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   Current UPMC employees must apply in HR Direct

Operations Analyst, Associate

  • Job ID: 640303045
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Medicare &SNP Operations
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $21.91 to $37.83 / hour

Description

UPMC Health Plan is seeking an Operations Analyst- Associate! Under the general direction of SNP Operations Management, the Operations Analyst Associate role will oversee operational processes, perform data analysis, resolve issues as they arise, and assist with special projects as they relate to SNP Operations. The position will also identify and analyze issues, and propose and implement solutions for SNP Operations or other related business areas.

Responsibilities:

  • Identify areas of concern that may compromise client satisfaction through data analysis, and propose solutions based on findings, expertise, and research
  • Model business requirements for new systems, special projects, or enhancements to existing systems; validate and test fixes/enhancements to new and existing systems or processes.
  • Identify, administer, test, audit, and implement new processes or enhancements to existing processes
  • Create, update, and maintain source data dictionaries and documentation as they relate to SNP processes
  • Process report requests and data analysis as requested by SNP Operations Management or other related areas
  • 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
  • Complete Executive Summary management documentation as required
  • Effectively prioritize and complete all assigned tasks
  • Perform in accordance with system-wide competencies/behaviors
  • Participate in training programs when available/as requested
  • Assist other departments during periods of backlogs
  • Maintain employee/insured confidentiality
  • Perform other duties as assigned

 

Qualifications

  • Bachelor's Degree or equivalent work experience.
  • Minimum two 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.
  • 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.
  • Experience in QA/Audit/Systems testing development and execution preferred.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct