Current UPMC employees must apply in HR Direct.

Clinical Product Analyst, Associate HPL

Job ID: 7680175076
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Work Arrangement: HybridWork Arrangement information
Facility: UPMC Health Plan
Department: HealthPlaNET Product Dev
Location: 600 Grant St, Pittsburgh, PA
Union Position: No
Salary Range: $ 30.44-46.12 USD

Purpose:
The Clinical Product Analyst team 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, Associate will participate in determining the strategic direction for HealthPlaNET and related applications and services. The Clinical Product Analyst, Associate position requires analytical and/or programming capabilities, ability to perform tasks such as defining requirements, developing and/or maintaining 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 performs operational analysis, technical analysis and process definition and design.

This is a Hybrid role and will require a minimum of 2-3 days onsite.

Responsibilities:
 

  • Enterprise / new clinical software product business systems requirements definition and analysis. 
  • Assist senior team members in gathering, clarifying and documenting software requirements. 
  • Comfortable asking questions, taking direction, and contributing to requirements discussions.
  • With limited direction, 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. 
  • With limited direction, 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.
  • Provide 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.
  • Participate in 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. 
  • Assist in the evaluation and documentation of client needs/business processes both operational and financial, including current process analysis and proposed revisions to optimize business processes. 
  • Assist ISD staff, clients and/or vendors to evaluate, develop, and implement solutions including both packaged system solutions and custom development applications options.
  • Assure quality of information through business case and application-level testing; validate test results to initial business needs.
  • Participate in the design and documentation of system level, IS operations level, and end user level procedures to support business applications.
  • Engage in development process. 
  • Participate in all aspects of the development process including planning, review and retrospectives. Participate in the development of the creation of user stories based on understanding of project and requirements. 
  • Assist in clinical program process design for clinical programs. 
  • Health Plan group responsibilities.
  • Provides regular status reports of activities and participates in group meetings. 
  • Creates project/team statements of work and schedules. 
  • Contributes to ensuring that associated personal/team quality, cost, and timeliness requirements are met. 
  • Identifies and communicates project issues. 
  • Effectively follows process. Supports competency improvement initiatives. 
  • Participate in the collaborative on-boarding and education of new team members. 
  • Participate in interdepartmental meetings such as backlog grooming and development oversight.

Qualifications:

  • Bachelor’s degree in Information Technology or related business field (computer science, information systems, etc.) or in a health care field, or comparable degree and/or experience. 
  • One to three years of experience in health insurance or clinical health care is required; those with relevant experience in other industries will be considered. 
  • Prior experience in assisting with product development, understanding product requirements documents and writing software requirements is preferred. 
  • Generally, has one to three years of professional experience in a business analyst role or comparable experience. 
  • Displays a strong interest in product development and eagerness to learn how software products are built. 
  • 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 resource for dealing with technical or business issues. 
  • Applies 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 business situations. 
  • Operates semi-independently with guidance and direction from the more senior Clinical Product Analysts. 
  • Understands and applies basic UPMC values and code of conduct. Interacts with others in an open, honest, collaborative, and reliable manner. Is visually and verbally articulate. 
  • Able to contribute to interactive group development sessions. Experience and familiarity with health industry coding systems including ICD-9, CPT, and HCPCS is preferred.

    UPMC is an Equal Opportunity Employer/Disability/Veteran

CAREER GROWTH

Grow Your Nursing Career

Spanning over 20 clinical specialties and more than 50 unique nursing roles, every nurse at UPMC can achieve and advance their goals with the My Nursing Career Ladder. Whether you’re looking to progress to an elevated role or continue your education, UPMC equips nurses with the resources, feedback, leadership, and benefits to help you succeed and achieve your career goals. Here’s how a few nurses have grown their careers through the years at UPMC:

Clyde C.

As a Professional Staff Nurse, Expert at UPMC Muncy, Clyde is a great example of someone who has taken advantage of UPMC’s My Nursing Career Ladder to grow his career while remaining in the same hospital location.

Clyde’s Career Journey:

⦁ 2017: Professional Staff Nurse – UPMC Muncy
⦁ 2021: Sr. Professional Staff Nurse – UPMC Muncy
⦁ 2022: Sr. Professional Staff Nurse II – UPMC Muncy
⦁ 2022-present: Professional Staff Nurse, Expert – UPMC Muncy

Male nurse stands in front of hospital, smiling at the camera.

Michelle B.

In her current role as a Professional Staff Nurse, Expert at UPMC Presbyterian, Michelle cares for patients with chronic and ongoing health issues as part of a Medical-Surgical unit. Michelle enjoys the daily change that Med-Surg nursing brings, and has found a career path that is interesting, meaningful, and full of opportunity.

Michelle’s Career Journey:

⦁ 2019: Staff Nurse – UPMC Presbyterian
⦁ 2020: Professional Staff Nurse – UPMC Presbyterian
⦁ 2021: Professional Staff Nurse, BSN – UPMC Presbyterian
⦁ 2021: Sr. Professional Staff Nurse, BSN – UPMC Presbyterian
⦁ 2022: Sr. Professional Staff Nurse II, BSN – UPMC Presbyterian
⦁ 2023: Professional Staff Nurse, BSN, Expert – UPMC Presbyterian

Michelle, a blonde nurse, smiles at the camera outside of a hospital setting.

INSURANCE SERVICES DIVISION OF UPMC

Advance Your Future

A career with UPMC means more than just caring for patients – when you’re a part of UPMC Insurance Services Division, it means caring for more than four million insurance members, too. UPMC Insurance Services Division offers a full range of health insurance products and services to our network across the country, providing peace of mind, better health, and financial security to our members, along with limitless career opportunities and a rewarding mission to those on our team.

About UPMC Insurance Services Division

As an integrated health care provider-insurer, UPMC goes beyond patient care to provide insurance products and services to millions of members. Our team partners with UPMC and community network providers to deliver knowledge and expertise that provides the highest quality care at the most affordable price, supporting our members through service, communication, and more.

Fast Facts:

  • We provide insurance products and services to over more than four million members.
  • UPMC’s Insurance Services Division offers a full range of health insurance options including UPMC Health Plan, Workpartners, UPMC for Life, UPMC for You, UPMC for Kids, UPMC Community HealthChoices, and Community Care Behavioral Health.
  • UPMC Health Plan is among the nation’s fastest-growing health plans.

Opportunities on Our Team

We’ve got a job that’s just right for you! UPMC Insurance Services Division team offers a vast array of career paths and opportunities, from career areas like customer service, data analytics, and information technology and even patient care roles like social work, nursing, and care management.

Whether in non-clinical or patient-facing roles, our team impacts patients and members by providing quality experiences before, during, and after their care, building relationships in a unique and meaningful way.

Recognized for Excellence

Be a part of an award-winning team! UPMC Insurance Services Division has been recognized for outstanding care and service with awards that include:

  1. U.S. News and World Report named UPMC for Life a “Best Insurance Company for Medicare Advantage” in Pennsylvania for 2024.
  2. The Human Rights Campaign Foundation has named UPMC Health Plan an “Equality 100 Leader in LGBTQ+ Workplace Inclusion” for 2023–2024.
  3. UPMC for Life ranked #1 in Customer Satisfaction* among Medicare Advantage Plans in Pennsylvania by J.D. Power.
  4. The Ethisphere Institute named UPMC as one of the World’s Most Ethical Companies for the sixth consecutive year.

*Results are based on award-eligible plans in Pennsylvania by J.D. Power. For J.D. Power 2024 award information visit, jdpower.com/awards.

Jump-Start Your Career

Looking to launch a career with longevity and opportunity? With countless entry-level opportunities for recent graduates, along with tools and resources that empower you as you learn and grow, UPMC Insurance Services Division is the perfect place to get a career started.

Interested in taking your career to new heights? Our career paths and advancement opportunities will provide you with chances to achieve your goals at every step.

BENEFITS AND LIFE AT UPMC

Why Work Here

We know that you have many options when choosing where to build your career. So why choose UPMC? We can think of a few reasons.

Work-Life Balance

Finding the ideal balance to manage the important elements in your life.

Development & Opportunities

Enhancing your career through continued learning opportunities and/or advancement.

Compensation

Receiving competitive pay for the work that you do – base pay, merit, and premium pay.

Performance & Recognition

Rewarding performance that supports the goals and mission of UPMC.

Benefits

Providing assistance and security to meet the current and future needs of you and your family.

Work-Life Balance

Finding the ideal balance to manage the important elements in your life.

Development & Opportunities

Enhancing your career through continued learning opportunities and/or advancement.

Compensation

Receiving competitive pay for the work that you do – base pay, merit, and premium pay.

Performance & Recognition

Rewarding performance that supports the goals and mission of UPMC.

Benefits

Providing assistance and security to meet the current and future needs of you and your family.

Benefits that Matter to You

We’re committed to providing benefits that meet your needs and support your well-being in all areas of life.

  • Earn over 5 weeks of paid time off every year
  • Affordable medical, dental & vision coverage
  • Student loan assistance and tuition reimbursement options
  • Earn up to 8% of your eligible pay in retirement contributions from UPMC
  • Employer-paid life insurance

Benefits that Matter to You

We’re committed to providing benefits that meet your needs and support your well-being in all areas of life.

  • Earn over 5 weeks of paid time off every year
  • Affordable medical, dental & vision coverage
  • Student loan assistance and tuition reimbursement options
  • Earn up to 8% of your eligible pay in retirement contributions from UPMC
  • Employer-paid life insurance

Benefits that Matter to You

We’re committed to providing our employees with benefits that meet their needs and support their well-being in all areas of life.

  • Earn over 5 weeks of paid time off every year
  • Affordable medical, dental & vision coverage
  • Student loan assistance and tuition reimbursement options
  • Earn up to 8% of your eligible pay in retirement contributions from UPMC
  • Employer-paid life insurance

Support for You – and Your Family

Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.

  • Two weeks of paid parental leave
  • Family planning resources
  • Tuition assistance for dependents
  • Comprehensive health care for dependents
  • Emergency child and elder care options
  • Flexible work arrangements

Support for You – and Your Family

Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.

  • Two weeks of paid parental leave
  • Family planning resources
  • Tuition assistance for dependents
  • Comprehensive health care for dependents
  • Emergency child and elder care options
  • Flexible work arrangements

Support for You – and Your Family

Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.

  • Flexibility to choose the shifts and work arrangements that work best for your lifestyle
  • Two weeks of paid parental leave
  • Family planning resources
  • Comprehensive health care for dependents
  • Emergency child and elder care options

A Culture That Cares

At UPMC, you can find a home among people who share your passions and care about who you are.

A Culture That Cares

At UPMC, you can find a home among people who share your passions and care about who you are.

A Culture That Cares

UPMC is a place where you can find a home, no matter your gender, race, sexual orientation, age, or culture, and where you can meet people who share your passions and care about you.

Tools to Reach Your Potential

Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.

  • Up to $6,000 of annual tuition assistance
  • Ongoing learning via LinkedIn Learning
  • Accelerated career pathways for growth
  • Robust instructor-led education and learning pathways

Tools to Reach Your Potential

Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.

  • Up to $6,000 of annual tuition assistance
  • Ongoing learning via LinkedIn Learning
  • Accelerated career pathways for growth
  • Robust instructor-led education and learning pathways

Tools to Reach Your Potential

Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.

  • Unlimited educational possibilities, including no-cost BSN and MSN programs
  • Robust career ladders for every nurse – no matter your specialty, location, or career stage
  • Up to $6,000 of annual tuition assistance
  • Ongoing learning opportunities

Expansive Opportunity

Where do you want to go with your career? Wherever it is, UPMC can take you there.

Expansive Opportunity

Where do you want to go with your career? Wherever it is, UPMC can take you there.

Expansive Opportunity

Where do you want to go with your career? Wherever it is, UPMC can take you there.

* Note: Benefits described may not be applicable to all staff.

Read More about Nursing at UPMC

Kendra wears blue scrubs at a hospital desk, looks at camera with a soft smile on her face.

After working as a nursing assistant for 16 years, Kendra took the leap to go back to nursing school and become an RN.

Collage of four photos of medical-surgical nurses, all smiling.

We asked our nurses to shed some light on what Med-Surg nursing means to them. Get to know Med-Surg nursing – in four words – from UPMC nurses!

Collage of four photos of medical-surgical nurses, all smiling.

Starting her career in Environmental Services, Leah shares how she fell in love with health care and became a nurse.

Read More about UPMC Insurance Services Division

Collage of four photos of medical-surgical nurses, all smiling.

In UPMC Insurance Services Division, analysts work to understand, innovate, and improve the products and services UPMC provides.

Young man smiles at camera in a studio setting.

Eddie S. shares how his passion for football, fishing, and friendship shapes his life and his career with UPMC Health Plan.

Veteran outside hiking.

We asked our nurses to shed some light on what Med-Surg nursing means to them. Get to know Med-Surg nursing – in four words – from UPMC nurses!

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