Authorization and Referral Claims Process Improvement Lead

Humana · Richmond, VA, United States

Location
Richmond
Job Type
Full-time
Posted
July 02, 2026

Job Description

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The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
The Process Improvement Lead will work closely with the Authorization and Referral Process team on large scale initiatives and new concepts to help translate business need into technical requirements.
Key Responsibilities include:
+ Partner with business leaders, teams, and cross-functional groups to Lead process analysis and root cause
+ Facilitate workshops, working sessions, and improvement events
+ Communicate progress, risks, and outcomes to leadership
+ Analyze operational data to identify trends and improvement opportunities
+ Build reports/dashboards to monitor improvements and define KPIs and metrics to measure pro...

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