COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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   Current UPMC employees must apply in HR Direct

Operations Analyst, Intermediate

  • Job ID: 655010739
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Medicare & SNP Product
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $24.78 to $42.84 / hour

Description

UPMC Health Plan is seeking a full-time Intermediate Operations Analyst to support the Medicare Operations - Program Management department within the UPMC Insurance Services Division!

The Intermediate Operations Analyst will work standard hours, Monday through Friday, with flexible work arrangements (hybrid in-office/work-from-home combo)! The home office is located in the U.S. Steel Tower in Downtown Pittsburgh.

The Intermediate Operations Analyst oversees administrative system processes and special projects as they relate to the identification, implementation, and maintenance of the claims transactional system and other applications for all UPMC Health Plan products. Under the general direction of the Business Support Management team, this role will analyze, identify, propose, and implement solutions for all business areas.

This role acts as a subject matter expert supporting all areas, and interacts with staff to answer questions and resolve issues as they arise. The Intermediate Operations Analyst must use their knowledge and understanding of financial, clinical, and other information generated by numerous sources to identify opportunities to improve clinical and financial performance. Furthermore, this position requires the ability to articulate these opportunities to internal and external audiences, implement the solutions, and track and monitor progress.

The Intermediate Operations Analyst takes a leadership role in the enhancement, development, documentation, and communication of identified variances. These functions must be done while also weighing the practical considerations and potential barriers that need to be overcome to successfully implement new programs and processes, and understanding the causes of financial and clinical trends and anomalies.

The ideal candidate for this position will have exceptional problem-solving, organizational, and communication skills! Previous experience with project management is preferred, as are strong Microsoft Office product skills.

If you are interested in expanding your project, analysis, and process improvement experience in a new and exciting area of the Health Plan with the Medicare team, apply today!

 

Responsibilities:

  • Interfaces with customers by telephone, correspondence, and/or in-person to answer inquiries and resolve concerns/issues.
  • Openly participates in team meetings, provides ideas and suggestions to ensure client satisfaction, and promotes teamwork.
  • Effectively prioritizes and completes all assigned tasks.
  • Identifies areas of concern that may compromise client satisfaction through data analysis, and propose solutions based on findings, expertise, and research.
  • Maintains departmental Policy and Procedure documentation, completing annual policy review and making necessary updates as required.
  • Participates in training programs when available/as requested.
  • Assists other departments during periods of backlogs.
  • Manages special projects as assigned by Management team, developing/maintaining project plans, as needed.
  • Administers, identifies, tests, audits, and implements new processes on transactional claims systems.
  • Models business requirements for new systems, special projects, and enhancements to existing systems; validates and tests fixes/enhancements to new and existing systems.
  • Allocates the Operations Analysts' time appropriately to meet production and quality standards.
  • Trains new and existing employees on departmental policies and procedures.
  • Attends meetings on behalf of Management team.
  • Maintains employee/insured confidentiality.
  • Performs other duties, as assigned.
  • Manages, updates, and maintains source data dictionaries as they relate to processes.
  • Completes inquiries generated from the data reporting and analysis area.
  • Provides support to Operations Analysts.
  • Performs in accordance with system-wide competencies/behaviors.
  • Completes Executive Summary management documentation, as required.

 

Qualifications

  • Bachelor's Degree or equivalent work experience.
  • Minimum of four years of general business experience.
  • Experience in health care insurance or health care industry preferred, but those with relevant experience in other industries will be considered.
  • Knowledge of Commercial, Medicaid, Medicare, and Individual products preferred.
  • Competence in MS Office required, including MS Excel, MS Access, MS Word.
  • Competence of the most common features of specialized analysis and reporting tools, e.g. SQL, SSIS, Oracle, and MS Office Suite.
  • Excellent planning communication, documentation, analytical, and problem-solving abilities.
  • Ability to work in a fast-paced environment.
  • Must possess strong interpersonal, organizational, and project management skills, with the ability to work on multiple tasks simultaneously.
  • Experience in QA/Audit/Systems testing development and execution preferred.


Licensure, Certifications, and Clearances:

  • Act 34

 

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct

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