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Role Description We are looking for a Business Analyst Healthcare with 5+ years of experience in healthcare operations, claims, business analysis, and process transformation. The ideal candidate will have strong knowledge of healthcare claims and payer/provider operations, along with hands-on experience in process mining, task mining, and automation-led process improvement. Conduct detailed analysis and documentation of healthcare workflows, including claims adjudication, prior authorization, denial management, and revenue cycle processes. Collaborate with healthcare clients and business stakeholders to gather requirements, identify pain points, and understand current-state processes. Create process maps, data-flow diagrams, and detailed process documentation using process and task mining insights. Analyze process mining and task mining data to identify bottlenecks, inefficiencies, manual activities, and automation opportunities. Quantify automation opportunities and develop ROI calculations and business cases. Use task mining to understand user interaction patterns and accelerate process discovery and documentation. Work closely with RPA developers and technology teams to translate business requirements into functional and technical specifications. Develop business cases and value propositions for automation initiatives across claims processing and revenue cycle management. Drive process standardization, re-engineering, and optimization across claims intake, validation, adjudication, denials, and related workflows. Support automation implementation, UAT, change management, and post-implementation activities. Conduct workshops and communicate findings, recommendations, and transformation strategies to business and technology stakeholders. Qualifications 5+ years of experience in healthcare claims operations, business analysis, business consulting, or process transformation. Strong understanding of the healthcare claims lifecycle, payer-provider interactions, and revenue cycle management. Strong knowledge of claims processes including EDI 837/835, prior authorization, eligibility, adjudication, denials, and appeals. Hands-on experience with process mining and task mining tools such as UiPath, Celonis, or equivalent. Knowledge of RPA platforms and automation concepts, with UiPath preferred. Strong capabilities in business analysis, process re-engineering, requirements gathering, and process optimization. Experience developing ROI calculations, business cases, and value propositions for automation initiatives. Experience with process mapping methodologies and tools. Good understanding of HIPAA and healthcare regulatory requirements. Excellent stakeholder management, communication, analytical, and problem-solving skills. Ability to translate business challenges into technology-enabled solutions. Preferred Qualifications Experience with healthcare claims platforms such as Epic (Resolute HB/PB), Facets, TriZetto, Availity, or Change Healthcare. Experience with healthcare payer/provider transformation or consulting engagements. Experience with Carelon, Availity, Quanum, or comparable healthcare platforms. UiPath Process Mining, Task Mining, or RPA certification. Lean or Six Sigma certification or experience. Working knowledge of SQL and data analysis. Familiarity with HL7, FHIR, or healthcare interoperability standards. Exposure to AI-led transformation and automation use cases in healthcare operations. PMP or Agile certification. Experience supporting UAT, change management, and implementation/hypercare activities. Must-have skills Healthcare Claims / Claims Operations Business Analysis UiPath Process Mining / Task Mining Good-to-have skills RPA / UiPath EDI 837/835 / HIPAA Healthcare Claims Platforms Epic / Facets / TriZetto / Availity .