[Remote] Process / Business Analyst – Healthcare Provider
Note: The job is a remote job and is open to candidates in USA. Staffworxs is a company that powers transformation through its Digital & Data Analytics practice, headquartered in Frisco, TX. They are seeking a Process / Business Analyst with expertise in the healthcare domain to lead discovery sessions, analyze and document processes, and drive improvements in provider operations workflows.
Responsibilities
- 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)
Skills
- Minimum 8+ years of experience; no strict maximum, but typically up to 10–17 years preferred
- Independent candidates only (OPT, H1, or employer-dependent candidates are not eligible)
- Bachelor's degree in Business, Healthcare Administration, IT, or related field
- 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 Mandatory)
- 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
- 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)
- Strong experience in payer/provider workflows (onboarding, credentialing, network management)
- AS-IS / TO-BE workflows, gap analysis, documentation
- RPA / Automation Exposure (UiPath or similar tools; ability to translate processes into automation requirements)
- Stakeholder Management (Workshops, communication, requirement gathering across business & tech teams)
- Healthcare Systems & Tools (FACETS or similar + Visio, Jira, Confluence, BPM tools)
- Master's degree in Business, Healthcare Administration, IT, or related field
Company Overview