Job Description

Job Title: Business Process Consultant
Job ID: 85985519
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: UPMC Health Plan
Department: Org Performance
Location: 600 Grant St, Pittsburgh PA 15219


Do you have a strong background in defining and documenting business requirements?  If so, an opportunity as a Business Process Consultant with UPMC Health Plan may be the perfect position for you. In this role, you will lead various business process improvement projects/initiatives within the Health Plan and broader Insurance Services Division. These services will be provided in compliance with state and federal regulations, NCQA standards, and the mission, policies and procedures of the Health Plan, Insurance Services Division, and Process Improvement department. Individual should demonstrate professionalism and commitment to meet UPMC Health Plan and Insurance Services Division goals, and objectives.

  • Understand and incorporate the quality, cost and service goals of the organization.
  • Develop and utilize mechanisms to track best practices/ lessons learned in order to leverage into future business process improvement initiatives.
  • Meet with internal clients (departmental heads/other business owners) to understand and assess business/operational needs as well as technical and other requirements; anticipate key business issues.
  • Act as a change agent to lead, facilitate, and manage change across the organization.
  • Trend and analyze existing processes, procedures, and workflows.
  • Develop solutions to the problems posed by the effort, using approaches such as benchmarking, data analysis, organizational analysis, process mapping and redesign, job design, requirements identification, risk analysis, and other tools and techniques.
  • Help to mentor and develop staff.
  • Understand, analyze, and structure undefined, complex, and politically sensitive projects.
  • Provide industry knowledge to projects.
  • Identify and track project issues, resolving issues where possible and escalating when necessary.
  • Work as part of a team, leader of a team, or individually with responsibility for designing and implementing business process improvement efforts.
  • Recommend and implement new policies, procedures, and strategies to streamline workflow and ensure that each department within the division is meeting organizational objectives.
  • Balance a shifting workload and effectively deal with ambiguous circumstances while ensuring the timely completion of work.
  • Stay abreast and inform others of new and emerging topics/trends, best practices, technologies, and capabilities.
  • Demonstrate initiative and creative problem solving ability in the identification of potential solutions and alternatives; develop frameworks or innovations that enable problem resolution.
  • Make formal presentations to various audiences.
  • Evaluate the scope and complexity of business process improvement efforts, including those that correspond closely with clinical and/or medical management related processes.
  • Develop and execute work plans, timelines, and other relevant project management tools in relation to these efforts.
  • Apply business and technical knowledge in the analysis of internal client requirements (see section 3 below) and prepare all required documentation.
  • Gather, analyze, and interpret data and incorporate appropriately into action plans.
  • Maintain accountability for ongoing self development/ knowledge acquisition activities.
  • Actively share knowledge with team members and employees across the organization.
  • Design, prepare, and lead/facilitate productive meetings with effective content presentations, facilitation tools, and discussion materials.
  • Assign work to departmental business analysts and business process consultants.
  • Develop and directly oversee the timely creation of reports, presentations, and related materials.
  • Prepare and present project status reports to appropriate stakeholders.
  • Analyze the impact of potential changes on existing processes and organizational structures.
  • Develop detailed process flows of existing processes as well as proposed processes using process flow charting software such as Visio.
  • Ensure that the most appropriate and efficient tools and techniques are selected and applied in accordance with project scope and time constraints.
  • Maintain and adhere to a professional development plan including appropriate certifications, etc.
  • Collect and present accurate, timely data to display the results of process improvement efforts.
  • Direct and execute creative analytic approaches; create new or adapt existing analytical methods and tools to solve problems.
  • Participate in the development of new tools and resources.


  • B.S. degree with an analytical or healthcare focus. 
  • Master's or Ph.D. degree preferred (extensive related experience will be considered). 
  • Industrial engineering skills, education or experience preferred. 
  • Workflow process redesign experience preferred. 
  • Five years' experience in healthcare and/or operational analysis including the business process improvement discipline. 
  • Three years' experience in personnel supervision and mentoring preferred. 
  • Experience in health care industry preferred, but those with relevant experience in other industries will be considered. 
  • Superior computer skills are a given, with expert knowledge in Access, Excel, and other financial & statistical software packages; Powerpoint and Visio skills preferred. 
  • High degree of professionalism, enthusiasm and initiative on a daily basis. 
  • Ability to work in a fast-paced environment required. 
  • 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. 
  • Excellent planning, communication, documentation, organizational, analytical, and problem solving abilities. 
  • Advanced mathematical skills. 
  • Statistical background preferred. 
  • Ability to interpret and summarize results of various analyses in a timely and meaningful way. 
  • Ability to effectively approach problem solving. 
  • Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy. 
  • Ability to analyze financial & operational results and to comprehend forecasting models.
  • Well-informed and conversant with general business and operational matters.

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

UPMC is an Equal Opportunity Employer/Disability/Veteran

    Salary Range: $31.82 to $54.34 / hour

    Union Position: No

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