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