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Added 1 min ago
MG
Part-time Nabisco Merchandiser
Mondelez Global LLC
Santa Rosa, CA · Healdsburg, CA
- $19.5 to $20.5 USD / hour
- Part-time
…in-store execution. You’ll work closely with your Retail Territory Manager (RTM) to ensure our iconic brands - Oreo, Ritz, belVita, Chips Ahoy!, Triscuit, and more - are stocked, displayed,…
Added 1 min ago
Account Manager
AIRGAS Airgas USA, LLC
Huntington, WV
As an Account Manager, you will be a pioneer in building and sustaining high-value partnerships within our business and industrial sectors. Your key focus is to advance sustainable growth…
Added 2 mins ago
Fleet Service Manager onsite with Autonomous Vehicle Partner - Houston 77028
AutoNation
Houston, TX
Deliver weekly/monthly business reviews displaying operational excellence and transparency for the managed services AutoNation provides.
Added 2 mins ago
Director of IT ERP & Analytics Solutions
IMSUS Integrated Merchandising Solutions
Skokie, IL · Kenosha, WI
The Director leads four direct reports: the Business Systems Analyst Manager, Application Development Manager, IT Support / Quality Assurance Manager, and Associate Manager of Analytics.…
Added 2 mins ago
Market Sales Manager
SCI Shared Resources, LLC
Miami, FL
…with colleagues, promote diversity, share ideas, enhance our business and help improve the communities in which we live and work. As part of our mission to promote excellence in funeral…
Added 3 mins ago
Multi-Craft Maint Tech (D shift - 7pm - 7am)
Shurtape Technologies
Hickory, NC
A focus on excellence and continuous improvement, ensuring we deliver top-quality, reliable solutions to our customers
Added 4 mins ago
VP, Head of Program Management - AI
Synchrony Bank
United States
Help Synchrony accelerate responsible AI adoption and business impact across the enterprise. As Vice President, Head of Program Management for AI, you will lead the operating engine for the…
Added 5 mins ago
F
General Manager
FarmaceuticalRX
Dayton, OH
- $65,000 to $70,000 USD / year
Oversee the receiving process for all regulated and non-regulated products in partnership with the Inventory Manager.
Added 6 mins ago
Technical Specialist
AXA
SCOTTSDALE
Process submissions promptly and accurately, manage the internal submission mailbox, and collaborate with Underwriting, Middle Office, and Shared Services to respond to inquiries.
Added 6 mins ago
Claims Specialist, Design Professional
AXA
CHICAGO · NEW YORK · EXTON · HARTFORD
…seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous improvement. You create an environment that fosters collaboration, customer…
Added 7 mins ago
SP
Inside Sales Representative - Pacific Northwest
Standard Process Inc
Remote, United States
- $27.24 to $39.5 USD / hour
Under the direction of the District Sales Manager, the Inside Sales Representative will be responsible for driving sales in their respective district. The Inside Sales Representative will…
Added 8 mins ago
E
Warehouse Manager
Endries
Oakdale, MN
- $75,000 to $95,000 USD / year
Endries International, Inc. currently has an exciting opportunity for a Warehouse Manager to join our team. We are seeking a highly motivated leader who thrives on problem solving,…
Added 9 mins ago
RF
Assistant Branch Manager
Regional Finance Corp. of North Carolina
Greensboro, NC
- $19 to $28 USD / hour
G.O.A.L. Training Program - Designed to prepare Regional’s top performing Assistant Managers for Branch Manager positions. Throughout the program you will learn how to become a successful…
Added 9 mins ago
RF
Assistant Branch Manager
Regional Finance Company of Oklahoma LLC
Bartlesville, OK
- $19 to $28 USD / hour
G.O.A.L. Training Program - Designed to prepare Regional’s top performing Assistant Managers for Branch Manager positions. Throughout the program you will learn how to become a successful…
Added 10 mins ago
Clinic Director – Outpatient SUD Treatment
Steadfast Health
Canton, OH
Level & Compensation: This role will be hired at either the Manager or Director level, depending on the candidate's experience and scope of prior responsibility. We encourage candidates…
Added 11 mins ago
Account Manager
Internet Brands
Seattle, WA
About the Role: Martindale-Avvo is seeking a driven, self-starting Account Manager who is competitive, confident, and consultative. This role is responsible for managing, growing, and…
Added 11 mins ago
Mechanical Superintendent
Loenbro
Dallas, TX
At Loenbro, we don’t just offer jobs - we build careers grounded in integrity, teamwork, excellence, and purpose. Join a team where your expertise is valued, your growth is supported, and…
Added 13 mins ago
Technical Specialist
AXA
SCOTTSDALE
…clearance to policy issuance and renewals where applicable. Process submissions promptly and accurately, manage the internal submission mailbox, and collaborate with Underwriting, Middle…
Added 14 mins ago
Buyer
TriMark USA
Cleveland, OH · Bedford Park, IL · Rogers, MN · Lenexa, KS · Omaha, NE
…foodservice supplies across a wide range of industries and business sectors. Headquartered in Massachusetts, with a history dating back to 1896, we have locations across the country that…
Added 15 mins ago
CH
Pharmacy Technician
CVS Health
Greensboro, NC
- $16 to $24 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 15 mins ago
CH
Pharmacy Technician
CVS Health
Rockwell, NC
- $16.5 to $25 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 15 mins ago
CH
Pharmacy Technician
CVS Health
North Las Vegas, NV
- $16.5 to $25 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 15 mins ago
CH
Pharmacy Technician
CVS Health
Bluefield, WV
- $16 to $24 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 15 mins ago
CH
Pharmacy Technician
CVS Health
Hendersonville, NC
- $16 to $24 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 15 mins ago
CH
Pharmacy Technician
CVS Health
Dearborn, MI
- $16.5 to $25 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…

WNS Global Services

Manager- Quality & Acc.

Remote, United States

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

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Job details

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

Original job 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

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.

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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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