Current UPMC employees must apply in HR Direct.

Sr. Project Manager- Health Economics- Insurance Division – Remote

Job ID: 7573145164
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Work Arrangement: RemoteWork Arrangement information
Facility: UPMC Health Plan
Department: HEALTH ECONOMICS
Union Position: No
Salary Range: $ 41.87-72.43 USD

Join our Health Economics Team as a Senior Project Manager to advance data and analytics projects that elevate how UPMC Health Plan uses insights to make smart, timely decisions. You’ll drive end‑to‑end delivery, ranging from framing scope, aligning stakeholders, removing roadblocks, and building plans that turn complex data work into business outcomes all while partnering with analysts, data integration developers, and business leaders. We’re seeking a team member that is curious, growth‑minded, provides leadership, thrives through change, and translates technical details into clear, actionable plans. We are seeking a team player who builds momentum, removes roadblocks, and brings out the best in your colleagues while keeping the work organized, transparent, and measurable. If you love driving real impact, enjoy collaborating with analytic peers, and want to have some fun along the way, we’d love to meet you.
 

Define and develop overall project objectives, scope and work plan and reviews and confirm with the internal client. Recognize and anticipate scope and other project issues and communicate to internal client and project team as well as takes appropriate measures. Anticipates key business issues, leverage solutions from dependent and related projects and generate new perspectives, frameworks or innovations that enable problem resolution. Systematically assess and then convey pros and cons of alternative solutions to complex, sophisticated, and sensitive issues and achieves consensus on direction/ approach. Anticipate and define barriers to change with internal clients; devise plans to address change barriers and ensure acceptance of the change process. Dynamically lead presentations/work sessions to positively influence decisions and perceptions. Manage in ambiguous situations with minimal direction, and build, direct and maintain motivated and diverse teams. Within the context of larger projects, supervision of project managers may be required. (added) These services will be provided in compliance with state and federal regulations, NCQA standards, and the mission, policies and procedures of the Health Plan and the Project Management Office. Demonstrate professionalism and commitment to meet UPMC Health Plan goals and objectives.

Responsibilities:
 

  • Establish deliverable structure and content outline.
  • Inform others of new and emerging topics/trends, technologies, and capabilities.
  • Participate in the development of new tools and resources.
  • Demonstrate ability to prepare sensitive information and communication it directly to senior management.
  • Understand, analyze, and structure undefined, complex, and politically sensitive projects.
  • Recognize and anticipate scope issues and communicate to internal client and team changes to the work plan.
  • Prioritize tasks based on relative importance and urgency and identify dependencies across projects.
  • Cooperate close with business leaders and/or relevant experts in resolving issues.
  • Leverage solutions from dependent and related projects.
  • Build follow-up mechanism/maintenance plan into project deliverables to ensure that changes to be implemented will be sustainable.
  • Identify and mitigate business risks associated with projects.
  • Build consensus between departments and business units.
  • Define and develop overall project objectives, scope and work plan and review and confirm with internal client.
  • Stimulate strategic thinking by internal clients.
  • Anticipate project issues, assess alternatives, and take appropriate measures to resolve in a professional, tactful manner.
  • Manage a large number of responsibilities in the face of competing priorities.
  • Participate in and/or lead the comprehensive review of the projects being managed by other project managers; accurately assess project status and develop appropriate recommendations and assessment documents.
  • Generate new perspectives, frameworks or innovations that enable problem resolution.
  • Ensure deliverables meet business objective, design specifications and quality standards.
  • Systematically convey pros and cons of alternative solutions to complex, sophisticated, and sensitive issues and achieve consensus on direction/ approach.
  • Generate innovative ideas which are strategically sound and challenge the status quo.
  • Plan and execute communication of complex information to team members and stakeholder groups.
  • Effectively lead large project teams and/or high-priority efforts to high-quality results.
  • Create an environment that fosters compliance with accepted PMO methodologies and reflects industry best practice.
  • Dynamically lead presentations/work sessions to positively influence decisions and perceptions.
  • Ensure that the most appropriate and efficient tools and techniques are selected and applied in accordance with project scope and time constraints.
  • Define alternative/compromise solutions that address others’ fundamental concerns and impacts on long-term relationships.
  • Operate effectively in a fast changing environment.
  • Manage in ambiguous situations with minimal direction.
  • Analyze the training needs of project teams and identify relevant training material/ courses to address these needs.
  • Provide industry knowledge to projects.
  • Anticipate key business issues, and implement comprehensive recommendations to achieve desire outcome.
  • Anticipate and define barriers to change with internal client; devise plans to address change barriers and ensure acceptance of the change process.
  • Become recognized as a valued thought-partner by internal clients.
  • Recognize and act decisively in urgent matters; make tough decision which may influence the direction of the project.
  • Direct and execute creative analytic approaches/ create new or adapt existing analytical methods and tools to solve problems.
  • Successfully build, direct and maintain motivated, empowered and diverse teams.
  • Establish a mentoring environment.
  • Ensure business value has been delivered.
  • Plan, organize and control multiple responsibilities and cross-functional resources and ensure that the most appropriate resources are assigned to specific project roles.
  • Delegate appropriate level of autonomy and decision – ensure that project issues are promptly and effectively handled and quality of work is achieved.

Qualifications:

  • B.S. degree in Business, Mathematics, statistics, Health Care, Management, or related field.
  • Master’s degree preferred (extensive related experience will be considered. 
  • 5 years of project management experience. 
  • Experience in health care insurance or health care industry preferred. 
  • Excellent computer skills required, including Access, Excel, Microsoft Project, and other pertinent computer software packages. 
  • Strong management, problem solving, organizational, and communication skills (oral and written) are required.
  • Excellent Project Management skills along with effective planning and organizational skills. 
  • Ability to perform planning for large initiatives/projects, managing all tasks required to provide services to meet client and business needs within budget and targeted deadlines.

    Licensure, Certifications, and Clearances:
    Minimum of PMP, PM, or Six Sigma Certificate with advanced project management certification strongly 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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Curious about the culture, roles, and people here at UPMC? The UPMC Careers blog is a great place to read more employee stories, get career tips, and learn about the passions and perspectives of folks who make up our UPMC team.

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