Operations Analyst, Associate

2 months ago


Pittsburgh, United States University of Pittsburgh Medical Center Full time

UPMC Health Plan is seeking a full-time Operations Analyst, Associate to support the Medicare HCC Department. The team is based out of downtown Pittsburgh's US Steel Tower and this role will work in a hybrid structure. Occasionally travel throughout Western PA may be required as needed.

The Associate Operations Analyst oversees administrative, system processes, and special projects as they relate to the identification, implementation, and maintenance of the claims transactional system for all UPMC Health Plan products. Under the general direction of Business Support Management, this role will analyze, identify, propose, and implement solutions for all business areas. The Associate Operations Analyst acts as a subject matter expert supporting all areas and interacts with staff to answer questions and resolve issues as they arise. The ideal candidate for this position will have previous medical office and/or medical terminology experience, with Electronic Medical Records experience being a plus Proficient computer and Microsoft Office skills are preferred, as well.

Responsibilities:

* Identify areas of concern that may compromise client satisfaction through data analysis, and propose solutions based on findings, expertise, and research
* Model business requirements for new systems, special projects and enhancements to existing systems; validate and test fixes/enhancements to new and existing systems
* Openly participate in team meetings, provide ideas and suggestions to ensure client satisfaction, and promote teamwork
* Completes Executive Summary management documentation as required
* Performs in accordance with system-wide competencies/behaviors
* Participates in training programs when available/as requested
* Effectively prioritize and complete all assigned tasks
* Identify, administer, test, audit, and implement new processes on transactional claims systems
* Interface with customers by telephone, correspondence, and or in person to answer inquiries and resolve concerns/issues
* Performs other duties as assigned
* Assists other departments during periods of backlogs
* Manages, updates, and maintains source data dictionaries as they relate to processes
* Completes inquiries generated from the data reporting and analysis area
* Maintains employee/insured confidentiality

Qualifications:

* Bachelor's Degree or equivalent work experience.
* Minimum two years general business experience.
* Experience in health care insurance or health care industry strongly preferred.
* Previous experience in EMR systems is a bonus.
* Knowledge of Commercial, Medicaid, Medicare and Individual products preferred.
* Competence in MS Office required, including MS Excel, MS Access, MS Word.
* Excellent planning communication, documentation, analytical and problem-solving abilities.
* Ability to work in a fast-paced environment.
* Must possess strong interpersonal, organizational, and project management skills, with the ability to work on multiple tasks simultaneously.
* Experience in QA/Audit/Systems testing development and execution preferred.

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran



  • Pittsburgh, United States All Lines Technology Full time

    Job DescriptionJob DescriptionThe Systems Software Analyst is a junior level analyst with the Global Operations Center. Global Operation Center Analysts are responsible for regularly troubleshooting issues with servers, operating systems, and related technologies across multiple functions requiring an understanding of systems administration at the server...


  • Pittsburgh, United States INA Solution Inc Full time

    Job DescriptionJob DescriptionPosition: Investment Operation AnalystLocation: Pittsburgh, PADuration: Contract Skills Required:Strong attention to detail with the ability to process critical data accurately and timely.Excellent client service skills using both written and oral communicationExperienced user of Microsoft Office products.High organizational...


  • Pittsburgh, United States BNY Mellon Full time

    Associate, Information Security Analyst I Bring your ideas. Make history. BNY Mellon offers an exciting array of future-forward careers at the intersection of business, finance, and technology. We are one of the world's top asset management and banking firms that manages trillions of dollars in assets, custody and/or administration. Known as the "bank of...


  • Pittsburgh, Pennsylvania, United States BNY Mellon Full time

    Associate, Information Security Analyst I Bring your ideas. Make history. BNY Mellon offers an exciting array of future-forward careers at the intersection of business, finance, and technology. We are one of the world's top asset management and banking firms that manages trillions of dollars in assets, custody and/or administration. Known as the "bank of...


  • Pittsburgh, United States BNY Mellon Full time

    Overview Associate, Information Security Analyst I Bring your ideas. Make history.  BNY Mellon offers an exciting array of future-forward careers at the intersection of business, finance, and technology. We are one of the world's top asset management and banking firms that manages trillions of dollars in assets, custody and/or administration. Known as the...


  • Pittsburgh, United States EQT Corporation Full time

    The Strategic Execution Analyst / Sr. Analyst / Associate responsibilities include but are not limited to: * Research and apply critical thinking to industry trends, competitor analysis and other factors to support the establishment of corporate strategy and capital allocation priorities * Perform quantitative and qualitative analysis to assess market...


  • Pittsburgh, Pennsylvania, United States PNC Financial Services Group Full time

    Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all of our employees feel respected, valued and have an opportunity to contribute to the...


  • Pittsburgh, United States Federal Reserve System Full time

    Company Federal Reserve Bank of ClevelandThe Federal Reserve Bank of Cleveland is part of the nation’s central bank and we’ve provided many opportunities for professional growth during our history. For twenty-four years in a row, we’ve been named “One of Northeast Ohio’s Best Places to Work” by North Coast 99. This prestigious award...


  • Pittsburgh, United States Genesis10 Full time

    Genesis10 is currently seeking a Client Operations Analyst with our financial services client in Pittsburgh, PA. This is a 9 month + contract to hire hybrid position requiring onsite work during training, 5 days moving to hybrid 3 days onsite after training is completed. This position pays: $25.00/hr -$29.00/hr W2 based on experience. Candidates applying...


  • Pittsburgh, United States EDGECo Holdings, LP Full time

    Job Summary:The M&A Analyst/Associate position with EdgeCo Holdings is a newly established role that will have direct exposure to EdgeCo’s senior management. The M&A Analyst/Associate will join the corporate deal team and spend the majority of the time on corporate development initiatives with some additional work on FP&A projects as needed.Location: Ideal...


  • Pittsburgh, United States EDGECo Holdings, LP Full time

    Job Summary:The M&A Analyst/Associate position with EdgeCo Holdings is a newly established role that will have direct exposure to EdgeCo’s senior management. The M&A Analyst/Associate will join the corporate deal team and spend the majority of the time on corporate development initiatives with some additional work on FP&A projects as needed.Location: Ideal...

  • Financial Analyst

    2 weeks ago


    Pittsburgh, United States Baird Full time

    Baird is an employee-owned firm, and the Associate Financial Services (AFS) team actively administers the firm's shareholder and compensation programs, and processes the firm's payroll, accounts payable and employee expenses to support Baird's shareholders, associates and businesses. The AFS team has extensive interaction with both the Legal and Human...


  • Pittsburgh, United States Arconic Full time

    Job Description Operational Buyer Analyst - ( 22000159 ) **Description** Arconic is currently in search of **Operational Buyer Analyst** to join our **Global Financial Services team** in **Pittsburgh, PA**. At Arconic, we are looking for people who share our values of integrity, inclusion, and diversity, and who demonstrate agility, results commitment, and...


  • Pittsburgh, Pennsylvania, United States PNC Bank NA Full time

    Description Data Analytics Development Program Analyst/Associate By joining one of PNC's Development Programs, you can explore your potential through hands-on experience in a professional environment. This is an excellent opportunity to begin exploring your career goals, in addition to growing your skills in key areas. The goal of PNC's Development...


  • Pittsburgh, Pennsylvania, United States jcw llc Full time

    We're newly recruiting for an urgent need for an Operational Risk Analyst with specific background in end-user computing/information security. The position will join our client, a bank in downtown Pittsburgh, on contract basis, and have the option to be hired permanently within a few months. In order to make an application, simply read through the following...

  • HRIS Analyst

    4 weeks ago


    Pittsburgh, United States GNC Holdings, Inc. Full time

    The HRIS analyst will partner with the Human Resources, IT, and Store Operations teams to analyze work process design and flow, improve processes and leverage the return on technological capabilities. They will work effectively with peers to set tech HRIS Analyst, HRIS, Reporting Analyst, Analyst, Project Management, General Maintenance, Technology, Retail

  • Security Analyst

    2 weeks ago


    Pittsburgh, United States IntePros Consulting Full time

    IntePros is excited to partner with a Fortune 200 Investment Banking and Financial Company in helping them identify a Information Security Analyst for a critical engagement in Lake Mary, FL or Pittsburgh, PA.  Security Analyst role & responsibilities: The Information Security Analyst, Identity Access Management Operations candidate will establish client,...

  • Financial Analyst

    1 month ago


    Pittsburgh, United States HUB International Full time

    Financial Analyst. Specialty Captive Group. Job Purpose. To assist account handlers in processing daily account activity. To provide technical support in accordance with company operating procedures. Functions & Responsibilities: Understands accounti Financial Analyst, Financial, Account Executive, Analyst, Accounting, Insurance, Banking

  • Accounting Analyst

    2 weeks ago


    Pittsburgh, Pennsylvania, United States Creative Financial Staffing Full time

    ACCOUNTING ANALYST ABOUT THE COMPANY: Join our Client, a leader in their field. They have a dynamic team passionate about innovation and value creation. Enjoy a fantastic culture and work with exceptional leaders. This Accounting Analyst role offers abundant opportunities for advancement. OVERVIEW OF THE ACCOUNTING ANALYST ROLE: Oversee capital expenditure...


  • Pittsburgh, United States IntePros Full time

    IntePros is excited to partner with a Fortune 200 Investment Banking and Financial Company in helping them identify an Business Systems Analyst for a critical engagement in Pittsburgh, PA. Business Systems Analyst role & responsibilities:Under general supervision, formulates and defines systems scope and objectives through research and fact-finding combined...