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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in process analysis and documentation within healthcare workflows, focusing on claims processing and revenue cycle management. Proficient in utilizing Process Mining and Task Mining tools to identify automation opportunities and optimize operational efficiencies.
Highest-signal resume keywords
Process AnalysisHealthcare OperationsUiPath Process MiningRPA PlatformsProcess Improvement Methodologies
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Process MappingClaims Processing WorkflowsRevenue Cycle ManagementAutomation ConceptsData Flow DiagramsROI CalculationsWorkflow DiscoveryLean MethodologySix SigmaClaims Lifecycle
Soft Skills
Analytical SkillsCommunication Skills
Tools & Technologies
UiPathTask MiningProcess Mining
Industry Keywords
Healthcare WorkflowsClaims AdjudicationPrior AuthorizationEDI 837EDI 835HIPAA
Tech Stack
Tools & technologiesRPA
About the role
Key responsibilities & impact- Conduct detailed process analysis and documentation of healthcare workflows, including claims adjudication, prior authorization, and revenue cycle processes
- Collaborate with healthcare clients to gather requirements and understand pain points across clinical, administrative, and claims operations
- Create process maps, data flow diagrams, and detailed documentation using Task Mining and Process Mining insights to validate as-is workflows
- Identify and quantify automation opportunities with clear ROI calculations, leveraging Process Mining to surface bottlenecks and inefficiencies in claims and operational workflows
- Use Task Mining to capture and analyze user interaction patterns, accelerating process discovery and documentation
- Work closely with RPA developers to translate business requirements into technical specifications
- Develop business cases and value propositions for automation initiatives, including claims processing automation and end-to-end revenue cycle optimization
- Guide process standardization and optimization efforts across claims intake, validation, adjudication, and denial management workflows
- Support implementation and change management activities
Requirements
What you’ll need- 6+ years of experience in process/business analysis (healthcare preferred), with exposure to claims processing workflows
- Strong understanding of healthcare operations including claims lifecycle, payer-provider interactions, and revenue cycle management
- Hands-on experience with UiPath Process Mining and Task Mining tools for workflow discovery and analysis
- Experience with process mapping tools and methodologies
- Excellent analytical and communication skills
- Knowledge of RPA platforms (UiPath preferred) and automation concepts
- Background in process improvement methodologies (Lean, Six Sigma)
- Familiarity with healthcare claims standards (EDI 837/835, HIPAA) is a plus
Benefits
Comp & perks- Nice to Have — (entry ticket; no nice-to-have tier)
- Experience with healthcare order documents specifically
- Prior automation of Carelon / Availity or comparable payer portals
- Hands-on Quanum experience
- Prior auth, eligibility, claims, or RCM background
- Prior POD / pooled-delivery experience
- UiPath certification
- Portfolio or recorded agentic demo
