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 |