COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

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

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   Current UPMC employees must apply in HR Direct

Configuration & Reporting Consultant (Remote)

Description

UPMC Health Plan is seeking a Configuration and Reporting Consultant!

This position oversees administrative and system processes as they relate to implementation and maintenance of the claims transactional system as well as other applications for all eBenefits products. Under the general direction of the Configuration and Business Support Management team, this role will analyze, identify, propose and implement solutions for all business areas. Acts as subject matter expert supporting all areas, and interact with staff to answer questions and resolve issues as they arise. The Configuration & Reporting Consultant -ebenefits must use their knowledge and understanding of financial, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial performance. Furthermore, the position requires the ability to articulate these opportunities to internal and external audiences, implement the solutions, and track and monitor progress. Will take a leadership role in the enhancement, development, documentation, and communication of identified variances. These functions must be done while also weighing the practical considerations and potential barriers that need to be overcome to successfully implement new programs and processes. To successfully perform the role, must understand the causes of financial & clinical trends and anomalies.

This position is almost entirely remote – may require the occasional on-site meeting attendance. 

Responsibilities:

 

  • Model business requirements for new systems and enhancements to existing systems; validate and test fixes/enhancements to new and existing systems
  • Administer, configure, test, audit and implement new processes on transactional systems
  • Analyzes business process flow patterns in terms of staffing methods, work distribution and efficiency, and then is able to explain analysis to a non-technical audience of both internal and external customers, and at times, Senior Management
  • Completes adjustments or other inquiries generated from the data reporting and analysis area
  • Periodically performs cost benefit analysis
  • Identify areas of concern that may compromise client satisfaction through data analysis, and propose solutions based on findings, expertise, and research
  • Maintains and updates enhancement log and tracking form; documents specifications for system enhancements on appropriate forms retaining data on department shared drive; ensures all activities are appropriately monitored and resolved timely
  • Design and document system functional requirements in formats to facilitate the development of deliverables such as Requests for Proposals and/or information, custom development efforts and project based planning documents
  • Interface with customers by telephone, correspondence, and or in person to answer inquiries and resolve concerns/issues
  • Manages, updates, and maintains source data dictionaries as they relate to processes
  • Takes a leadership role in mentoring and motivating staff building a strong cohesive team
  • Meet with internal clients (departmental heads/other business owners) to understand and assess business/operational needs as well as technical and other requirements; anticipate key business issues
  • Openly participate in team meetings, provide ideas and suggestions to ensure client satisfaction, and promote teamwork
  • Recommend and implement new policies, procedures, and strategies to streamline workflow and ensure that each department within the division is meeting organizational objectives
  • Trend and analyze existing processes, procedures, and workflows
  • Identify appropriate resources and support needed to facilitate decisions to achieve optimal outcomes
  • Allocates Configuration Analysts time appropriately to meet production and quality standards
  • Manages special projects as assigned by Management team; develops/maintains project plans, as needed
  • Meets deadlines and turnaround times set by Management staff which may, at times, require an employee to work extended hours until completion of project
  • Attends meetings on behalf of Manager/Director
  • Work as part of a team, leader of a team, or individually with responsibility for designing and implementing business process improvement efforts
  • Establishes performance measurements, systems and goals aligned with organizational objectives and industry standards
  • Assists other departments during periods of backlogs
  • Actively identifies and implements work process improvements to enhance team performance
  • Completes Executive Summary management documentation as required
  • Maintain employee/insured confidentiality
  • Provides support and supervision to Configuration Analysts
  • Participates in training programs when available/as requested

 

Qualifications

  • Bachelor's degree
  • Minimum seven 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
  • Analytical and Problem Solving Skills
  • Attention to Detail
  • Ability to work well both independently and as a part of a team
  • General Understanding of Benefits and Benefits Administration preferred but not 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

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