Job 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: • Maintain employee/insured confidentiality. • Participate in training programs as available/requested. • Identify areas of concern that may compromise client satisfaction. • Openly participate in team meetings, provide ideas and suggestions to ensure client satisfaction, and promote teamwork. • Assist other departments during periods of backlogs. • Effectively prioritize and complete all assigned tasks. • 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. • Work with users and developers to identify problems and propose solutions. • Maintain project planning, model business requirements for new systems and enhancements to existing systems. • *Performs in accordance with system-wide competencies/behaviors. • *Performs other duties as assigned. • Bachelor's degree or equivalent related work experience preferred • Two years of general business experience preferred. • 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 preferred. Licensure, Certifications, and Clearances: • Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Requirements

Must-haves

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).
Maintain employee/insured confidentiality.
Participate in training programs as available/requested.
Identify areas of concern that may compromise client satisfaction.
Openly participate in team meetings, provide ideas and suggestions to ensure client satisfaction, and promote teamwork.
Assist other departments during periods of backlogs.
Effectively prioritize and complete all assigned tasks.
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.
Work with users and developers to identify problems and propose solutions.
Maintain project planning, model business requirements for new systems and enhancements to existing systems.
Performs in accordance with system-wide competencies/behaviors.
Performs other duties as assigned.
UPMC is an Equal Opportunity Employer/Disability/Veteran

Nice-to-haves

Bachelor's degree or equivalent related work experience preferred
Two years of general business experience preferred.
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 preferred.

Application prep

Use the role’s language and application details while tailoring your materials.

Platform: careers-html
Effort: medium