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.

Requirements
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 a

📌 Claims Business Analyst (India)
🏢 Weekday AI (YC W21)
📍 India