…
Added 16 mins ago
J
Product Discovery Manager
Jobgether
Remote, United States
- $140,000 to $150,000 USD / year
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Product Discovery Manager based in the United States.
Added 16 mins ago
Director, Compliance & Quality Systems
Jobgether
Remote, United States
Supplier quality management: Develop and oversee a risk-based supplier quality program, including supplier selection, qualification, approved supplier lists, performance monitoring,…
Added 16 mins ago
BC
Right of Way Project Manager
Bowman Consulting Group, Ltd.
Reston, VA
- $100,000 to $133,000 USD / year
Bowman has an opportunity for a Right of Way Project Manager to join our team remotely.
Added 19 mins ago
Business Development Executive, LE/GE, GTS
Gartner
Remote, United States
Our Business Development teams play a critical role in expanding Gartner’s presence across the global market. Gartner Business Development Executives strategically acquire new clients by…
Added 19 mins ago
Marketing Specialist
Gartner
Irving, TX · Stamford, CT
…works well independently, is agile, can work in a fast-paced environment, comfortable analyzing data and has a passion for optimizing experiences. This role will report to the Manager,…
Added 19 mins ago
C
Director of Operations - Full-Time
Chick-fil-A
Evansville, IN
- $20 to $27 USD / hour
- Full-time
…Do you have experience overseeing operations in a fast-paced environment? If so, join Chick-fil-A Eastland Mall…
Added 19 mins ago
IT Services Manager
Natural and Cultural Resources
Randolph County, NC
Must have a valid driver’s license issued from within the United States or be able to obtain one within 90 days of employment
Added 27 mins ago
Lead Marketing Production - Digital Execution Consultant – Digital Execution
Wells Fargo Bank, N. A.
CHARLOTTE, NC · IRVING, TX · MINNEAPOLIS, MN
Must be able to work from one of the approved jobs posting locations three (3) days in office & two (2) days remote
Added 27 mins ago
Branch Complex Senior Manager
D13 Wells Fargo Clearing Services, LLC
SAN ANTONIO, TX · PALM VALLEY, TX · MCALLEN, TX
The Branch Complex Senior Manager role will lead branch(es) within a market of Wells Fargo Advisors. This role is responsible for building an environment that fosters significant and…
Added 28 mins ago
Branch Complex Senior Manager
D13 Wells Fargo Clearing Services, LLC
METAIRIE, LA · SHREVEPORT, LA · LAKE CHARLES, LA · MONROE, LA · BATON ROUGE, LA · MANDEVILLE, LA · RIDGELAND, MS
The Branch Complex Senior Manager role will lead branch(es) within a market of Wells Fargo Advisors. This role is responsible for building an environment that fosters significant and…
Added 31 mins ago
HW
Recruiter WFH (Contract) - Healthcare Recruitment - MAD
HealthTrust Workforce Solutions
Lee's Summit, MO
- $35 to $45 USD / hour
Must have reliable transportation to attend onsite events within the local region · Must reside in the Kansas City / Missouri area
Added 32 mins ago
Cloud Data AI/Foundations Manager
Ascension Health
Saint Louis, MO
degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required
Added 32 mins ago
NI
Beauty Counter Manager - Dior - West County
NORDSTROM, INC.
Saint Louis, MO
- $21.95 to $22.85 USD / hour
Added 39 mins ago
Production Master Data Program Manager
Anduril Industries
Costa Mesa, CA
The Production Master Data Program Manager will lead master data projects that support Anduril's Production organization, including Manufacturing, Supply Chain, Planning, Quality, and…
Added 42 mins ago
Staff Program Manager, Digital Studio
Rivian
Irvine, CA
…that transform mobility. We’re looking for a systems-minded Program Manager with a passion for scaling design across platforms and brands. You will be responsible for the development and…
Added 44 mins ago
1
Staff Developer, Authentication Enablement
1Password
Remote, United States
- $192,000 to $278,000 USD / year
…trusted. We innovated the market-leading enterprise password manager and pioneered Unified Access Management, a new cybersecurity category built for the way people and AI agents work today.…
Added 47 mins ago
U
Registered Nurse- Part Time
UHS
BIRMINGHAM, AL
- Part-time
Typicall schedule rotation: 2-3, 8's on weekdays and/or 12 hour shifts every other Sat/Sun · MUST HAVE availability to attend an 8- business day Orientation from 8a-4p without interruptions
Added 48 mins ago
U
CLINICAL MANAGER OPERATING ROOM/ SURGICAL SERVICES FULL TIME DAYS
UHS
PALM BEACH GARDENS, FL
- Full-time
Minimum of 5 years of perioperative experience required
Added 48 mins ago
J
Senior Manager, Market Access Consulting
Jobgether
Remote, United States
- $120,000 USD / year
The Senior Manager, Market Access Consulting will lead strategic healthcare consulting engagements, helping clients navigate complex payer environments, pricing strategies, and…
Added 49 mins ago
Patient/Family Care Navigator
UHS
LAWRENCEVILLE, GA
…and will meet with the patient’s assigned social worker/case manager, charge nurse, physician, step-down coordinator and utilization review team to ensure the highest level of care and…
Added 49 mins ago
Registered Nurse (RN) - Surgery , Per Diem
UHS
MURRIETA, CA
A safe and supportive environment that puts patient care first and values the nursing profession. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing…
Added 58 mins ago
Supervisor, Solutions Center - Financial Services
Nationwide Life and Annuity Insurance Co
OH · AZ
It is our intention to fill this role in Columbus, Ohio or Scottsdale, AZ on a hybrid basis requiring in-office presence at least two days per week
Added 58 mins ago
Sr Consultant, Finance - Life
Nationwide Life and Annuity Insurance Co
OH
This role does not qualify for employer sponsored work authorization. Nationwide does not participate in the STEM OPT extension program.
Added 59 mins ago
KS
Packaging and Sanitation Technician
Kelly Services
Hillsboro, ND
- $20 to $22 USD / hour
Adhere to Kelly’s safety policies and support the company’s safety program. Quality Assurance:

Closed listing

WNS Global Services

Manager- Quality & Acc.

Remote, United States

$100,000 to $125,000 USD / year

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Pay: $100,000 to $125,000 USD / year
Posting language: English
Posted: Nov 2, 2026

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Original job description

Archived listing. The details below describe a past opening.

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

Support the business in achieving the goals of the Quality Department through the following responsibilities:

Leads the Quality Management Program, including annual program evaluation, quality improvement initiatives, KPI development, performance monitoring, and implementation of continuous process improvements.
Identifies compliance, accreditation, contractual, and operational risks; conducts root cause analyses; develops corrective action plans; monitors effectiveness of interventions; and escalates significant issues as appropriate.
Develops, implements, and oversees quality audit programs for clinical and physician review activities, including IRR audits, adverse determination reviews, and data integrity audits, ensuring alignment with contractual, regulatory, and accreditation requirements.
Ensures audit findings are accurate, consistent, defensible, and supported by standardized methodologies, appropriate sampling techniques, and regulatory requirements.
Maintains expertise in utilization management workflows, policies, and operational processes to ensure meaningful oversight and auditing activities.
Partners with operations, clinical leadership, compliance, education, IT, and other stakeholders to resolve deficiencies, improve processes, and sustain corrective actions.
Maintains readiness for accreditation surveys, client audits, and regulatory reviews by monitoring changing requirements, updating policies and audit criteria, maintaining evidence repositories, and coordinating survey activities.
Oversees URAC and NCQA accreditation activities, including standards interpretation, gap assessments, survey preparation, application management, and response coordination.
Leads preparation for external audits, surveys, and delegated oversight reviews conducted by clients, regulators, and accrediting organizations.
Leads Quality Management and Compliance Committees and provides governance, oversight, reporting, and recommendations to organizational leadership.
Maintains Quality Management Program documentation, including program descriptions, work plans, annual evaluations, committee records, quality improvement projects, and required reports.
Analyzes and presents quality, compliance, accreditation, complaint, utilization management, and audit data to leadership, committees, clients, and external stakeholders.
Oversees complaint investigations, trend analysis, reporting, and corrective actions in accordance with contractual, accreditation, and regulatory requirements.
Oversees fraud, waste, and abuse reporting activities and ensures appropriate reporting and documentation in accordance with company policies and contractual requirements.
Oversees regulatory and accreditation-required education tracking, exclusion monitoring, clinician credentialing, licensure verification, and credentialing record maintenance.
Provides leadership, coaching, performance management, workload balancing, succession planning, and professional development for Quality team members.
Ensures compliance with all applicable federal and state regulations, accreditation standards, company policies, privacy requirements, and professional standards.
Provides exceptional service to internal and external stakeholders and performs other duties as assigned.

Qualifications

Graduate of an accredited nursing program; active, unrestricted RN license required. BSN, MSN, or other bachelor's degree preferred.
5+ years of utilization management experience in a health plan, UM vendor, or delegated UM organization, including prior authorization.
3+ years of quality, audit, compliance, accreditation, or quality management experience, including audit programs, KPI reporting, and corrective action planning.
2+ years of progressive leadership experience in a managed care environment with responsibility for staff performance and team outcomes.
Demonstrated success developing KPIs, conducting root cause analyses, and driving measurable performance improvement.
Working knowledge of URAC and/or NCQA accreditation standards and quality management program requirements; participation in accreditation surveys or delegation audits preferred.
Knowledge of Medicare, Medicaid, and commercial utilization management regulations, including CMS and state utilization review requirements.
Prior quality management experience within a health plan or delegated utilization management organization strongly preferred.
CPHQ certification preferred; Lean Six Sigma or other process improvement training is a plus.
Experience leading quality, productivity, and performance improvement initiatives.
Strong leadership, facilitation, communication, critical thinking, and organizational skills.
Ability to thrive in a fast-paced, evolving environment and collaborate effectively across teams.

ENVIRONMENT AND PHYSICAL DEMANDS

HIPAA-compliant remote location with reliable high-speed internet.
Ability to use the telephone, sit, enter data and view a PC screen for up to 8 hours.
Ability to prioritize in a multi-task environment.

Additional Information Compensation Disclosure The base salary range for this position is $100,000 to $125,000 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. How to Apply

Please submit your application, including a resume and optional cover letter, through our careers page or email to talent@healthhelp.com.

About employer

More about this job

Skills

Quality assurance procedures
Regulatory compliance
Auditing
Leadership
Improve business processes
Reporting
Documentation
Coaching
Performance management
CMS
Lean manufacturing
Process improvement
Communication skills
Critical thinking
Organizational skills
Communicate by telephone

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Work requirements

Jobs in the United States