13 Aug
|
Weekday AI
|
India
This role is for one of the Weekday's clients
Min Experience: 5+ years
Location: Remote (India)
JobType: full-time
We are looking for a Task & Process Mining Analyst with 5+ years of experience in business/process analysis and strong experience in healthcare claims operations. The ideal candidate will have hands-on experience with process mining and task mining tools and will use data-driven insights to identify process inefficiencies, quantify automation opportunities, and support RPA and AI-led transformation initiatives.
Requirements
Key Responsibilities:
Process & Task Mining:
- Deploy and configure process mining solutions to analyze event-log data from healthcare claims systems and reconstruct end-to-end process flows.
- Use Task Mining to capture and analyze desktop-level user interactions across claims intake, validation, adjudication, remittance, and denial workflows.
- Identify process variants, bottlenecks, rework loops, manual touchpoints, and compliance deviations.
- Build and maintain process mining dashboards and conformance models to monitor process performance.
- Create objective, data-driven as-is process documentation based on actual process execution.
Healthcare Claims Analysis:
- Analyze end-to-end healthcare claims workflows including EDI 837/835, eligibility verification, prior authorization, claims submission, adjudication, remittance, denial management, and appeals.
- Analyze payer-provider interaction points and identify root causes of denials, delays, rework, and manual intervention.
- Quantify transaction volumes, cycle times, error rates, rework, and manual effort to support ROI and business-case development.
- Collaborate with claims SMEs, clinical teams, billing teams, and operations stakeholders to validate findings and prioritize improvement opportunities.
Automation Chance Development:
- Translate process and task mining findings into structured automation opportunities.
- Define automation scope, effort estimates, expe
📌 Task & Process Mining Analyst - Healthcare Claims (India)
🏢 Weekday AI
📍 India