Process Excellence Manager

Wipro

Navi Mumbai

On-site

INR 3,000,000 - 5,500,000

Full time

14 days+

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Job summary

Wipro in Navi Mumbai seeks a Black Belt – Manager to lead end-to-end process excellence across Healthcare Claims (Commercial, Medicare, Medicaid, Specialty). Drive measurable outcomes via Lean Six Sigma, RCA-driven improvements, and automation enablement with cross-functional governance.

You will own the project lifecycle from problem definition to benefit realization, collaborate with Quality, Training, WFM and client stakeholders, and translate improvements into quantified business value.

Qualifications

Bachelor’s degree in engineering, healthcare or business.
10–15+ years total experience with 5+ years in US healthcare claims.
Proven leadership of Black Belt–level transformation programs.
Strong knowledge of claims adjudication, processing workflows and regulatory guidelines.

Responsibilities

Lead end-to-end Lean Six Sigma Black Belt projects across claims domains.
Drive defect reduction, cycle time improvement, and cost benefits.
Own problem definition, DMAIC lifecycle, and benefit realization.
Partner with quality, operations, and client stakeholders for governance.

Skills

Lean Six Sigma

RCA

FMEA

Pareto analysis

DMAIC

Control planning

Statistical analysis

Storytelling

US healthcare rules

Claims processing

Education

Bachelor’s degree in Engineering / Healthcare / Business

Tools

RPA

Analytics

Automation tools

Job description

The Black Belt – Manager will lead end-to-end process excellence, quality transformation, and productivity programs across Healthcare Claims operations (Commercial, Medicare, Medicaid, Specialty). The role is responsible for driving measurable business outcomes through Lean Six Sigma, RCA-driven improvements, automation enablement, and cross-functional governance while partnering closely with Operations, Quality, Training, WFM, and Client stakeholders.

Lead Lean Six Sigma Black Belt projects across Claims (Intake, Adjudication, Adjustments, Appeals, EDI, Correspondence).
Drive defect reduction, rework elimination, and cycle time improvement using DMAIC / Lean methodologies.
Identify and execute high-impact transformation opportunities aligned to business priorities and client KPIs.
Own end-to-end project lifecycle from problem definition to benefit realization and sustainment.

Quality & RCA Leadership

Conduct deep-dive RCA using People | Process | System | Technology frameworks.
Lead Pareto analysis, FMEA, trend analysis, and defect heatmaps for escalations, audits, and quality failures.
Partner with Quality teams to improve OAR, financial accuracy, compliance scores, and audit outcomes.

Claims Domain & Client Value Creation

Apply strong US Healthcare Claims knowledge across Commercial, Medicare, Medicaid, and Specialty lines.
Work closely with UHG stakeholders to align process improvements with payer policies and regulatory requirements.
Support client governance, business reviews, client visits, and escalations with data-backed insights.
Translate operational improvements into quantified benefits (QNI, BVM, FTE productivity, cost savings).

Automation & Digital Enablement

Identify opportunities for RPA, AI, analytics, and system-led automation across claims processes.
Collaborate with Automation / IT teams on solution design, deployment, and benefit tracking.
Drive manual exception reduction and touchless processing improvements.

Required Qualifications & Experience

Education