[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