Must Have Skills :
• Strong experience as a Business Analyst / Process Analyst
• Healthcare payer/provider domain expertise
• Experience with provider onboarding, credentialing, or network management workflows
• Process mapping and documentation (AS-IS / TO-BE workflows)
• Experience capturing business rules, exceptions, and dependencies
• Strong stakeholder communication and workshop facilitation skills
• Experience working with automation/RPA projects (UiPath Mandtory)
• Familiarity with healthcare Payer systems such as FACETS or similar
• Experience with tools like MS Visio, Miro, Jira, Confluence, or BPM tools
• Knowledge of Medicare / Medicaid processes
Roles & Responsibilities (Concise & Impactful):
• Lead discovery sessions with stakeholders to understand provider operations workflows
• Analyze and document AS-IS and TO-BE processes across provider onboarding, credentialing, and network management
• Identify process gaps, inefficiencies, exceptions, and automation opportunities
• Translate business requirements into clear functional specs for RPA/automation teams (UiPath)
• Collaborate with cross-functional teams (business, tech, operations) to drive process improvements
• Support UAT, validation, and deployment of automated solutions
• Ensure accurate documentation of business rules, dependencies, and compliance requirements (Medicare/Medicaid)
Hiring Manager Expectation (What they are really looking for):
A strong Healthcare Business Analyst who can bridge business and automation — someone who understands provider/Payer operations deeply and can quickly identify, document, and enable automation opportunities (RPA/UiPath) with minimal hand-holding. The ideal candidate is process-driven, detail-oriented, and confident working with stakeholders in a fast-paced remote environment.
Top 5 Skills (with Ideal Experience):
1. Healthcare Domain Expertise – Strong experience in payer/provider workflows (onboarding, credentialing, network management)
2. Business Analysis & Process Mapping – AS-IS / TO-BE workflows, gap analysis, documentation
3. RPA / Automation Exposure – UiPath or similar tools; ability to translate processes into automation requirements
4. Stakeholder Management – Workshops, communication, requirement gathering across business & tech teams
5. Healthcare Systems & Tools – FACETS or similar + Visio, Jira, Confluence, BPM tools