Description
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.
- Liaison between Department and 3rd party vendors
- Performs in accordance with system-wide competencies and behaviors
- Performs other duties as assigned
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:
- Act 33 with renewal
- Act 34 with renewal
- Act 73 FBI Clearance with renewal
- UPMC is an Equal Opportunity Employer/Disability/Veteran
Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.
Total Rewards
More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.
Our Values
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.