Claims Business Analyst - Healthcare
Weekday AI· Weekday's Client via platform
About this role
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 strong 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.
- Strong understanding of healthcare claims processes and end-to-end claims lifecycle.
- Experience in claims process analysis, optimization, and transformation.
- Hands-on knowledge of claims adjudication, denials, appeals, prior authorization, and/or revenue cycle processes.
- Understanding of EDI 837/835 workflows.
- Strong stakeholder management, workshop facilitation, problem-solving, and analytical skills.
- Ability to translate business problems into process improvement and technology-enabled solutions.
- Experience working with both business and IT stakeholders.
Good to Have:
- Experience with RPA, AI/ML, or intelligent automation initiatives.
- Experience with UiPath, Celonis, or equivalent process/task mining platforms.
- Experience developing automation business cases and ROI models.
- Experience with healthcare payer/provider environments.
- Knowledge of process mining, operational dashboards, and KPI frameworks.
- Experience supporting UAT, hypercare, and change management.
Must-have skills
Healthcare Claims, Business Analysis, Claims Process Transformation & Automation
Good-to-have skills
RPA / Process Automation, EDI 837/835, UiPath / Celonis / Process Mining
Frequently Asked Questions
Is the salary disclosed for the Claims Business Analyst - Healthcare position at Weekday AI?
The salary for this Claims Business Analyst - Healthcare role at Weekday AI is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Is the Claims Business Analyst - Healthcare job at Weekday AI remote?
Yes, this Claims Business Analyst - Healthcare position at Weekday AI is remote, with team members based in India, TELECOMMUTE. You can work from home or anywhere in the supported regions.
Is the Claims Business Analyst - Healthcare role at Weekday AI full-time or part-time?
This is listed as a Full time position. It is posted as a Claims Business Analyst - Healthcare role in the Weekday's Client via platform department at Weekday AI.
Which team or department does the Claims Business Analyst - Healthcare at Weekday AI belong to?
This Claims Business Analyst - Healthcare position is part of the Weekday's Client via platform department at Weekday AI. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Claims Business Analyst - Healthcare position at Weekday AI?
Click the "Apply Now" button on this page. You will be redirected to Weekday AI's official application portal hosted on workable where you can submit your application directly.
When was the Claims Business Analyst - Healthcare job at Weekday AI posted?
This Claims Business Analyst - Healthcare position at Weekday AI was posted on Aug 12, 2026. Apply as soon as possible — early applications are often reviewed first.
Claims Business Analyst - Healthcare
Weekday AI
You'll be redirected to Weekday AI's official application page on workable.