Job Description

Job Title: Clinical Product Analyst, Lead - Health Plan
Job ID: 691127
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: HealthPlaNET Product Dev
Location: 339 Sixth Avenue, Pittsburgh PA 15222

Description

The Clinical Product Analyst team, under the direction of the Chief Medical Information Officer, plays a key role in the end-to-end development and configuration of technologies that support care management, utilization management, and population health management. These technologies are deployed internally and are being developed both for UPMC provider use and for commercialization for external provider clients or partnerships, in support of UPMC's enterprise-wide strategic objectives. In this context, the Clinical Product Analyst, Lead will guide and contribute to strategic product innovation for HealthPlaNET and related applications and services. 


The Clinical Product Analyst, Lead position requires a high degree of strategic thinking, experienced analytical capabilities, and the ability to perform and supervise tasks such as: defining requirements, developing and/or configuring computer applications/systems, and providing services to meet business needs within budget and targeted deadlines, under the general direction of the management team and senior staff. The Clinical Product Analyst, Lead performs operational analysis, technical analysis and process definition and design.



Responsibilities:
  • Assume project management responsibility during clinical program redesign for existing programs
  • Assure quality of information through business case and application level testing; validate test results to initial business needs.
  • Direct ISD staff, clients and/or vendors to evaluate, develop, and implement solutions including both packaged system solutions and custom development applications options.
  • Engage in development process. Participate in all aspects of the development process including planning, review and retrospectives. Lead the development of the creation of user stories based on understanding of project and requirements. Take on the role of clinical product owner for an entire portfolio of products.
  • Enterprise / new clinical software product business systems requirements definition and analysis. For all clinical software products, elicit requirements using interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, and task and workflow analysis. Critically evaluate information gathered from multiple sources, reconcile conflicts, decompose high-level information into details, abstract up from low-level information to a general understanding, and distinguish user requests from the underlying true needs.
  • For all products, proactively communicate and collaborate as part of a project team with external and internal stakeholders to analyze information needs and requirements and participate in the development of the following as needed: Business requirements , functional requirements, implementation requirements, quality of service requirements, use cases, and workflows.
  • Health Plan group responsibilities. Leads small analyst teams. Provide regular status reports of activities and participates in group meetings. Creates project/team statements of work and schedules. Ensures associated personal/team quality, cost, and timeliness requirements are met. Identifies and communicates project issues. Effectively leads/follows process. Supports competency improvement initiatives.
  • Manage the design and documentation of system functional requirements in formats to facilitate the development of deliverables such as Request for Proposals and/or Information, custom development efforts, project based planning documents such as scope documents and client services communication.
  • Manage the design and documentation of system level, IS operations level, and end user level procedures to support business applications.
  • Manage the evaluation and documentation of client needs/business processes both operational and financial, including current process analysis and proposed revisions to optimize business processes.
  • Project ROI tracking. Develop advanced metrics for quantifying and tracking ROI. As needed and related to new business opportunities, participate in the early ROI discussions. Track and report on the outcomes. Provide end of project case study materials that summarize the project return
  • Provide exemplary service to Health Plan and UPMC enterprise client community, members, patients, families, and visitors, as applicable, while protecting the integrity and confidentiality of all data and information through physical and electronic measures.
  • Utilize principles of quality management to identify opportunities to streamline work processes and optimize outcomes; lead the stakeholder collaboration, system configuration and workflow changes necessary to achieve such outcomes

Qualifications

  • Bachelors degree in Information Technology or related business field (computer science, information systems, etc.) or in a health care field; masters degree preferred. 
  • Eight years of experience in health care insurance or clinical health care is required; those with relevant experience in other industries will be considered. 
  • Prior experience with product development, understanding Product Requirements Documents and writing software requirements is required.
  • Generally has eight years of professional experience in a business analyst and/or leadership role or comparable experience. 
  • Completes on-going training on-the-job, through courses, self-study, certifications and/or advanced degrees to maintain and enhance technical and business capabilities. 
  • Serves as lead resource for dealing with challenging technical or business issues. 
  • Demonstrates prevention techniques to avoid repeat issues and crisis situations. 
  • Applies advanced knowledge in a primary discipline and working knowledge in multiple relevant disciplines to create solutions for highly complex business situations. 
  • Provides input into staff evaluation and assists management with staff development, staffing processes and budgeting. 
  • Operates largely independently with direction from supervisor once per week. 
  • Able to lead, direct, mentor, motivate and inspire team members.
  • Provides a role model example of UPMC values and code of conduct. Acts as a role model for open, honest, collaborative, and reliable behavior. Is visually and verbally articulate. 
  • Able to lead interactive group development sessions. 
  • PMP or other PMI certification is preferred. 
  • Experience and familiarity with health industry coding systems including ICD-9, CPT, and HCPCS is preferred.
  • Previous experience in clinical informatics is preferred.
  • Previous experience in gathering and translating business requirements is preferred.

Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $36.38 to $59.06

Union Position: No

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