Analyze healthcare workflows and define automation requirements using process mining insights.
This role is remote.
Responsibilities
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.
Work closely with RPA developers to translate business requirements into technical specifications and guide process standardization efforts.
Required Skills
6+ years of experience in process or business analysis, 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.
Knowledge of RPA platforms (UiPath preferred) and automation concepts.
Background in process improvement methodologies (Lean, Six Sigma).
Excellent analytical and communication skills.
Preferred Skills
Familiarity with healthcare claims standards (EDI 837/835, HIPAA).