This role is for one of Weekday’s clients
Min Experience: 5+ years
Location: Remote India
JobType: full-time
We are looking for a Claims Business Analyst with 5+ years of experience in healthcare claims operations, business analysis, and process transformation. The ideal candidate will have solid knowledge of payer/provider claims processes and experience identifying opportunities for process optimization, automation, and digital transformation.
Key Responsibilities:
Partner with healthcare operations and IT stakeholders to assess current-state claims processes and define transformation roadmaps.
Analyze end-to-end claims lifecycle, including eligibility verification, claims submission, adjudication, remittance, payment posting, denials, and appeals.
Work with EDI 837/835 workflows and identify process gaps, manual interventions, rework, and delays.
Analyze root causes of claim denials, inaccuracies, and operational inefficiencies.
Identify opportunities for process standardization, optimization, RPA, and AI/ML-based automation.




Leverage process intelligence and task/process mining tools such as UiPath, Celonis, or equivalent.
Define and track business KPIs such as cycle time, accuracy, denial rate, productivity, and operational efficiency.
Develop business cases, ROI models, and high-level process/solution concepts for automation initiatives.
Partner with architects, developers, and RPA teams to translate business requirements into effective technology solutions.
Support automation initiatives through discovery, process design, UAT, and hypercare from a functional perspective.
Conduct workshops with claims operations, billing/coding, payer relations, and other business stakeholders.
Present analysis, recommendations, and transformation strategies to senior stakeholders.
Support change management, communication, and transition activities.
Required Skills:
5+ years of experience in healthcare claims, healthcare operations, business analysis, or business consulting.

📌 Claims Business Analyst (India)
🏢 Weekday AI
📍 India