Job Description

Job Title: Operations Analyst, Int
Job ID: 33048392
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: Community Care Behavioral Hlth
Department: MIS
Location: 339 Sixth Avenue, Pittsburgh PA 15222

Description

Purpose:

 

Community Care Behavioral Health is hiring a full-time Operations Analyst, Intermediate to help support the MIS Department for its downtown Pittsburgh location.

 

The position plays a key operational and business analysis role on the Internet Strategy Team, focusing on our secure ePortal and public websites.  Responsibilities include business analysis and project management, updating and maintaining websites, performing user acceptance testing, providing technical support, and performing website analytics and reporting..


This Operations Analyst will oversee administrative, system processes and special project as they relate to 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. Acts as subject matter expert supporting all areas, and interact with staff to answer questions and resolve issues as they arise. The Operations Analyst, Intermediate 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, the position requires the ability to articulate these opportunities to internal and external audiences, implement the solutions, and track and monitor progress. Will take 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. To successfully perform the role, must understand the causes of financial & clinical trends and anomalies.


If this aligns with your career initiatives, we invite you to apply today!

Responsibilities:

  • Interface with customers by telephone, correspondence, and or in person to answer inquiries and resolve concerns/issues
  • Openly participate in team meetings, provide ideas and suggestions to ensure client satisfaction, and promote teamwork
  • Effectively prioritize and complete all assigned tasks
  • Identify 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; completes annual policy review 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; develops/maintains project plans, as needed
  • Administer, identify, test, audit, and implement new processes on transactional claims systems
  • Model business requirements for new systems, special projects and enhancements to existing systems; validate and test 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 four years 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
  • Experience with creating and maintaining HTML and web analytics (preferably Google Analytics)
  • Competence in MS Office required, including MSExcel, MSAccess, MSWord
  • 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

Preferred Qualifications:

  • Experience using Adobe LiveCycle to create and edit fillable PDF forms
  • Experience in a web focused role
  • Knowledge of Commercial, Medicaid, Medicare and Individual products

Salary Range: $23.28 to $40.28 / hour

Union Position: No

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