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

Key Skills

Education

Any Gradute