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   Current UPMC employees must apply in HR Direct

Business Analyst (Philadelphia)

  • Job ID: 939545141
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: 8am-5pm
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Community HealthChoices
  • Location: 510 Walnut St, Philadelphia PA 19106
  • Union Position: No
  • Salary Range: $23.75 to $41.09 / hour

Description

Community HealthChoices (CHC) is Pennsylvania's managed care long term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid.


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

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.

Preferences: 
  • Working knowledge of residential construction/ building adaptations and modifications.
  • Knowledge of State waivers programs
  • Ability to work independently 

Licensure, Certifications, and Clearances:


UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct

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