Urgent Search Director

Company Description WNS Holdings Limited NYSE WNS is a leading Business Process Management BPM company We combine our deep industry knowledge with technology and analytics expertise to co-create innovative digital-led transformational solutions with clients across 10 industries We enable businesses in Travel Insurance Banking and Financial Services Manufacturing Retail and Consumer Packaged Goods Shipping and Logistics Healthcare and Utilities to re-imagine their digital future and transform their outcomes with operational excellence We deliver an entire spectrum of BPM services in finance and accounting procurement customer interaction services and human resources leveraging collaborative models that are tailored to address the unique business challenges of each client We co-create and execute the future vision of 400 clients with the help of our 44 000 employees Key Responsibilities Business Analysis Requirements Gatheringo Engage with RCM stakeholders operations compliance technology to gather and document detailed business requirements across intake coding billing claims A R and denials o Define user stories business rules data flows and system behavior aligned with operational outcomes o Work closely with product managers to prioritize features based on business value and technical feasibility Subject Matter Expertise SME o Provide domain expertise in U S healthcare revenue cycle processes and technologies o Offer field-level insights from front-end intake through back-end collections and appeals o Advise on industry best practices compliance considerations and emerging trends in automation and AI adoption in RCM Techno-Functional Collaborationo Act as a liaison between business users and development teams to ensure solution design aligns with functional needs o Partner with architects and engineers on data modeling workflow engines and AI ML model integration o Participate in user acceptance testing UAT validating system outputs against business expectations Platform Innovationo Contribute to platform design and modularization of features such as but not limited to o Claims Automation e g OCR NLP intelligent form capture o Autonomous Coding ICD CPT code prediction using AI ML o Process Optimization clearinghouse logic eligibility validation o Denials Prevention Prediction ML-based denial scoring root cause analytics o Identify opportunities for AI automation to enhance accuracy reduce TAT and minimize human intervention Documentation Change Managemento Develop clear documentation including BRDs FRDs process maps and data dictionaries o Support training change management and knowledge transfer to internal teams and client stakeholders Qualifications Qualifications o Bachelor s degree in Healthcare Administration Information Systems Computer Science or related field o 10 years of experience in RCM operations product development or business analysis preferably in a healthcare technology or BPO setting o Deep understanding of end-to-end RCM workflows and pain points o Experience working with or designing solutions involving automation RPA AI ML and data analytics o Familiarity with RCM platforms EHRs e g Epic Cerner Athena and clearinghouse integrations Preferred Skills o Experience with product development lifecycles Agile Scrum o Experience in working with wide range of practice management systems used by providers in the USo Data sourcing and integration experience with leading EHR EMR clearing houses and payer claims systemso Proficiency in tools such as JIRA Confluence Lucidchart Visio SQL o Exposure to technologies like OCR NLP RPA UiPath Automation Anywhere and machine learning models o Certifications in Business Analysis CBAP CCBA Healthcare IT e g CPHIMS or Lean Six Sigma