Task & Process Mining Analyst - Healthcare Claims

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Task & Process Mining Analyst - Healthcare Claims based in India.

This role offers an opportunity to combine healthcare claims expertise with advanced process and task mining capabilities to drive measurable operational transformation. You will analyze real-world process and event data to uncover inefficiencies across complex claims workflows. Your insights will help identify bottlenecks, rework, compliance gaps, and high-value opportunities for automation. The role sits at the intersection of healthcare operations, analytics, RPA, and digital transformation. You will collaborate with claims experts, operations teams, IT stakeholders, and automation specialists to turn analysis into action. Success will be measured through tangible improvements in processing efficiency, automation potential, claims performance, and operational decision-making. This is an ideal opportunity for a data-driven analyst who enjoys solving complex process challenges in healthcare.

Accountabilities: Deploy and configure process mining solutions to analyze event-log data from healthcare claims systems and reconstruct end-to-end workflows.

Use task mining to capture and analyze desktop-level interactions across claims intake, validation, adjudication, remittance, denial management, and related processes.

Identify process variants, bottlenecks, rework loops, manual touchpoints, compliance deviations, and other operational inefficiencies.

Build and maintain process mining dashboards, conformance models, and performance views to support continuous process monitoring.

Create objective, data-driven as-is process documentation based on actual process execution.

Analyze healthcare claims workflows, including EDI 837/835, eligibility verification, prior authorization, claims submission, adjudication, remittance, denials, and appeals .

Investigate payer-provider interaction points and determine root causes of denials, delays, rework, errors, and manual intervention.

Quantify transaction volumes, cycle times, error rates, rework, and manual effort to support ROI calculations and automation business cases.

Translate process and task mining findings into structured automation opportunities, including scope, effort estimates, expected benefits, and ROI projections.

Develop Process Definition Documents and solution-design inputs for RPA development teams.

Prioritize automation opportunities based on transaction volume, complexity, compliance risk, and business value.

Partner with RPA developers and architects throughout process discovery, solution design, development, and implementation.

Facilitate workshops with claims SMEs, billing teams, payer relations, clinical teams, and other stakeholders.

Present process mining findings, dashboards, recommendations, and automation business cases to business and technology stakeholders.

Support future-state process design, change management, and broader process transformation initiatives.

Requirements

5+ years of experience in business or process analysis, including at least 2 years focused on healthcare claims operations .

Hands-on experience with UiPath Process Mining and/or Task Mining , or equivalent platforms such as Celonis, Minit, or Fluxicon Disco.

Strong understanding of the healthcare claims lifecycle, including EDI 837/835, eligibility, prior authorization, adjudication, denials, remittance, and appeals .

Experience working with healthcare claims platforms such as Epic, Facets, TriZetto, Availity, or Change Healthcare .

Experience with process mapping and documentation tools such as Visio or Lucidchart .

Strong analytical capabilities, including the ability to analyze event-log and process data and develop ROI models and business cases.

Familiarity with HIPAA compliance and PHI handling requirements .

Experience with RPA platforms, preferably UiPath , and a solid understanding of the automation development lifecycle.

Strong communication, stakeholder management, facilitation, and problem-solving skills.

Ability to translate complex analytical findings into practical process improvements and technology-enabled solutions.

Experience collaborating effectively with both healthcare operations and IT stakeholders.

Preferred: UiPath Process Mining or Task Mining certification.

Preferred: Lean, Six Sigma, or other process improvement experience or certification.

Preferred: SQL experience for event-log extraction and data preparation.

Preferred: Knowledge of HL7, FHIR, and healthcare interoperability standards.

Preferred: Exposure to AI/ML-enabled process mining, including anomaly detection or predictive conformance.

Preferred: PMP or Agile certification.

Benefits

Full-time employment opportunity.

Fully remote work from within India.

Opportunity to work at the intersection of healthcare claims, process intelligence, automation, and AI-driven transformation .

Hands-on exposure to process and task mining technologies such as UiPath, Celonis, Minit, or equivalent platforms .

Opportunity to influence automation strategy through data-driven insights and validated ROI models.

Collaboration with healthcare operations, claims specialists, IT teams, RPA developers, and other cross-functional stakeholders.

Opportunity to contribute to measurable improvements in claims processing, denial reduction, rework, and operational efficiency.

Professional growth through complex healthcare transformation and process optimization initiatives.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether?    Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.     #LI-CL1