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Business Analyst

Remote: 
Full Remote
Work from: 
United States

Offer summary

Qualifications:

Bachelor's degree or related work experience, 2 years of general business experience, 2 years of industry specialty experience, Competent in MS Office and PC skills, Working knowledge of COB.

Key responsabilities:

  • Prioritize tasks and propose solutions
  • Maintain client satisfaction and confidentiality
  • Develop policies, procedures, and business recommendations
  • Participate in training programs and team meetings
  • Assist in backlogs and special projects
UPMC logo
UPMC XLarge https://www.upmc.com/
10001 Employees
About UPMC
A $23 billion health care provider and insurer, Pittsburgh-based UPMC is inventing new models of patient-centered, cost-effective, accountable care. The largest nongovernmental employer in Pennsylvania, UPMC integrates 92,000 employees, 40 hospitals, 700 doctors’ offices and outpatient sites, and a 4 million-member Insurance Services Division, the largest medical insurer in western Pennsylvania. In the most recent fiscal year, UPMC contributed $1.4 billion in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution, and paid more than $800 million in federal, state, and local taxes. Working in close collaboration with the University of Pittsburgh Schools of the Health Sciences, UPMC shares its clinical, managerial, and technological skills worldwide through its innovation and commercialization arm, UPMC Enterprises, and through UPMC International. U.S. News & World Report consistently ranks UPMC Presbyterian Shadyside among the nation’s best hospitals in many specialties and ranks UPMC Children’s Hospital of Pittsburgh on its Honor Roll of America’s Best Children’s Hospitals. For more information, go to UPMC.com.
See more UPMC offers

Job description

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Your missions

UPMC's Health Plan is hiring a Business Analyst for its Absence Management Admin team. This is a remote position and open to candidates in the United States. This role is Monday- Friday with regular office hours.

This role will be responsible for quality review of calls, claims and transactions performed by Workpartners Absence Management team, as well as interfacing with leave, disability, vocational and intake teams to meet or exceed service requirements.

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.
  • 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.
  • Develop and participate in training programs as available/requested.
  • Participate as needed in special projects and other auditing activities.
  • 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.
  • Competent in MS Office and PC skills preferred.
  • Working knowledge of COB (Coordination of Benefits) preferred.
  • Organizational, interpersonal, and communication skills required.
  • Preferences:
    • Strong preference for Mid Level or Basic Excel skills
    • Strong preference for experience with identifying and tracking trends.
    • Leave Management, Case Management, FMLA guidelines experience
    • Experience in Microsoft forms
    • Basic Power Apps and Power Automate skills
Licensure, Certifications, and Clearances:

  • Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

Annual

Required profile

Experience

Spoken language(s):
Check out the description to know which languages are mandatory.
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