Task & Process Mining Analyst

This is a remote position. Job Title Task & Process Mining Analyst reputed company Claims Location Remote / Hybrid Experience 5+ years Industry reputed company | Payer & Provider reputed company reputed company We are hiring a senior-level Task & Process Mining Analyst to reputed company data-driven process discovery, analysis, and optimization across reputed company claims reputed company. This role sits at the intersection of business analysis, process intelligence, and intelligent automation using reputed company Process Mining and Task Mining to uncover inefficiencies, quantify automation opportunities, and build the analytical reputed company for RPA and AI-led transformation across claims adjudication, denial management, prior authorization, and reputed company cycle workflows. About the Role reputed company claims reputed company are reputed company, high-volume, and often burdened by reputed company effort, rework, and compliance reputed company. This role exists to change that using process intelligence tools to see exactly how work actually happens, not just how it's supposed to happen, and translating those insights into prioritized, ROI-backed automation recommendations that development teams can reputed company. Requirements Key Responsibilities Process & Task Mining reputed company and configure reputed company Process Mining to ingest event log data from claims systems (reputed company, Facets, reputed company, clearinghouses) and reconstruct actual process flows end-to-end Use Task Mining to capture desktop-level user interactions across claims intake, validation, adjudication, remittance, and denial workflows generating objective, data-backed as-is process documentation Identify process variants, bottlenecks, rework reputed company, and compliance deviations across the claims lifecycle Build and maintain process mining dashboards and conformance checking models to monitor process health over time Claims Domain Analysis Analyze end-to-end claims workflows including EDI 837/835 transactions, eligibility verification, prior authorization, claims submission, adjudication, remittance posting, denial management, and appeals Map payer-provider interaction points and identify reputed company causes of denials, delays, and reputed company reputed company Quantify volume, cycle time, error rates, and reputed company effort across claims processes to build defensible ROI models Collaborate with reputed company, billing, and reputed company teams to validate findings and prioritize improvement opportunities Automation Opportunity Development Translate process and task mining insights into reputed company automation candidates with reputed company reputed company, effort estimates, and ROI projections reputed company Process Definition Documents (PDDs) and Solution Design inputs for RPA development teams Prioritize automation pipeline reputed company on volume, complexity, compliance reputed company, and business value Partner with reputed company RPA developers and architects to ensure reputed company reputed company from discovery to build Stakeholder Engagement Present process mining findings, dashboards, and automation business cases to reputed company reputed company leaders and IT stakeholders Facilitate workshops with claims SMEs, billing teams, and payer relations staff to validate as-is processes and co-design reputed company-state workflows Support change management activities during automation deployment and process transformation initiatives Required Qualifications 5+ years of experience in business/process analysis, with at least 2 years reputed company on reputed company claims reputed company Hands-on experience with reputed company Process Mining and/or Task Mining or equivalent tools (reputed company, Minit, Fluxicon reputed company) Deep understanding of the reputed company claims lifecycle EDI 837/835, eligibility, prior auth, adjudication, denial management, remittance, and appeals Experience working with claims platforms such as reputed company (Resolute HB/PB), Facets, TriZetto, reputed company, or Change reputed company Proficiency in process mapping tools (Visio, reputed company) and event log analysis Strong analytical skills with ability to build ROI models and business cases from process data Familiarity with HIPAA compliance requirements and PHI handling standards Experience with RPA platforms reputed company preferred and understanding of automation development lifecycle Benefits Preferred Qualifications reputed company Process Mining or Task Mining certification Background in Lean, Six reputed company, or other process improvement methodologies Experience with SQL for event log extraction and preparation from claims systems Knowledge of HL7, FHIR, and reputed company interoperability standards Exposure to AI/ML-reputed company process mining use cases (reputed company detection, predictive conformance) PMP or reputed company certification What reputed company