Business Analyst

This is a remote position.

Job Description

• Conduct detailed process analysis and documentation of healthcare workflows, including claims adjudication, prior authorization, and revenue cycle processes
• Collaborate with healthcare clients to gather requirements and understand pain points across clinical, administrative, and claims operations
• Create process maps, data flow diagrams, and detailed documentation using Task Mining and Process Mining insights to validate as-is workflows
• Identify and quantify automation opportunities with clear ROI calculations, leveraging Process Mining to surface bottlenecks and inefficiencies in claims and operational workflows
• Use Task Mining to capture and analyze user interaction patterns, accelerating process discovery and documentation
• Work closely with RPA developers to translate business requirements into technical specifications
• Develop business cases and value propositions for automation initiatives, including claims processing automation and end-to-end revenue cycle optimization
• Guide process standardization and optimization efforts across claims intake, validation, adjudication, and denial management workflows
• Support implementation and change management activities

Requirements

Key Responsibilities

• 6+ years of experience in process/business analysis (healthcare preferred), with exposure to claims processing workflows
• Strong understanding of healthcare operations including claims lifecycle, payer-provider interactions, and revenue cycle management
• Hands-on experience with UiPath Process Mining and Task Mining tools for workflow discovery and analysis
• Experience with process mapping tools and methodologies
• Excellent analytical and communication skills
• Knowledge of RPA platforms (UiPath preferred) and automation concepts
• Background in process improvement methodologies (Lean, Six Sigma)
• Familiarity with healthcare claims standards (EDI 837/835, HIPAA) is a plus

Benefits

Nice to Have

— (entry ticket; no nice-to-have tier)

•Experience with healthcare order documents specifically

•Prior automation of Carelon / Availity or comparable payer portals

•Hands-on Quanum experience

•Prior auth, eligibility, claims, or RCM background

•Prior POD / pooled-delivery experience

•UiPath certification

•Portfolio or recorded agentic demo

Originally posted on Himalayas