Job Description

Job Title: Sr. Organizational Performance Consultant
Job ID: 736594
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: HealthPlaNET Product Dev
Location: 600 Grant St, Pittsburgh PA 15219

Description

UPMC Health Plan has an exciting opportunity for a Sr. Organizational Performance Consultant in its downtown Pittsburgh office at the U.S. Steel Tower. Under the general direction of the department director, the Sr. Organizational Performance Consultant will work with executives and physicians to define and then lead various business and clinical process improvement programs and projects for the Insurance Services Division and/or in-network physician practices. This work will be conducted under the construct of internal and/or external consulting engagements.

Responsibilities:

  • Act as a change agent to lead, facilitate, and manage change across the organization.
  • Actively share knowledge with team members and employees across the organization.
  • Analyze the impact of potential changes on existing processes and organizational structures.
  • Anticipate project issues, assess alternatives, and take appropriate measures to resolve in a professional, tactful manner.
  • Assign work to departmental and/or physician practice staff within the context of consulting engagements.
  • Balance a shifting workload and effectively deal with ambiguous circumstances while ensuring the timely completion of work.
  • Build follow-up mechanism/maintenance plan into project deliverables to ensure that changes to be implemented will be sustainable.
  • Cooperate closely with business leaders and/or relevant experts in resolving issues.
  • Define and develop overall consulting engagement objectives, scope and work plan and review and confirm with internal/external client.
  • Delegate appropriate level of autonomy and decision, ensuring that project issues are promptly and effectively handled and quality of work is achieved.
  • Demonstrate initiative and creative problem solving ability in the identification of potential solutions and alternatives; develop frameworks or innovations that enable problem resolution.
  • Design and manage benchmarking efforts with respect to health insurance industry processes.
  • Design, prepare, and lead/facilitate productive meetings with effective content presentations, facilitation tools, and discussion materials.
  • Develop and utilize mechanisms to track best practices/ lessons learned in order to leverage into future business process improvement initiatives.
  • Develop process analysis and measurement approach.
  • Develop solutions to the problems posed by the effort, using approaches such as benchmarking, data analysis, organizational analysis, process mapping and redesign, requirements identification, and other tools and techniques.
  • Ensure deliverables meet business objective, design specifications and quality standards.
  • Ensure that the most appropriate and efficient tools and techniques are selected and applied in the context of performance planning and management.
  • Establish deliverable structure and content outline.
  • Evaluate the scope and complexity of business/clinical process improvement efforts.
  • Help to mentor and develop staff.
  • Lead teams with responsibility for designing and implementing business and clinical process improvement efforts.
  • Lead the establishment of performance and process metrics, including baseline measures and targets as well as scorecards and dashboards.
  • Maintain accountability for ongoing self development/ knowledge acquisition activities.
  • Maintain and adhere to a professional development plan including appropriate certifications, etc.
  • Manage a large number of responsibilities in the face of competing priorities.
  • Meet with internal and external clients (executives, physician, and other leaders) to understand and assess business/clinical/operational needs as well as technical and other requirements; anticipate key business issues.
  • Mentor and serve as a professional resource to engagement staff to aid them in their work.
  • Monitor work progress and review key deliverables of engagement staff.
  • Oversee the planning and work effort to gather, analyze, and interpret data and incorporate appropriately into work effort.
  • Oversee the work effort of various professionals assigned to specific consulting engagements.
  • Participate in and/or lead the internal evaluation of the engagements being managed by other professionals.
  • Participate in the development of new tools and resources.
  • Plan, organize and control multiple responsibilities and cross-functional resources and ensure that the most appropriate resources are assigned to specific project roles.
  • Prioritize tasks based on relative importance and urgency and identify dependencies across projects.
  • Provide industry knowledge to projects and overall work.
  • Provide primary input to the evaluation process for departmental staff (the department director will administer performance reviews and personnel file maintenance).
  • Provide thought leadership for new and emerging best practice models for performance planning and management; stay abreast and inform others of new and emerging topics/trends, best practices, technologies, and capabilities.
  • Recognize and act decisively in urgent matters; make tough decisions which may influence the direction of the project.
  • Recognize and anticipate scope issues and communicate to internal client and team changes to the work plan.
  • Recommend and implement new policies, procedures, and strategies to streamline workflow and ensure that each stakeholder entity is meeting stated objectives.
  • Understand, analyze, and structure undefined, complex, and politically sensitive work.
  • Work collaboratively with ISD departments and/or physician practices to enhance performance reporting.
  • Make formal presentations to various audiences.

 

Qualifications

  • Bachelor's degree in relevant analytical field required.
  • Masters Degree; clinical degree and/or; Ph.D. degree or active pursuit thereof preferred.
  • Minimum five years of experience in healthcare industry physician practice management and/or clinical process/operations performance improvement.
  • Health insurance industry or physician practice management experience preferred.
  • Black Belt certification or equivalent quality and process improvement certification strongly preferred.
  • In depth experience in business and/or clinical process improvement/benchmarking/quality programs.
  • Must be able to understand and evaluate clinical/business process trends and variation; ability to analyze financial & operational results and to comprehend forecasting models required.
  • Superior computer skills are a given, with expert knowledge in Access, Excel, and other financial & statistical software packages.
  • Power point and Visio skills preferred
  • Will need to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences.
  • Attention to detail is critical to the success of this position, with demonstrated competency in customer orientation and the ability to deal with ambiguity.
  • Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy.
  • Excellent planning, communication, documentation, organizational, analytical, and problem solving abilities.
  • Must demonstrate a high degree of professionalism, enthusiasm and initiative on a daily basis.
  • Ability to work in a fast-paced environment required.
  • Well-informed and conversant with general business and operational matters.

    Licensure, Certifications, and Clearances:
    Six Sigma Black Belt certification preferred.

    UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

 

Salary Range: $33.94 to $57.47

Union Position: No

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