# BA - Healthcare (Process Transformation & Automation)

> Weekday AI · India (Remote) · Full-time · Posted 2026-08-12

**Workplace:** remote

**Department:** Weekday's Client via platform

## Description

**This role is for one of Weekday’s clients**  
Min Experience: 5+ years  
Location: Remote India  
JobType: full-time

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.

## Requirements

**Key Responsibilities**:

-   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.

**Required 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.

Success in this role will involve identifying high-value transformation opportunities, delivering automation initiatives with measurable ROI, reducing claims processing time and manual effort, improving denial and rework rates, and enabling stronger process visibility and governance through data-driven insights and KPIs.

### 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

## Apply

[Apply at Weekday AI](https://apply.workable.com/weekday-1/j/E44A997532/apply)

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