Task & Process Mining Analyst – Healthcare Claims

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Weekday (YC W21)

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2021

💼 Consulting

👥 HR Tech

☁️ SaaS

Consulting • HR Tech • SaaS

Weekday is a modern recruitment platform that combines AI technologies with a vast database of potential candidates, aiming to streamline the hiring process for companies in India. They offer various services, including a proactive outreach approach that helps employers connect with top talent, as well as tools for candidates to easily apply for jobs. Weekday's emphasis on candidate engagement through multiple channels, including email, WhatsApp, and phone calls, sets it apart in the competitive landscape of recruitment agencies.

📋 Description

• Deploy and configure process mining solutions to analyze healthcare claims event-log data and reconstruct end-to-end process flows • 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 • Create data-driven as-is process documentation based on actual execution • Analyze healthcare claims workflows including EDI 837/835, eligibility verification, prior authorization, submission, adjudication, remittance, denials, and appeals • Analyze payer-provider interactions and root causes of denials, delays, rework, and manual intervention • Quantify volumes, cycle times, error rates, rework, and manual effort for ROI and business cases • Collaborate with claims SMEs, clinical teams, billing teams, and operations stakeholders • Translate mining findings into automation opportunities and define scope, estimates, benefits, and ROI • Develop Process Definition Documents and solution-design inputs for RPA teams • Prioritize opportunities based on volume, complexity, compliance risk, and business value • Partner with UiPath developers and architects through process discovery and automation development • Present findings, dashboards, insights, and business cases to healthcare operations and IT stakeholders • Facilitate stakeholder workshops and validate current-state and future-state processes • Support change management and process transformation during implementation • Establish process mining models, prioritize high-value automation opportunities, reduce denials, rework, and manual processing time, and enable dashboard-driven decision-making

🎯 Requirements

• 5+ years of experience in business/process analysis, including at least 2 years 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 with healthcare claims platforms such as Epic Resolute HB/PB, Facets, TriZetto, Availity, or Change Healthcare • Experience with process mapping and documentation tools such as Visio or Lucidchart • Strong analytical skills, including event-log/process data analysis and ROI modeling/business-case development • 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