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Job Description

Job Title: Business Process Consultant , HP OPD
Job ID: 897701556
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: UPMC Health Plan
Department: HealthPlaNET Product Dev
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
plan and lead business process consulting projects to realize significant process and performance improvement for the Insurances Services Division. Collaborate in planning, designing, and leading projects and programs to realize a new vision for comprehensive, dramatic, and transformational performance improvement. With appropriate direction, provide a clear understanding of these projects' value, scope, goals, methods, and project plans in order to achieve targets for enhanced business value. With appropriate direction and professional collaboration, establish optimum business and clinical process improvement/reengineering/design approaches utilizing Lean Six Sigma and other relevant tools. With appropriate direction and professional collaboration, address and provide project/program management and/or oversight, for the various specific IT and other requirements these complex efforts entail. Provide clear direction, leadership and accountability across a continuum of assigned projects from departmental improvement projects to moderately-complex payer/provider collaborative efforts to business/clinical transformational improvement projects.

  • With appropriate direction, work collaboratively with business and clinical leaders to design, establish, and implement projects to realize significant, incremental process improvement as well as projects to realize a new vision for comprehensive, dramatic, and transformational performance improvement.
  • Proficiently utilize methods, best practices, and skills in Lean/Six Sigma, project/program management, Human sigma (i.e., organizational change management), group/meeting facilitation, formal presentation development/delivery; conduct staff/team member training and coaching in these same skill areas as required.
  • Work as part of a team, the leader of a team, or individually on projects to streamline/improve departmental business and/or clinical processes as well as on projects and programs to redesign complex, multi-departmental work systems and focused sets of business/clinical processes; for these projects participate in establishing and maintaining a clear vision of the business rationale, value, scope, and goals.
  • Analyze the impact of potential changes on existing processes and organizational structures and, when necessary, act as a change agent to lead, facilitate, and management change within impacted departments
  • 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.
  • Address and provide project/program management and/or oversight, with appropriate direction and professional collaboration, for the various requirements, including specific IT and other complex requirements, of both incremental business process improvement and large business transformational efforts as required within the established project scope.
  • Participate in the assessment and identification of optimal, achievable individual and team-based work behaviors in conjunction with desired performance improvement; also, participate in developing and implementing project approaches to achieve focused team and individual behavior change or, based on the breadth of project scope, to achieve complex, multi-departmental behavior change at the individual, team and inter-team levels.


  • Bachelor's Degree with major in in engineering, business, mathematics, statistics, health care, management, or related field. Master's degree in these same areas or related field preferred.
  • Five years of experience in operations or operations improvement or operations improvement consulting (may include up to two years in operational financial analysis).
  • Two 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 UPMC?s 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.
  • 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, including Excel, Word, PowerPoint, Visio and other pertinent software applications. 
  • Experience in health care insurance or the health care industry preferred. Strong leadership and interpersonal skills required.

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

UPMC is an Equal Opportunity Employer/Disability/Veteran

Salary Range: $35.66 to $60.38 / hour

Union Position: No

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