This is a remote position.
Job Title: Task & Process Mining Analyst — Healthcare Claims
Location: Remote / Hybrid Experience: 5+ years Industry: Healthcare | Payer & Provider Operations
Summary
We are hiring a senior-level Task & Process Mining Analyst to drive data-driven process discovery, analysis, and optimization across healthcare claims operations. This role sits at the intersection of business analysis, process intelligence, and intelligent automation — using UiPath Process Mining and Task Mining to uncover inefficiencies, quantify automation opportunities, and build the analytical foundation for RPA and AI-led transformation across claims adjudication, denial management, prior authorization, and revenue cycle workflows.
About the Role
Healthcare claims operations are complex, high-volume, and often burdened by manual effort, rework, and compliance risk. 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 act on.
Requirements
Key Responsibilities
Process & Task Mining
- Deploy and configure UiPath Process Mining to ingest event log data from claims systems (Epic, Facets, Availity, 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 loops, 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 root causes of denials, delays, and manual touchpoints
- Quantify volume, cycle time, error rates, and manual effort across claims processes to build defensible ROI models
- Collaborate with clinical, billing, and operations teams to validate findings and prioritize improvement opportunities
Automation Opportunity Development
- Translate process and task mining insights into structured automation candidates with clear scope, effort estimates, and ROI projections
- Develop Process Definition Documents (PDDs) and Solution Design inputs for RPA development teams
- Prioritize automation pipeline based on volume, complexity, compliance risk, and business value
- Partner with UiPath RPA developers and architects to ensure seamless handoff from discovery to build
Stakeholder Engagement
- Present process mining findings, dashboards, and automation business cases to healthcare operations leaders and IT stakeholders
- Facilitate workshops with claims SMEs, billing teams, and payer relations staff to validate as-is processes and co-design future-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 focused on healthcare claims operations
- Hands-on experience with UiPath Process Mining and/or Task Mining — or equivalent tools (Celonis, Minit, Fluxicon Disco)
- Deep understanding of the healthcare claims lifecycle: EDI 837/835, eligibility, prior auth, adjudication, denial management, remittance, and appeals
- Experience working with claims platforms such as Epic (Resolute HB/PB), Facets, TriZetto, Availity, or Change Healthcare
- Proficiency in process mapping tools (Visio, Lucidchart) 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 — UiPath preferred — and understanding of automation development lifecycle
Benefits
Preferred Qualifications
- UiPath Process Mining or Task Mining certification
- Background in Lean, Six Sigma, or other process improvement methodologies
- Experience with SQL for event log extraction and preparation from claims systems
- Knowledge of HL7, FHIR, and healthcare interoperability standards
- Exposure to AI/ML-enhanced process mining use cases (anomaly detection, predictive conformance)
- PMP or Agile certification
What Success Looks Like
- Process mining models live and actively monitoring key claims workflows within 60 days of engagement start
- Automation pipeline of 10+ prioritized candidates with validated ROI within 90 days
- Measurable reduction in claims denial rate, rework, and manual processing time through automation initiatives
- Business stakeholders able to self-serve process performance dashboards without analyst involvement
