Job Description

Job Title: Project Manager- Quality Measurement & Analysis
Job ID: 754906
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: HEDIS IMPROVEMENT
Location: 600 Grant St, Pittsburgh PA 15219

Description

UPMC Health Plan is hiring a full-time Project Manager to help support the Quality Measurement & Analysis Department for its downtown Pittsburgh location at the US Steel Tower. This is a Monday through Friday daylight position.

The successful candidate will provide direction, leadership, and accountability for technical project management efforts among operations primarily responsible for strategic initiatives around maintaining or exceeding an overall 4-star score for CMS Medicare/Program, maintain an Excellent level of NCQA Accreditation, increase the Quality collaboration across our Payor-Provider Integrated Delivery and Finance System (IDFS) and apply Quality framework to new and existing value payment models.  

Responsibilities:

  • 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. 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.
  • Create an environment that fosters compliance with accepted PMO and SDLC methodologies and reflects industry best practice.
  • Build consensus between departments and business units and Become recognized as a valued thought-partner by internal clients.
  • Perform data analysis using SQL to identify gaps and opportunity in the project data
  • Analyze data structures to ensure project cohesiveness and success
  • Analyze the training needs of project teams and identify relevant training material/ courses to address these needs. Provide industry knowledge to projects.
  • 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.
  • Perform in-depth analyses related to the revenue cycle and business operations, particularly, patient/member access data and utilization. Ability to explain this analysis to a non-technical audience of both internal and external customers, including executive management.
  • Ability to strategize new ways of trending/analyzing data in order to complete analysis.

 

Qualifications

  • Bachelors degree in business, mathematics, statistics, health care, management, or related business field required.
  • Minimum of four years of related work experience.
  • Masters degree preferred (Four+ years experience will be considered).
  • 3-5 years of project management experience is highly preferred
  • Experience in health care insurance or health care industry preferred. 
  • Previous IT project management experience is preferred.
  • Experience with SQL is experience is preferred.
  • Previous business process improvement experience is a plus.
  • Excellent computer skills required, including Access, Excel, Microsoft Project, and other pertinent Project Management 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:
    UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $30.89 to $52.76 / hour

Union Position: No

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