Jobs Companies Weekday AI Task & Process Mining Analyst - Healthcare Claims

À propos de ce poste Task & Process Mining Analyst - Healthcare Claims chez Weekday AI

Weekday AI · Télétravail · India

This role is for one of the Weekday's clients

Min Experience: 5+ years

Location: Remote (India)
JobType: full-time

We are looking for a Task & Process Mining Analyst with 5+ years of experience in business/process analysis and strong experience in healthcare claims operations. The ideal candidate will have hands-on experience with process mining and task mining tools and will use data-driven insights to identify process inefficiencies, quantify automation opportunities, and support RPA and AI-led transformation initiatives.

Requirements

Key Responsibilities:

Process & Task Mining:

  • Deploy and configure process mining solutions to analyze event-log data from healthcare claims systems and reconstruct end-to-end process flows.
  • Use Task Mining to capture and analyze desktop-level user interactions across claims intake, validation, adjudication, remittance, and denial workflows.
  • Identify process variants, bottlenecks, rework loops, manual touchpoints, and compliance deviations.
  • Build and maintain process mining dashboards and conformance models to monitor process performance.
  • Create objective, data-driven as-is process documentation based on actual process execution.

Healthcare Claims Analysis:

  • Analyze end-to-end healthcare claims workflows including EDI 837/835, eligibility verification, prior authorization, claims submission, adjudication, remittance, denial management, and appeals.
  • Analyze payer-provider interaction points and identify root causes of denials, delays, rework, and manual intervention.
  • Quantify transaction volumes, cycle times, error rates, rework, and manual effort to support ROI and business-case development.
  • Collaborate with claims SMEs, clinical teams, billing teams, and operations stakeholders to validate findings and prioritize improvement opportunities.

Automation Opportunity Development:

  • Translate process and task mining findings into structured automation opportunities.
  • Define automation scope, effort estimates, expected benefits, and ROI projections.
  • Develop Process Definition Documents (PDDs) and solution-design inputs for RPA development teams.
  • Prioritize automation opportunities based on volume, complexity, compliance risk, and business value.
  • Partner with UiPath RPA developers and architects to support the transition from process discovery through automation development.

Stakeholder Engagement:

  • Present process mining findings, dashboards, insights, and automation business cases to healthcare operations and IT stakeholders.
  • Facilitate workshops with claims SMEs, billing teams, payer relations teams, and other stakeholders.
  • Validate current-state processes and support future-state process design.
  • Support change management and process transformation activities during automation implementation.

Required Qualifications:

  • 5+ years of experience in business/process analysis, with at least 2 years of experience focused on healthcare claims operations.
  • Hands-on experience with UiPath Process Mining and/or Task Mining or equivalent tools such as Celonis, Minit, or Fluxicon Disco.
  • Strong understanding of the healthcare claims lifecycle, including EDI 837/835, eligibility, prior authorization, adjudication, denials, remittance, and appeals.
  • Experience working with healthcare claims platforms such as Epic (Resolute HB/PB), Facets, TriZetto, Availity, or Change Healthcare.
  • Experience with process mapping and process documentation tools such as Visio or Lucidchart.
  • Strong analytical skills with the ability to analyze event-log/process data and develop ROI models and business cases.
  • Familiarity with HIPAA compliance and PHI handling requirements.
  • Experience with RPA platforms, preferably UiPath, and understanding of the automation development lifecycle.
  • Strong communication, stakeholder management, and problem-solving skills.

Preferred Qualifications:

  • UiPath Process Mining or Task Mining certification.
  • Lean, Six Sigma, or other process improvement experience/certification.
  • Experience with SQL for event-log extraction and data preparation.
  • Knowledge of HL7, FHIR, and healthcare interoperability standards.
  • Exposure to AI/ML-enhanced process mining use cases such as anomaly detection or predictive conformance.
  • PMP or Agile certification.

Success in this role will involve establishing process mining models for key claims workflows, identifying and prioritizing high-value automation opportunities with validated ROI, reducing claims denials, rework, manual processing time, and enabling healthcare stakeholders to use process performance dashboards for ongoing decision-making.

Must-have skills

Healthcare Claims / Claims Operations, UiPath Process Mining / Task Mining, Process Mining / Business Process Analysis

Good-to-have skills

RPA / UiPath, EDI 837/835 / HIPAA, Epic / Facets / TriZetto / Availity / Change Healthcare

Prêt à postuler chez Weekday AI ?
Postuler chez Weekday AI

À propos de Weekday AI

At Weekday (backed by YC; also Product Hunt #1 product of the day), we are building the next frontier in hiring. We have built the largest database of white collar talent in India and have built outreach tools on top of it to generate highest response rates.

Voir tous les emplois chez Weekday AI →

Emplois similaires

Inscrivez-vous pour des suggestions adaptées aux emplois que vous ouvrez et aux recherches que vous enregistrez.

Plus d’emplois chez Weekday AI

Voir tous les emplois chez Weekday AI →

Postuler maintenant
🤖

Doucement — un instant

JobsRadar a été conçu pour de vraies personnes qui traversent une période difficile dans leur recherche d’emploi — pas pour des requêtes automatisées. Vous cliquez beaucoup trop vite et vous êtes maintenant temporairement bloqué.

Revenez plus tard. Si vous cherchez réellement un emploi, nous sommes de votre côté — agissez simplement comme un être humain.

Catch your next role the second it’s posted.

Create a free account and we’ll watch the boards for you — the instant a job matches your search, it lands in your inbox or Telegram. No digging, no refreshing.

Create free account

Free forever · takes 30 seconds · already have one?

Prenez une longueur d’avance dans votre recherche d’emploi.

Rejoignez notre canal Telegram pour ce qui vous aide à décrocher le poste — références salariales, le pouls hebdomadaire du marché et les annonces de nouveautés. Pas de spam, que du signal.

Rejoindre le canal — c’est gratuit