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   Current UPMC employees must apply in HR Direct

Business Analyst, Pharmacy Services

Description

Do you have a Bachelor's degree or equivalent related work experience? Do you have experience working in the health care and/or pharmaceutical industry? If so, UPMC might have the perfect fit for you!
 

UPMC is hiring a full-time Business Analyst to support the Pharmacy Services department. This will be a Monday through Friday daylight position and will be based out of Pittsburgh, PA. Due to COVID-19 circumstances, this will be a remote role temporarily, but will eventually transition into a hybrid position (with some travel into the office).

 

This position will work with pharmacy reporting and will analyze pharmaceutical drug trending and utilization. This position will require the ability to analyze large data sets using Microsoft Excel. SQL experience is also preferred.

 

The Business Analyst will work with users and developers to identify problems and propose solutions. The incumbent will maintain project planning documents, prepare materials, write and distribute workflow, and 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

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   Current UPMC employees must apply in HR Direct