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For more information about UPMC's response to COVID-19, please visit upmc.com/coronavirus.

Job Description

Job Title: Business Analyst, Chartwell
Job ID: 916580661
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: Org Performance & Data Analytics
Location: 1001 Oakdale Road, Oakdale PA 15071

Description

Purpose:
Work with users and developers to identify problems and propose solutions. Maintain project planning documents, prepare materials, write and distribute workflow, maintain UPMC systems portfolio (checklist).

Responsibilities:

  • Effectively prioritize and complete all assigned tasks.
  • Work with users and developers to identify problems and propose solutions.
  • Identify areas of concern that may compromise client satisfaction.
  • Maintain employee/insured confidentiality.
  • Maintain project planning, model business requirements for new systems and enhancements to existing systems.
  • Ability to analyze benefit administration issues to determine the need for and the scope of polices and procedures.
  • Develop administration policies and procedures or business recommendations to ensure uniform, cost effective claims administration practices that comply with the law, plan documents and other company policies.
  • Participate in training programs as available/requested.
  • Openly participate in team meetings, provide ideas and suggestions to ensure client satisfaction, and promote teamwork.
  • Assist other departments during periods of backlogs.

Qualifications

  • Bachelor's degree or equivalent related work experience required
  • Minimum of two years of general business experience required.
  • Minimum of two years of experience in business/industry specialty required. Knowledge of commercial, Medicaid, and Medicare products preferred.
  • Competent in MS Office and PC skills preferred.
  • Working knowledge of COB (Coordination of Benefits) preferred. Organizational, interpersonal, and communication skills required.

    Licensure, Certifications, and Clearances:

    UPMC is an Equal Opportunity Employer/Disability/Veteran

Salary Range: $21.64 to $37.36 / hour

Union Position: No

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