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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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Business Process Consultant , Health Plan OPD

  • Job ID: 052912817
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Business Perform Improve
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $38.32 to $64.85 / hour

Description

In this position, you will plan, design, and lead consulting projects to realize the significant process and performance improvement for the Insurances Services Division. Define and communicate a clear understanding of these projects' value, scope, goals, methods, and project plans in order to achieve targets for enhanced business value. Provide clear direction, leadership and accountability across a continuum of assigned projects from departmental improvement projects to moderately complex payer/provider collaborative efforts.

This is a hybrid position. Travel to the office will be required 1-3 days a week depending on department needs. 

Responsibilities:

 

Project Delivery and Consulting:

  • Work collaboratively with business and clinical leaders to design, establish, and implement projects to drive performance improvement in functions and core processes
  • Demonstrate creative problem-solving ability in the identification of potential solutions and alternatives; develop frameworks or innovations that enable problem resolution and generate business value
  • Analyze the impact of potential changes on existing processes and organization structures
  • Develop the business case to support future state recommendations, incorporating forecasted or demonstrated performance against key metrics and related cost / benefit analysis

Strategic Thinking: 

  • Define people, process, and technology impacts of organizational strategies
  • Meet with internal and external clients to understand and assess business / clinical / operational needs as well as technical and other requirements; anticipate key business issues

Communication and Change Management: 

  • Lead the development of cross-functional change management and communication strategies to inform and align stakeholders; drive or support execution of change management and communication plans
  • Act as a change agent to lead, facilitate, and manage change within impacted departments
  • Develop and deliver effective formal presentations to audiences at various levels

Project Administration:

  • Manage the administrative details of assigned projects, including developing and publishing meeting agendas, collating meeting materials, documenting meeting discussions and decisions, and establishing / maintaining a repository of project documentation

Project Management:

  • Manage assigned projects, including:
    • Define the scope and business requirements of improvement efforts
    • Develop and execute work plans, timelines, and other relevant project management tools
    • Ensure resources are assigned to project activities and related roles and responsibilities are clearly defined
    • Identify and track project issues, resolving them where possible and escalating when necessary
    • Monitor work progress: prepare and present project status reports to appropriate stakeholders
    • Develop and directly oversee the timely creation of reports, presentations, and related materials
    • Design and lead / facilitate productive project meetings
    • Ensure that policies and procedures are revised as required
    • Ensure all deadlines and milestones are met

Demonstration of values:

  • Perform in accordance with system-wide competencies, behaviors, and values
  • Maintain accountability for ongoing self-development and knowledge acquisition activities

Leadership:

  • Conduct staff / team member training and coaching in areas of expertise; help to mentor and develop staff
  • For assigned projects, establish and maintain a clear vision of the business rationale, value, scope, and goals
  • Lead teams with responsibility for designing and implementing business performance and process improvement efforts

Methodology:

  • Proficiently use methods, best practices, and skills in Six Sigma; organization change management, group / meeting facilitation, benchmarking, data analysis, organizational analysis, process mapping and redesign and other tools and techniques
  • Apply principles related to Business Agility and Lean to define and facilitate improvement projects
  • Participate in the development of new tools, techniques, and resources

Analysis:

  • Analyze relevant data to define and quantify improvement opportunities and quantify the impacts of potential changes on existing processes and organization structure / capabilities
  • Provide analytical support to establish performance and process metrics, including baseline measures; participate in the development of dashboards and scorecards

 

Qualifications

  • Bachelor's Degree. Master’s degree preferred. 
  • 5 years of experience in operations or operations improvement or operations improvement consulting (may include up to 2 years in operational financial analysis), and 5 years of experience in data-based process improvement (eg. Six Sigma process improvement) and/or project management of related efforts.
  • PMI's PMP Certification or successful completion of UPMCs Ulearn Project Management Training series required within one year of hire.
  • Green Belt certification in UPMC's Lean Six Sigma Training program (or a comparable program meeting ASQ's Green Belt certification standards) required within one year of hire as is completion of training in Agile methodologies.
  • Strong management, problem solving, organizational, and communication skills (oral and written) are required.
  • Excellent Project Management skills and ability to plan and direct multiple, moderately complex process reengineering projects.
  • Excellent computer skills required proficiency with MS Office suite including PowerPoint and Visio.
  • Experience in healthcare insurance or the healthcare industry preferred. Strong leadership and interpersonal skills are required.


Licensure, Certifications, and Clearances:
PMI's PMP Certification required or completion of UPMC Health Plan Project Management training within one year from date of hire. In addition, UPMC Health Plan Lean Six Sigma Green Belt Certification (or a comparable program meeting the ASQ Green Belt certification standards) is required within one year of hire.

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  • UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct

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