Director - Capability

11 hours ago


Bengaluru, Karnataka, India WNS Global Services Pvt Ltd Full time ₹ 1,80,000 - ₹ 2,50,000 per year

Director - Capability (Healthcare)

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.

Job Description

Key Responsibilities:Business Analysis & Requirements Gathering
• Engage with RCM stakeholders (operations, compliance, technology) to gather and document detailed business requirements across intake, coding, billing, claims, A/R, and denials.
• Define user stories, business rules, data flows, and system behavior aligned with operational outcomes.
• Work closely with product managers to prioritize features based on business value and technical feasibility.Subject Matter Expertise (SME)
• Provide domain expertise in U.S. healthcare revenue cycle processes and technologies.
• Offer field-level insights from front-end intake through back-end collections and appeals.
• Advise on industry best practices, compliance considerations, and emerging trends in automation and AI adoption in RCM.Techno-Functional Collaboration
• Act as a liaison between business users and development teams to ensure solution design aligns with functional needs.
• Partner with architects and engineers on data modeling, workflow engines, and AI/ML model integration.
• Participate in user acceptance testing (UAT), validating system outputs against business expectations.Platform Innovation
• 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)
• Identify opportunities for AI/automation to enhance accuracy, reduce TAT, and minimize human intervention.Documentation & Change Management
• Develop clear documentation including BRDs, FRDs, process maps, and data dictionaries.
• Support training, change management, and knowledge transfer to internal teams and client stakeholders.

Qualifications

Qualifications:
• Bachelor's degree in Healthcare Administration, Information Systems, Computer Science, or related field.
• 10 years of experience in RCM operations, product development, or business analysis, preferably in a healthcare technology or BPO setting.
• Deep understanding of end-to-end RCM workflows and pain points.
• Experience working with or designing solutions involving automation, RPA, AI/ML, and data analytics.
• Familiarity with RCM platforms, EHRs (e.g., Epic, Cerner, Athena), and clearinghouse integrations.________________________________________Preferred Skills:
• Experience with product development lifecycles (Agile, Scrum).
• Experience in working with wide range of practice management systems used by providers in the US
• Data sourcing and integration experience with leading EHR/EMR, clearing houses and payer claims systems
• Proficiency in tools such as JIRA, Confluence, Lucidchart/Visio, SQL.
• Exposure to technologies like OCR, NLP, RPA (UiPath, Automation Anywhere), and machine learning models.
• Certifications in Business Analysis (CBAP/CCBA), Healthcare IT (e.g., CPHIMS), or Lean/Six Sigma.

Experience LevelExecutive Level

  • Bengaluru, Karnataka, India Arcadis Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Role description:The GEC Discipline Director Project Assistants role will have the overall leadership of Project Assistants team located across multiple GEC locations ensuring the growth of capabilities and capacity to meet business demands and delivery of high-quality project outcomes. This leader will report to GEC Operations & Special Projects...


  • Bengaluru, Karnataka, India Capgemini Full time ₹ 10,00,000 - ₹ 25,00,000 per year

    Product Capability Lead- Finance TransformationSummary of the roleFinance Transformation Product Lead is responsible for designing, developing, and delivering digital finance products that drive transformation across the finance function. This role bridges finance expertise with product management to create scalable, user-centric solutions that enhance...

  • Director Sales

    6 days ago


    Bengaluru, Karnataka, India Canvas & Co. Full time ₹ 15,00,000 - ₹ 25,00,000 per year

    Company DescriptionCanvas & Co. is a growth-focused marketing firm that specializes in content marketing, go-to-market (GTM) strategies, and overall business growth. We combine creative content with strategic insights to help brands scale and achieve success. Our expertise lies in blending creativity with strategy to drive impactful results for our...


  • Bengaluru, Karnataka, India WNS Global Services Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    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...


  • Bengaluru, Karnataka, India WNS Full time ₹ 20,00,000 - ₹ 25,00,000 per year

    Company DescriptionWNS (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...

  • Senior Director

    5 days ago


    Bengaluru, Karnataka, India Visa Inc. Full time ₹ 20,00,000 - ₹ 25,00,000 per year

    Job Description : Senior Director, Merchant Data Platform The Data and Artificial Intelligence Platform (DAP) group is a key component of Visa's Technology organization that provides the enabling technology and processes to handle Visa's data assets and deliver valuable information, products, and services to customers. DAP delivers secure, high-quality and...


  • Bengaluru, Karnataka, India Akshaya Patra Foundation Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    Position :- Director / Senior Director - MaintenanceLocation: Yeshwanthpur, BangaloreWe are seeking a high-impact, results-driven Director / Senior Director of Maintenance to lead and elevate our maintenance strategy across the organization. The ideal candidate will be a visionary leader and hands-on executor, capable of driving continuous improvement,...


  • Bengaluru, Karnataka, India Razorpay Full time

    The Role: The Director of Engineering at Razorpay comes with exceptional leadership, communication, and people management skills and operates with vision and integrity. Some of the responsibilities include aligning engineering activities and projects with company goals and objectives, providing expert guidance and support, approving newly developed policies,...


  • Bengaluru, Karnataka, India Tyfone, Inc. Full time

    About the company:Tyfone, a global leader in the SaaS Digital Banking, Youth Banking, and Digital Payments sectors, is redefining how the world engages with digital finance and payments. Our digital solutions empower individuals, families, and businesses, to simplify and make it easier to manage their financial lives, achieve their financial goals, and...


  • Bengaluru, Karnataka, India Tyfone, Inc. Full time

    About the company:Tyfone, a global leader in the SaaS Digital Banking, Youth Banking, and Digital Payments sectors, is redefining how the world engages with digital finance and payments. Our digital solutions empower individuals, families, and businesses, to simplify and make it easier to manage their financial lives, achieve their financial goals, and...