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
StaffWorxs is an IT consulting and services firm that provides application development, project management, and data services. It was founded in 2019, and is headquartered in Edison, New Jersey, USA, with a workforce of 51-200 employees. Its website is http://www.staffworxs.com.