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UPMC

18 open positions available

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UP

Financial Analyst, Senior (Hybrid Remote)

UPMCAnywhereFull-time
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Compensation$70K - 120K a year

Analyze clinical departments' financial and operational data, develop forecasts, and support process improvements. | Bachelor's in accounting or related field, 3+ years of experience, proficiency in Microsoft Office, and healthcare financial knowledge preferred. | The Senior Financial Analyst will conduct and document a series of complex analytics to support the Physician Services Division. This position offers the opportunity to collaborate with clinical departments based on organizational needs and the analyst's areas of interest. The position will provide direct business support to various clinical departments within the University of Pittsburgh Physicians (UPP). You will analyze various clinical departments financial & operational data, interpret the data, and prepare comprehensive analyses and projections for presentation to key stakeholders who must make economic or business decisions. Additional tasks will consist of, but not be limited to, financial forecasting (mid-month, month end, annual budget process), management reporting (UPMC Executive, HSD Finance, Operational Leaders), process enhancement (report automation through leveraging technology such as PowerBI, Qlik, other). This role is ideal for driven individuals who are eager to leverage and build on their financial leadership expertise, to create meaningful impact in the healthcare sector. Job Features: · Work/Life Balance: Remote flexibility through a hybrid work model to support an environment that allows for balance between work and life outside of work. · Schedule Flexibility: The current policy allows for customized individual flexible work schedules. · Career Development: Substantial professional growth opportunities and mentorship. · Meaningful Work: Opportunities to perform meaningful work. · Team Building: Participation in office functions, off-site events, and happy hours. Physician Services Division Responsibilities: Collaborate with finance and operational partners to complete ad-hoc projects and analyze complex financial data, for the purpose of determining past financial performance and/or to project future financial profitability. Create financial analytics focused on forecasting, trending, and predictive analyses to support clinical and executive leadership. Plan and conduct complex studies to determine cost of business activities such as new hires, capital purchases, or expanding the department’s footprint. Recommend budget adjustments, and other cost improvement measures. Identify and implement process improvement opportunities. Act as a mentor for Financial Analysts and administrative and operational staff. Use Power BI and Qlik Clinical Analytic tools to perform financial analytics. Interpret and present financial and operational findings to various leaders within the Physician Services Division such as Chairs, Vice-Chairs, Administrators, and Executives. Participate on various PSD wide system initiatives. These ad-hoc initiatives can offer exposure to new areas within the division, new metrics and tools for reporting and analytics, and networking opportunities with new partners within the Physician Services Division as well as across UPMC. Bachelor's degree in accounting or related business field required. Minimum of three years of related work experience required. OR High School Diploma/GED and five years of related work experience. Microsoft Office spreadsheet application required, and PeopleSoft General Ledger proficiency preferred. Licensure, Certifications, and Clearances: CPA/MBA preferred. Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Financial Analysis
Data Analytics
Process Improvement
Power BI
Qlik
Direct Apply
Posted 3 days ago
UP

Sr. HEDIS Coordinator- Remote (Must be located in Pittsburgh or Surrounding Area)

UPMCAnywhereFull-time
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Compensation$Not specified

The Sr. HEDIS Coordinator will assist with managing HEDIS Coordinator activities and perform day-to-day functions related to the Health Plan's Quality Improvement Program. Responsibilities include data abstraction for HEDIS, supporting quality improvement projects, and conducting education for CGMA users. | Candidates must be a registered nurse with a BSN and have a minimum of 2 years of experience as a HEDIS Coordinator. Strong communication, organizational skills, and knowledge of NCQA HEDIS Specifications are also required. | UPMC Health Plan has an exciting opportunity for a Sr. HEDIS Coordinator position in the Quality Improvement department. This is a full time position working Monday through Friday daylight hours and will be a remote position. Must be located in Pittsburgh or surrounding area to be considered! The Sr. HEDIS Coordinator will assists with the management of HEDIS Coordinator activities in addition to performing the day-to-day functions of a HEDIS Coordinator. Supports various functions within the scope of the Health Plan?s Quality Improvement Program, working both independently and as a team member. The functions include but are not limited to Novillus Care Gap Management Application (CGMA) support, participation in data abstraction for the Health Plan Effectiveness Data and Information Set (HEDIS�) program, committee support, an independent or collaborative quality project and the continual advancement of the quality improvement process to achieve the Health Plan?s goal of excellence. Responsibilities: Perform duties and responsibilities in accordance with the philosophy, standards and policies and procedures of the UPMC Health System, including conveying courtesy, respect, enthusiasm, and a positive attitude through all contacts with staff, health plan members, providers, peers, and visitors. Perform in accordance with system-wide competencies/behaviors. Complete a department identified quality improvement project under the supervision of Manager, i.e., development of HEDIS measure Tip Sheet(s), assist with Quality metric education for a UPMC Residency Program, etc. to facilitate process improvement and/or outcomes. Participate in the Health Plan Effectiveness Data and Information Set (HEDIS) program including data abstraction and overread activities. Participate in committee or work group activities, which may include completion of follow-up assignments, taking minutes or meeting facilitation. Complete delegated activities and project work within established time parameters. Support Manager with analysis of CGMA user rejections and identification of educational opportunities. Coordinate and conduct education for CGMA users as needed. Assist with weekend CGMA testing as needed. Adhere to the UPMC Health Plan HIPAA Compliance Guidelines. Ensure that HIPAA standards are met in all aspects of the Department functions including delegated functions. Ensure that all releases of member personal health information, which are conducted outside of the realm of Treatment, Payment, or Operations are appropriately logged. Registered nurse with BSN. Minimum of 2 years experience working as a HEDIS Coordinator. Performance level maintained at Solid/Strong/Good or above while in this position. Ability to work independently and as a productive team member. Excellent verbal, written and presentation skills. Excellent organizational and time management skills. Demonstrated professionalism and self-motivation skills. Solid knowledge of NCQA HEDIS Specifications. Proficiency in Microsoft Word, PowerPoint and Excel preferred. Licensure, Certifications, and Clearances: UPMC is an Equal Opportunity Employer/Disability/Veteran

HEDIS Coordination
Quality Improvement
Data Abstraction
Project Management
Education Coordination
Organizational Skills
Time Management
Communication Skills
Team Collaboration
HIPAA Compliance
Microsoft Word
Microsoft PowerPoint
Microsoft Excel
Self-Motivation
Professionalism
NCQA HEDIS Specifications
Direct Apply
Posted 6 days ago
UP

HEDIS Coordinator- Remote (Must be Located in Pittsburgh or Surrounding Area)

UPMCAnywhereFull-time
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Compensation$Not specified

The HEDIS Coordinator is responsible for reviewing clinical documentation to support HEDIS measure compliance and potential measure exclusion. This includes conducting quality audits and assisting with chart abstraction and auditing processes. | Candidates must be a Registered Nurse with a minimum of 5 years of healthcare-related experience, with a bachelor's degree preferred. Excellent communication skills and proficiency in Microsoft Office applications are required, along with knowledge of NCQA HEDIS requirements. | UPMC Health Plan has an exciting opportunity for a HEDIS Coordinator position in the Quality Improvement department. This is a full time position working Monday through Friday daylight hours and will be a remote position. Must be located in Pittsburgh or surrounding area to be considered! Staff in this position are responsible for reviewing the clinical documentation submitted via the Novellus Care Gap Management Application and Biometric Application from network physicians and Health Plan staff, to support for HEDIS measure compliance or potential measure exclusion. Responsibilities: Adhere to the UPMC Health Plan HIPAA Compliance Guidelines. Ensure that HIPAA standards are met in all aspects of the Department functions including delegated functions. Ensure that all releases of member personal health information, which are conducted outside of the realm of Treatment, Payment, or Operations are appropriately logged. Performs in accordance with system-wide competencies/behaviors. Perform duties and responsibilities in accordance with the philosophy, standards and policies and procedures of the UPMC Health System, including conveying courtesy, respect, enthusiasm, and a positive attitude through all contacts with staff, health plan members, providers, peers, and visitors. Performs other duties as assigned. Conduct quality audits of clerical data entry tasks. Support annual HEDIS via chart abstraction and/or assistance with the over-read/auditing process. Assist with review of new HEDIS Specifications to identify measure criteria changes impacting medical record review outcomes. Assist with quarterly quality audits for reviews approved in the Novellus Care Gap Management Application and/or Biometric Application. Assist with updating/maintaining the HEDIS Measure Spreadsheet, to document review determinations for clinical documentation submitted for gap closure or measure exclusion. Review clinical documentation submitted by providers and Health Plan staff for potential HEDIS measure exclusion. Review and evaluate clinical documentation submitted by network providers and Health Plan staff through the Novellus Care Gap Management Application and/or Biometric Application for HEDIS measure compliance. Registered nurse, minimum of 5 years of health care related experience required, bachelor level preferred. Excellent verbal and written communication skills are required. Proficiency in Microsoft Word, PowerPoint, Excel, and Access preferred. Working knowledge of the National Committee on Quality Assurance (NCQA) HEDIS requirements preferred. Licensure, Certifications, and Clearances: Registered Nurse (RN) *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran

HEDIS Compliance
Clinical Documentation Review
Quality Audits
Chart Abstraction
Data Entry
HIPAA Compliance
Communication Skills
Microsoft Word
Microsoft PowerPoint
Microsoft Excel
Microsoft Access
NCQA Requirements
Health Care Experience
Registered Nurse
Attention to Detail
Team Collaboration
Direct Apply
Posted 6 days ago
UP

Systems Analyst-Technical Lead

UPMCAnywhereFull-time
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Compensation$NaNK - NaNK a year

Lead and support complex healthcare IT projects, including system deployment, support, and process improvement, with mentoring and documentation responsibilities. | Experience with healthcare IT systems, project management skills, knowledge of OnBase and HL7, ability to support and lead technical projects, and strong documentation and communication skills. | UPMC is hiring a Technical Lead Systems Analyst to join their ISD Revenue Cycles team. This opportunity offers opportunity for additional training and for career advancement within the department. If you have experience supporting the OnBase application, HL7, and managing and leading integration projects, APPLY NOW! Fully Remote Opportunity: Must be able to work eastern standard time. Purpose: Under the general direction of the management team and Senior staff, the Systems Analyst - Specialist requires a high degree of experienced analytical and solid project management experience. This role requires the ability to perform and lead tasks such as defining requirements, developing and/or maintaining computer applications/systems, and providing services to meet client IT and business needs within budget and targeted deadlines. Serves as the lead of complex technical projects overseeing the design, development, testing and installation of IT solutions within a client group. Serves as a mentor for other analysts. Responsibilities: • Lead the support efforts for the new deployment of Hyland OnBase in an Epic hospital environment. • Documentation: Complete detail-oriented documentation for new and complex processes. Responsible for quality and validity of documentation. Extract and document customer/business requirements and needs for use by enterprise architecture and engineering teams (network, system, and software). • Second and Third Level Support (Including Maintenance Activities): Independently triage and resolve Level 2 and Level 3 issues. Act as a mentor for associate-senior level staff in resolution of Level 2 and Level 3 issues. Manage complex support events. Problem Management. • Project Management: Manage multiple, complex projects. Facilitate the full project management life cycle. Mentor team members on aspects of project management. Ability to prioritize projects and assign tasks to team members. Update all project management and time tracking tools accordingly. • SDLC (System Development Life Cycle): Ability in defining how to use different System Development Life Cycles, ability to establish processes around SDLC's. • Data Confidentiality/Security: Maintain confidentiality of sensitive information at all times. • Data Quality: Maintain data quality at all times. • Vendor Relationships: Interact with vendor (technical issues, project initiatives) independently, as necessary. Ability to act as the point person for issues escalation. • Report Writing/Analysis: Write and analyze complex reports. Make modifications to complex reports. • Mentor less experienced team members. • Communicate effective with business, act as business analyst. Ensure data governance is involved when necessary. • End User Training: Create training content. Manage onboarding programs for super users, as necessary. Facilitate training sessions as necessary. Ability to be responsible for training content. • Process Improvement: Manage process improvement. Provide framework for needed processes. Ability to own process improvement through successful implementation. Recognize opportunity for process improvement in existing workflows. • Application Upgrades and Implementation: Identify new functionality and/or hardware requirements. Creates test plans. Responsible for review and validation of functionality. Report back any problems. Create and/or manage cutover plans including downtime, etc. Responsible for evaluating impact and coordinating efforts as necessary across multiple platforms where applicable. • System Integration: May be responsible for coordination of tasks and resources related to system integration, validation of testing and implementation. • Communication: Responsible for demonstrating appropriate, clear, concise, and effective written and oral communications in all interactions to build relationships and accomplish day to day work and projects. • Interactions with Others: Successfully completes projects, tasks, and initiatives by embracing a team-first approach. Works in collaboration with team and offers feedback, where appropriate, to complete individual and group efforts. Shows the ability to adjust and be flexible to change by adapting approach when necessary. Mentors less experienced staff. May be asked to lead people when working on specialized IT and/or systemwide projects. • Self-Development: Responsible for continuous self-study, trainings, partnering with management and more senior members of team, and/or seeking out opportunities to broaden scope to stay up to date with industry and organizational trends. Seeks feedback from management and more senior team members for development and effectively incorporates feedback into work and behaviors. • *Performs in accordance with system-wide competencies/behaviors. • *Performs other duties as assigned.

Healthcare systems integration
OnBase application support
HL7 messaging
Project management
System development lifecycle
Verified Source
Posted 7 days ago
UPMC

Integrated Data Analyst- Associate

UPMCAnywhereFull-time
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Compensation$40K - 70K a year

Produce in-depth reports and analytics for health and productivity populations, supporting operational and strategic decision-making. | Proven data analysis experience, proficiency with PowerBI, SQL, and data manipulation, with a bachelor's degree or equivalent experience. | UPMC Health Plan and WorkPartners is looking for an Integrated Data Analyst, Associate to produce in-depth reporting and analytics for employer group clients, internal business line leaders and executive management. This role will work remotely and may reside anywhere within the US. Candidates must be available to work ≥75%25 of standard business hours aligned with the Eastern Time Zone. The Analyst will help identify and monitor health and absence risks in populations and evaluate the impact of implementing integrated health and productivity solutions. As a support for business line leaders, the Analyst will demonstrate the ability to deconstruct existing business processes and make specific recommendations for operational improvements. The position has potential for exceptional career growth opportunities. Additionally, the Analyst must be willing and comfortable presenting and actively engaging in meetings. The ideal candidate will possess: • Proven experience in data analysis • Hands-on experience with data mining and data manipulation • Strong technical aptitude; experience with PowerBI, Python, SQL, SAS, and/or SSRS is a plus Responsibilities: • Meet deadlines and turnaround times set by managers and department director (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both). • Design, construct and summarize in-depth analyses. • Apply data-mining, statistical and advanced modeling techniques. • Create and maintain operational and customer-facing reports supporting UPMC Health Plan and WorkPartners products. • Compare performance against regional, national and international benchmarks. • Document requirements and define project scope and objectives under the direction of senior-level Analysts. • Regularly collaborate with team members and see projects through to completion. • Complete tasks with an emphasis on quality and accuracy. • Explain findings to both technical and non-technical audiences, including customers and senior management. • Bachelor's degree in analytics, economics, mathematics, computer science, statistics or a related field required. Equivalent work experience will be considered in place of the degree. • Data analytics experience strongly preferred. • Strong computer skills preferred • Experience with Microsoft Office Suite (specifically Excel) is critical. • Experience with PowerBI, Python, SQL, SAS, and/or SSRS is a bonus. • Previous data mining and/or data manipulation experience is a bonus. • Previous coding experience is a bonus. • High degree of professionalism, enthusiasm, autonomy and initiative. • Ability to work in a fast-paced environment. • Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences. • Attention to detail is critical to the success of this position. • Interpret and communicate to management and colleagues, verbally and through written reports, the results of complex, quantitative analysis. Licensure, Certifications, and Clearances: • Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Data analysis
Data mining
PowerBI
SQL
Verified Source
Posted 7 days ago
UP

Medical Assistant

UPMCAltoona, PAFull-time
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Compensation$40K - 70K a year

Assist in patient examinations, perform basic clinical procedures, manage medical records, and support healthcare team in a cardiology department. | Basic clinical skills including phlebotomy, EKG, patient assistance, and familiarity with healthcare regulations. | UPMC BMA Cardiology heart failure department is looking for a full-time Medical Assistant to work Monday-Friday 8:00 a.m. - 4:30 p.m. Responsibilities: • Check schedules and organizing patient flow. Accompany patients to exam/procedure room. Assist patients as needed with walking, transfers, dressing, collecting specimens, preparing for exam, etc. Collect patient information/history; taking vitals, performing screenings per provider guidelines. Relay instructions to patients/families. • Send/receive patient medical records in accordance with Health Insurance. Portability and Accountability Act (HIPAA) and other state and federal regulations. • Prepare patient rooms, set up instruments and equipment according to department protocol. Clean exam/procedure rooms, instruments and equipment between patient visits to maintain infection control. Clean according to scheduled maintenance program and keeping appropriate records. Manage inventory of supplies; restocking exam/procedure rooms. • Comply with requirements of appropriate regulatory agencies (i.e. OSHA, CLIA, PA Department of Health). Maintain strict confidentiality related to medical records and other data. Comply with all UPMC Health System policies and procedures. • Perform phlebotomy, EKG's, and level one labs. Perform clinic procedures according to policy and procedure. Assist physicians with procedures. Document patient information into the medical record. • Answering calls and providing pertinent information including patient education as directed. • Obtain lab/x-ray reports, hospital notes, referral information, etc. Complete forms/requisitions as needed. Schedule appointments. Verify insurance coverage and patient demographics. Prepare and managing charts to ensure information completed and filed appropriately. Other front office responsibilities, as required. • Under the direction and supervision of a physician, administer injectable medication and vaccines when appropriate. • Send/receive patient medical records in accordance with Health Insurance. Portability and Accountability Act (HIPAA) and other state and federal regulations. • Obtain lab/x-ray reports, hospital notes, referral information, etc. Complete forms/requisitions as needed. Schedule appointments. Verify insurance coverage and patient demographics. Prepare and managing charts to ensure information completed and filed appropriately. Other front office responsibilities, as required. • Prepare patient rooms, set up instruments and equipment according to department protocol. Clean exam/procedure rooms, instruments and equipment between patient visits to maintain infection control. Clean according to scheduled maintenance program and keeping appropriate records. Manage inventory of supplies; restocking exam/procedure rooms. • Check schedules and organizing patient flow. Accompany patients to exam/procedure room. Assist patients as needed with walking, transfers, dressing, collecting specimens, preparing for exam, etc. Collect patient information/history, taking vitals, performing screenings per provider guidelines. Relay instructions to patients/families. • Answering calls and providing pertinent information including patient education as directed. • Perform phlebotomy, EKG's, and level one labs. Perform clinic procedures according to policy and procedure. Assist physicians with procedures. Document patient information into the medical record. • Comply with requirements of appropriate regulatory agencies (i.e., OSHA, CLIA, PA Department of Health). Maintain strict confidentiality related to medical records and other data. Comply with all UPMC Health System policies and procedures. • Under the direction and supervision of a physician, administer injectable medication and vaccines when appropriate.

Patient care
Vital signs measurement
Medical record management
Phlebotomy
EKG procedures
Infection control
Verified Source
Posted 7 days ago
UPMC

Clinical Referral Coordinator Nurse Home Care

UPMCAnywhereFull-time
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Compensation$40K - 70K a year

Assist with daily caregiving and housekeeping tasks, providing support and maintaining cleanliness. | High school diploma and extensive experience in caregiving and housekeeping, but lacking clinical or nursing qualifications. | UPMC Home Health is hiring a full-time Clinical Referral Coordinator for our team, working Monday through Friday, with a daylight shift with weekend and holiday rotations. This position is able to be worked in a remote capacity. Coordinates qualifying referrals for the Home Health and Hospice service lines to achieve positive outcomes. Manages all clinically complex referrals. Problem-solving solutions and education related to coordination efforts. Responsibilities: • Acts as the clinical liaison that represents the Agency via telephone with referrals for patient care from physicians, hospitals, insurance case managers, and all other referral sources. Promotes and maintains the continuum of patient care with referral sources. • Responds to phone calls, electronic transmissions, e-mails, and faxes regarding clinically complex referrals with an extremely customer-friendly service approach at all times. • Reviews physician orders and follows up with the referral source for clarifications or additional information if needed. Ensures accurate Face-to-Face documentation and appropriate diagnoses are obtained in accordance with regulatory requirements. • Accurately completes referral documentation as necessary to facilitate the admissions process. • Assist referral sources with clinical skill judgment to determine the patient care need(s). Proactively offers alternatives if the Agency is unable to provide services. • Processes and documents referrals that are not accepted for admission, indicating specific reasons for non-acceptance, according to policy and procedure. • Participates in the development of policies and procedures and actively assists in problem-solving with and between departments to ensure the clinical intake function is collaborative and effective. • Focuses on customer service and continually strives to perform the duties of their job in a manner that will result in optimal patient satisfaction as well as internal and external relationships. • Attend compliance training and adhere to the organization's standards of conduct, policies, and procedures. • Completion of accredited school of professional nursing required. • 1 year of experience in home health or hospice care strongly preferred. • Clinical knowledge and critical thinking ability to effectively plan and provide coordination of patient care consistent with standards and regulations. Licensure, Certifications, and Clearances: • Registered Nurse (RN) • Act 34 • Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran

Customer Service
Caregiving
Housekeeping
Childcare
Verified Source
Posted 7 days ago
UP

UM Care Manager (RN) - PA Candidates Preferred

UPMCAnywhereFull-time
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Compensation$NaNK - NaNK a year

Perform utilization review and coordinate care for health plan members, working with providers and members to ensure appropriate care and discharge planning. | Registered nurse with experience in utilization management, familiarity with clinical review criteria, and ability to coordinate with healthcare providers. | Are you a registered nurse with a background in utilization management? UPMC Health Plan is looking for you! We are hiring a full-time Utilization Management Care Manager to support the Utilization Management Clinical Operations Department. This position will predominantly work from home, standard daylight hours, Monday through Friday. Preference will be given to candidates located in Pennsylvania. The Utilization Management (UM) Care Manager is responsible for utilization review of health plan services and assessment of member's barriers to care, as well as actively working with providers and assessing members to ensure a safe and coordinated discharge from an inpatient setting. Interacts daily with facility clinicians, physicians, and UPMC Health Plan care managers and Medical Directors as part of the member treatment team. Facilitates transitions in care for skilled nursing, rehabilitation, long term acute care, as needed. Coordinates with Health Plan case managers or health management staff members to follow-up after discharge from an inpatient setting. Provides guidance and assistance to providers and members to ensure that health care needs are met through the delivery of covered services in the most appropriate setting and cost - effective manner. Responsibilities: • Obtain documentation to support requested level of care within the defined health plan regulatory timeframes and provide verbal and/or written notification to providers as applicable. Consult with health plan medical director to discuss medical necessity for requested service. • Document all activities in the Health Plan's care management tracking system following Health Plan and internal department standards and identify trends and opportunities for improvement based on information obtained from interaction with members and providers. • Review and document clinical information from health care providers including clinical history, home environment, support system, available caregiver, cognitive and psychological status. Conduct clinical reviews for authorization requests using established criteria including Interqual, Mahalik, and health plan policy and procedures for inpatient, outpatient, Durable Medical Equipment (DME), Behavioral Health, and Private Duty Nursing. • Participate in health plan interdisciplinary team conferences and collaborative case reviews to discuss complex cases and determine appropriate discharge plan or level of service. Consult with health plan medical director on an as needed basis to discuss medical necessity for requested service. • Work closely with peers and other departments to determine discharge needs including necessary referrals to health plan care management for short or long term interventions. • Maintain communication with health care providers regarding health plan determinations. • Identify potential quality of care concerns and never events and refers to health plan quality management department.

clinical review
healthcare coordination
medical necessity assessment
Verified Source
Posted 7 days ago
UP

Director, Medical Cost Economics

UPMCAnywhereFull-time
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Compensation$NaNK - NaNK a year

Developing and implementing medical cost improvement strategies through data analysis and collaboration with leadership. | Experience in health economics, actuarial modeling, and healthcare financial analysis, with leadership skills to manage teams and influence cross-functional stakeholders. | Purpose: The Department of Health Economics is seeking a credentialed health actuary who is looking for a unique opportunity to step outside of traditional actuarial roles! This position would drive high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies for UPMC Health Plan in collaboration with leadership. This includes analyzing medical cost utilization and unit cost data, identifying top trend drivers and affordability opportunities, developing strategies across cross-functional teams such as Clinical, Network, Finance, and Payment Integrity, supporting the execution of those strategies, and evaluating program and initiative outcomes. The Director of Medical Cost Economics will manage one or more analysts and will require a diverse set of skills and experience, including data and analytics expertise, broad-based business and health economics acumen, a strategic mindset, and an ability to influence and leverage cross-functional teams in a non-traditional actuarial environment. This is a work-from-home position located anywhere within the continental US with the expectation to travel into Pittsburgh (2-3 times a year) for meetings/conferences. Not only is UPMC Health Plan an industry leader, but this selected individual would be able to work closely with UPMC Enterprises and UPMC International, two other rock-star divisions of UPMC. Responsibilities: • Partner with Health Plan senior leadership for creative problem-solving and strategic decision-making involving medical cost improvement strategies. • Lead the development of detailed actuarial and financial models which communicate near and long-term projections of financial performance of new and ongoing initiatives and clinical programs to facilitate corporate decision-making and the development of strategies and goals. • Forecast and interpret financial results, including variances from budget, to help identify medical cost improvement opportunities and potential risks. • Develop and gain support for data-based recommendations with team members from product, clinical, network, and strategy functions. • Bring clarity to complex problems using exceptional communication skills when engaging with senior leadership and technical audiences. • Apply an understanding of complex actuarial concepts, methods, and applications in a variety of situations. • Creatively leverage a wide range of datasets to inform key analyses. • Build strong relationships with Actuarial, Analytics, and Finance teams across the enterprise. • Ensure that departmental work products meet the highest standards of quality.

Data analysis
Financial modeling
Health economics
Strategic decision-making
Cross-functional collaboration
Verified Source
Posted 8 days ago
UP

Systems Analyst - Intermediate

UPMCAnywhereFull-time
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Compensation$40K - 70K a year

No relevant responsibilities due to mismatch in experience and skills. | No relevant technical or healthcare IT skills or experience. | UPMC is looking for a Systems Analyst Intermediate to join their team. This position will be officially designated as hybrid; however, approximately 95% of the work will be performed remotely. On occasion, team members will be required to be onsite for critical events such as go-lives and major IT project milestones, providing at-the-elbow support to customers, staff, and patients. Description Under the general direction of the management team and senior staff, the Systems Analyst - Intermediate provides experienced analytical services, defining requirements, developing and/or maintaining computer applications/systems, and providing services to meet client IT and business needs. This position includes both project management responsibilities and a strong healthcare IT background. Looking for candidates who possess the organizational skills to manage complex projects and the technical expertise to navigate healthcare IT environments effectively. The top three skills required for this role are: • Exceptional Organizational Skills The candidate will be responsible for managing multiple large-scale enterprise application implementation efforts across the organization simultaneously. Strong prioritization and coordination abilities are essential. • Comprehensive IT Knowledge, Especially in Healthcare The ideal candidate should have a well-rounded understanding of IT, with a focus on healthcare systems. They must be able to grasp operational needs while also being sufficiently versed in the software development lifecycle to collaborate effectively with technical teams and define detailed requirements. • Strong Communication and Leadership Skills This role requires clear, confident communication with a wide range of stakeholders, including directors, physicians, nurses, administrators, vendors, and developers. The candidate must be proactive in driving conversations, resolving issues, and pushing projects forward to meet organizational goals. Responsibilities: • Project Coordination: Manage multiple large-scale enterprise application implementation efforts across the organization, ensuring alignment with operational and technical requirements. • Epic Bridges Integration: Support and coordinate custom development efforts and third-party vendor integrations related to Epic Bridges and other optimization projects. • Requirements Gathering & Documentation: Collaborate with technical teams and operational stakeholders to define detailed requirements and ensure clarity throughout the development lifecycle. • Stakeholder Communication & Engagement: Serve as a primary liaison between IT, clinical staff, administrators, vendors, and other stakeholders, driving conversations and maintaining project momentum. • Go-Live & Onsite Support: Provide at-the-elbow support during critical events such as go-lives and major project milestones, ensuring smooth transitions and issue resolution. • Flexible Scheduling: Adapt work hours as needed to accommodate project timelines, vendor time zones, and unforeseen implementation challenges. • Documentation: Complete documentation/flow charting of system builds and maintain team's existing documentation independently. Responsible for validating current documentation. Extract and document customer/business requirements and needs for use by enterprise architecture and engineering teams (network, system, and software). • Second and Third Level Support (Including Maintenance Activities): Independently triage and resolve level 1 and level 2 support issues. Escalate level 3 support issues accordingly. • Project Management: Create and contributes to project tasks and milestones. Update all project management and time tracking tools accordingly. Ability to take full ownership of a project. • SDLC (System Development Life Cycle): Have an intermediate understanding of the application development life cycle. Ability to apply those principles to day-to-day work. • Data Confidentiality/Security: Maintain confidentiality of sensitive information at all times. • Data Quality: Maintain data quality at all times. • Vendor Relationships: Interact with vendors (technical issues, project initiatives) under the direction of more experienced team members as necessary. Assist with issue escalation where applicable. • Report Writing/Analysis: Write, analyze and make modifications to reports either independently for basic requests or under the direction of more experienced team members for more complex requests. • End User Training: Create and review existing training documentation. Facilitate high-level user training sessions independently. • Process Improvement: Create and update processes. Ability to contribute to process improvement efforts. • Application Upgrades and Implementation: Review and validate functionality of application upgrades and implementations. Report back on any problems. Identify new functionality and/or hardware requirements as assigned. Ability to create test plans. • System Integration: Complete assigned tasks related to system integration. Validate testing. Ability to modify existing test plans. • Communication: Responsible for demonstrating appropriate, clear, concise, and effective written and oral communications in all interactions to build relationships and accomplish day to day work and projects. • Interactions with Others: Successfully completes projects, tasks, and initiatives by embracing a team-first approach. Works in collaboration with team and offers feedback, where appropriate, to complete individual and group efforts. Shows the ability to adjust and be flexible to change by adapting approach when necessary. Mentors less experienced staff. • Self-Development: Responsible for continuous self-study, trainings, partnering with more senior members of team, and/or seeking out opportunities to broaden scope to stay up to date with industry and organizational trends. Seeks feedback from senior team members for development and effectively incorporates feedback into work and behaviors.*Performs in accordance with system-wide competencies/behaviors.*Performs other duties as assigned.

Basic customer service
Time management
Verified Source
Posted 8 days ago
UP

Patient Care Technician I (Nights) - 7E Neurology

UPMCAltoona, PennsylvaniaPart-time
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Compensation$40K - 50K a year

Assist in patient care activities, support nursing staff, and ensure safety and cleanliness in a healthcare setting. | High school diploma, CPR certification, and some healthcare-related experience or training. | Patient Care Technician I (Part-Time) 7E Neurology .5 part-time, night shifts with rotation + every other weekend & holiday rotation Shifts: 7:00 PM to 7:00 AM and 11:00 PM to 7:00 AM (20 hours/week) Union position: AFSCME Posted: 12/05/2025 Launch Your Healthcare Career with UPMC Altoona! Are you ready to make a real difference in patients’ lives while building a rewarding career in healthcare? UPMC Altoona is seeking compassionate and motivated individuals to join our team as Patient Care Technician I. This is more than just a job—it’s an opportunity to grow, learn, and be part of a supportive environment where every day brings meaningful impact. Whether you’re starting out or looking to expand your skills, we provide comprehensive training for entry-level candidates, ensuring you have the tools and confidence to succeed. As a Patient Care Technician, you’ll play a vital role in delivering hands-on care, supporting nurses and patients, and contributing to a culture of excellence and compassion. We now offer a Night Program – if qualified, you could receive an additional $2 per hour on top of our current off-shift differential ($1.10). Must have 6 months of experience to qualify and must commit to work all full-time shifts as night shifts. Responsibilities: Demonstrates awareness of behavior on the efficient functioning of the department. Complies with safety policies and procedures including standard precautions and understand policies and procedures for blood borne pathogen exposure. Assures equipment malfunctions are reported to the appropriate department. Establishes appropriate and effective communication strategies. Responds within the scope of the nursing assistant role to emergent situations. Takes action to improve knowledge, skills, and performance. Provides feedback to the RN regarding patient care and report changes in patient status. Strictly adheres to all policies and practices relative to patient care and hospital related information. Assumes responsibility for assignment and views problems as challenges. Identifies and communicates learning needs to the unit director. Establishes professional and respectful interpersonal relationships. Maintains an environment conducive to patient safety and recovery including, but not limited to, completing safety checks, keeping the department and patient rooms clean and organized, cleaning department specific equipment, changing bed linens, emptying linen hampers, keeping hallways clear of equipment and returning equipment. Requests assistance in planning and prioritizing activities as needed. Participate in self-review as requested by the unit director. Suggests and support changes within the department. Contributes to the universal unit activities including, but not limited to, responding to call lights and telephones, passing meal trays, and transporting patients. Provides direct patient care as directed by the RN including all activities of daily living such as bathing, feeding, transporting, toileting and ambulating patients. Acquires and distribute supplies and equipment to facilitate patient care delivery including, but not limited to, performing messenger functions, ordering, charging/crediting supplies, setting up patient care equipment within the scope of the nursing assistant position and stocking patient rooms and unit supply areas. Performs routine tests such as blood glucose monitoring, patient weights, vital signs and I&Os. Constructively receives feedback and direction. Provides companionship/supervision one in one with patients as required. Delivers patient nourishments, fill water pitchers and distribute patient mail. May apply, monitor, and remove patient restraints as per physician or hospital protocol. Provide diversion activities to reduce or prevent use of restraints. Documents in the medical record according to established procedures. Experience Required: None Direct patient care experience is preferred but not required. Qualifications: High school diploma or equivalent. If no previous hospital or pre-hospital training, successful completion of UPMC patient care technician class OR successful completion of the first year of clinical work in a nursing program. Successful completion of basic information system training. Microcomputer experience preferred. Ability to effectively communicate both orally and in writing. Emergency Medical Technician (EMT) or Paramedic or currently enrolled in an EMT or Paramedic program preferred. Access to medications is limited to the distribution of the medication to the nurse. Licensure, Certifications, and Clearances: CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Patient care
Medical imaging review
First Aid, CPR, AED
Direct Apply
Posted 10 days ago
UP

Health Care Manager (Remote)

UPMCAnywhereFull-time
View Job
Compensation$Not specified

The Health Care Manager ensures continuity and coordination of care for Health Plan members with chronic conditions and complex health needs. Responsibilities include developing individualized treatment plans, monitoring care effectiveness, and collaborating with various stakeholders to improve services. | A Master's degree in a human service field or a Licensed Pennsylvania RN with 6-8 years of clinical experience is required. Candidates should have five years of experience in clinical, care coordination, or case management, with knowledge of community resources and best practices in healthcare. | UPMC Health Plan is hiring a full-time Health Care Manager to join the Commercial Clinical Care Management team. This role will work remotely and may reside anywhere within the US, however, applicants will need to have Pennsylvania licensure as an RN, LSW, LCSW, or LPC. The Health Manager ensures continuity and coordination of care for Health Plan members with chronic conditions and complex health needs. Responsibilities: Provides members, providers, and other stakeholders with information concerning benefits and coverage, and provides accurate information to members and families. Monitors and evaluates effectiveness and outcome of treatment plans, restructures as necessary to provide optimal clinically appropriate services with a goal of maintenance in the community at the least restrictive level of care and maximal use of community supports and resources. Works with Member Services, Network Management and Quality Management staff to assure that systematic revisions to improve services are developed and implemented. Utilizes supervision by identifying and reporting to supervisor clinical, utilization and outcomes issues. Preserve confidentiality of the member. Develop and coordinate an individualized treatment plan with the member, member's family, and providers. Evaluate the effectiveness of the treatment plan and identify gaps in service. Make recommendations for changes when indicated. Assist in the development and review of training materials for staff, other UPMC Health Plan departments, and network providers. Independent problem solving based on sophisticated knowledge of in-plan services, the provider network, member services policies, members' rights and responsibilities, and the operating practices of the organization. Follow-up with the member according to established timeframes to monitor their care to assess whether quality care is being provided in an appropriate setting. Perform duties and responsibilities in accordance with the philosophy and standards of UPMC Health Plan, including conveying courtesy, respect, enthusiasm, and a positive attitude through contacts with staff, health plan members, peers, and external contacts. Identifies provider issues and recommendations for improvement. Contact potential case management members to determine if there is a need for case management intervention. Receives and responds to complex calls regarding requests for services or resolution of complex issues. Ability to propose and implement creative solutions to member problems and to achieve a high level of member satisfaction with services. Performs clinical reviews, service authorization and care coordination (or oversight and supervision) for all Health Plan members receiving services. Complete Annual Competencies including Ethics and Compliance, HIPAA, Safety, Fraud and Abuse and Confidentiality/Privacy and Security Awareness. Provide reports on case management cases or activities as requested. Perform in accordance with system-wide competencies/behaviors. Appropriate documentation in the care management documentation system including assessments, problems, goals and interventions. Assumes responsibility for health plan member's access to in-plan and/or supplemental services as medically indicated Interfaces with and refers members to community based resources and other supportive services as appropriate. Maintains an understanding of behavioral health benefits and remains current on covered or in-plan services, benefit limitations, exclusions, and behavioral health management policies and procedures. Participate in integrated care team meetings in a cross cultural environment to coordinate transitions of care, discharge planning, benefit coverage, conflict resolution and resource needs. Conduct comprehensive assessment of needs and coordination of care activities for individuals with primary diagnosis of alcohol or substance use addiction Master's degree in human service field plus licensure required or Licensed Pennsylvania RN with 6-8 years clinical experience required. Five years of experience in clinical, care coordination, and/or case management required. Previous experience in inpatient, hospice or home health setting is a bonus. Previous experience supporting individuals navigating workers’ compensation is a bonus. Three years of experience in a managed care environment preferred. General knowledge of best practices in health care, emphasizing work with special needs populations and in provider systems. Ability to interact with physicians and other health care professionals in a professional manner required. Computer proficiency required. Experience with Microsoft office products preferred. Excellent verbal and written communication and interpersonal skills required. Knowledge of community resources required. Licensure, Certifications, and Clearances: Registered Nurse (RN) or Social Services Licensure (LSW, LCSW, LPC) Licensure in other states as assigned Case management certification or approved clinical certification preferred Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Care Coordination
Clinical Experience
Communication Skills
Problem Solving
Treatment Planning
Community Resources
Behavioral Health
Documentation
Interpersonal Skills
Case Management
Supervision
Assessment
Crisis Intervention
Training Development
Utilization Review
Quality Management
Direct Apply
Posted 3 months ago
UPMC

Lead Business Intelligence Analyst Division of Health Economics (DOHE)- Remote

UPMCAnywhereFull-time
View Job
Compensation$90K - 130K a year

Lead BI development including requirements gathering, report creation using Power BI, Excel, and SQL, team oversight, and client collaboration. | Bachelor's degree, 5+ years relevant experience, strong analytical and programming skills, proficiency with Power BI, Excel, SQL Server, SSRS, SSIS, and leadership capabilities. | UPMC Health Plan has an exciting opportunity for a Lead Business Intelligence Developer position in the Health Economics department. This a full time position working daylight hours and is a remote position. Prefer candidates to be within the Pittsburgh area. The Lead Business Intelligence Analyst needs to have analytical and programming capabilities, to develop and maintain reports and services using tools like Power BI, Excel, and SQL. The Lead Business Intelligence Analyst will work with clients to define, analyze, and document complex business and reporting requirements. The Lead Business Intelligence Analyst must have the ability to plan and execute complex projects from concept to reality. The Lead Business Intelligence Analyst will lead and perform complex analysis and data extraction/manipulation in an evolving data environment. In addition to very strong technical skills, this position will require superb business process analysis and interpersonal skills and the ability to provide information consumable by senior business decision makers. In this role, you will be responsible for the full lifecycle of analytic activities to include: requirements gathering and data designs, development of analytic tools and reporting capabilities. Responsibilities: • Possess strong analytical skills with the ability to collect, organize, analyze, and prepare standard and ad hoc reports in a timely and meaningful way with attention to detail and accuracy. • Work with clients from diverse areas of the business including financial, clinical, operations, and actuarial staff to define, analyze, and document complex business and reporting requirements. • Completes on-going training on-the-job, through courses and self-study to maintain and enhance technical capabilities. • Meet deadlines and turnaround times set by managers and department director (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both). • Serve as a process expert and provide training and support to other Business Intelligence staff as needed. Assume supervisory support and quality control review as needed. • Develop and maintain reports and services using tools like Power BI, Excel, and SQL. • Oversee other Business Intelligence Analysts on a day-to-day basis and provide guidance/assistance as necessary. • Responds to unfamiliar, undefined, or unexpected situations with a professionally prescribed standard response. • Perform peer reviews as requested. • Identify departmental needs and provide recommendations for addressing and resolving business issues to management as appropriate. • Coordinate the orientation of new staff members. • Evaluate and document client needs, including current processes and proposed revisions. Documents requirements, defines scope and objectives, and formulates strategy. • Responsible for the distribution of work assignments for their team as well as workload management within their team. • Develop and maintain working relationships with business partners, professional peers, other team members, and external contacts as appropriate. • Bachelor's degree in computer science or related field (Mathematics, Economics, Health Care, Information Management or Statistics) is required. • Minimum five years of relevant professional experience required in requirements gathering, analysis, design, database development or reporting analysis. • Demonstrate a high degree of professionalism, enthusiasm and initiative on a daily basis. • Ability to work in a fast-paced environment a must. • Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences. • Ability to plan, organize, monitor and control projects to achieve project objectives. • Attention to detail is critical to the success of this position, with demonstrated competency in customer orientation and the ability to deal with ambiguity. • Excellent planning, communication, documentation, organizational, analytical, and problem-solving abilities. • Advanced mathematical skills. • Ability to interpret and summarize results of various analyses in a timely and meaningful way. • Ability to effectively approach problem solving. • Must be flexible and willing to perform other tasks as assigned by the manager or upper-level analysts. • Excellent written and verbal communication and presentation skills to effectively communicate information to all levels within the organization. • Must possess a highly proficient understanding of relational databases (SQL Server preferred), database structures (complex views), stored procedures, SSRS, and SSIS. Licensure, Certifications, and Clearances: UPMC is an Equal Opportunity Employer/Disability/Veteran

Power BI
Excel
SQL
Business Intelligence
Data Analysis
Project Management
Requirements Gathering
Report Development
Team Leadership
Verified Source
Posted 3 months ago
UPMC

Lead Business Intelligence Analyst Division of Health Economics (DOHE)- Remote

UPMCAnywhereFull-time
View Job
Compensation$110K - 140K a year

Lead BI development including requirements gathering, report creation using Power BI, Excel, and SQL, team oversight, and client collaboration to deliver analytic solutions. | Bachelor's degree, 5+ years relevant experience in BI/reporting, strong SQL Server skills including complex views, stored procedures, SSRS, SSIS, leadership and project management capabilities. | UPMC Health Plan has an exciting opportunity for a Lead Business Intelligence Developer position in the Health Economics department. This a full time position working daylight hours and is a remote position. Prefer candidates to be within the Pittsburgh area. The Lead Business Intelligence Analyst needs to have analytical and programming capabilities, to develop and maintain reports and services using tools like Power BI, Excel, and SQL. The Lead Business Intelligence Analyst will work with clients to define, analyze, and document complex business and reporting requirements. The Lead Business Intelligence Analyst must have the ability to plan and execute complex projects from concept to reality. The Lead Business Intelligence Analyst will lead and perform complex analysis and data extraction/manipulation in an evolving data environment. In addition to very strong technical skills, this position will require superb business process analysis and interpersonal skills and the ability to provide information consumable by senior business decision makers. In this role, you will be responsible for the full lifecycle of analytic activities to include: requirements gathering and data designs, development of analytic tools and reporting capabilities. Responsibilities: • Possess strong analytical skills with the ability to collect, organize, analyze, and prepare standard and ad hoc reports in a timely and meaningful way with attention to detail and accuracy. • Work with clients from diverse areas of the business including financial, clinical, operations, and actuarial staff to define, analyze, and document complex business and reporting requirements. • Completes on-going training on-the-job, through courses and self-study to maintain and enhance technical capabilities. • Meet deadlines and turnaround times set by managers and department director (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both). • Serve as a process expert and provide training and support to other Business Intelligence staff as needed. Assume supervisory support and quality control review as needed. • Develop and maintain reports and services using tools like Power BI, Excel, and SQL. • Oversee other Business Intelligence Analysts on a day-to-day basis and provide guidance/assistance as necessary. • Responds to unfamiliar, undefined, or unexpected situations with a professionally prescribed standard response. • Perform peer reviews as requested. • Identify departmental needs and provide recommendations for addressing and resolving business issues to management as appropriate. • Coordinate the orientation of new staff members. • Evaluate and document client needs, including current processes and proposed revisions. Documents requirements, defines scope and objectives, and formulates strategy. • Responsible for the distribution of work assignments for their team as well as workload management within their team. • Develop and maintain working relationships with business partners, professional peers, other team members, and external contacts as appropriate. • Bachelor's degree in computer science or related field (Mathematics, Economics, Health Care, Information Management or Statistics) is required. • Minimum five years of relevant professional experience required in requirements gathering, analysis, design, database development or reporting analysis. • Demonstrate a high degree of professionalism, enthusiasm and initiative on a daily basis. • Ability to work in a fast-paced environment a must. • Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences. • Ability to plan, organize, monitor and control projects to achieve project objectives. • Attention to detail is critical to the success of this position, with demonstrated competency in customer orientation and the ability to deal with ambiguity. • Excellent planning, communication, documentation, organizational, analytical, and problem-solving abilities. • Advanced mathematical skills. • Ability to interpret and summarize results of various analyses in a timely and meaningful way. • Ability to effectively approach problem solving. • Must be flexible and willing to perform other tasks as assigned by the manager or upper-level analysts. • Excellent written and verbal communication and presentation skills to effectively communicate information to all levels within the organization. • Must possess a highly proficient understanding of relational databases (SQL Server preferred), database structures (complex views), stored procedures, SSRS, and SSIS. Licensure, Certifications, and Clearances: UPMC is an Equal Opportunity Employer/Disability/Veteran

Power BI
Excel
SQL
Business Intelligence
Data Analysis
Project Management
Requirements Gathering
Report Development
Team Leadership
Verified Source
Posted 3 months ago
UPMC

Systems Analyst - Senior (Data Engineering/Architecture)

UPMCAnywhereFull-time
View Job
Compensation$90K - 130K a year

Lead system integration, application upgrades, data quality maintenance, project management, vendor interaction, user training, documentation, and support for Level 2 and 3 issues. | 7+ years of related experience with proficiency in XML/XSL/Java and Excel, payroll implementation/onboarding experience, strong communication and leadership skills, and ability to mentor others. | This a Full Remote job, the offer is available from: Pennsylvania (USA) UPMC is hiring a Systems Analyst-Senior (Data Engineering/Architecture) to join their Workpartners IT Team. This opportunity offers a top-tier total rewards package and work life balance as it is a Work from Home Opportunity! If you have seven plus years of Data experience with excellent leadership and communication skills, please APPLY NOW!! Purpose: Under the general direction of the management team and senior staff, the Systems Analyst - Senior requires a proficient level of experienced analytical services, defining requirements, developing and/or maintaining computer applications/systems, and providing services to meet client IT and business needs. Work From Home Opportunity!! Responsibilities: • System Integration: May be responsible for coordination of tasks and resources related to system integration, validation of testing and implementation. • SDLC (System Development Life Cycle): Have a proficient understanding of multiple system/application development life cycles. • Data Quality: Maintain data quality at all times. • Application Upgrades and Implementation: Identify new functionality and/or hardware requirements related to application upgrades and implementations. Creates test plans. Responsible for review and validation of functionality. Report back any problems. Create and/or manage cutover plans including downtime, etc. Responsible for evaluating impact and coordinating efforts across multiple platforms as necessary. • Interactions with Others: Successfully completes projects, tasks, and initiatives by embracing a team-first approach. Works in collaboration with team and offers feedback, where appropriate, to complete individual and group efforts. Shows the ability to adjust and be flexible to change by adapting approach when necessary. Mentors less experienced staff. • Communication: Responsible for demonstrating appropriate, clear, concise, and effective written and oral communications in all interactions to build relationships and accomplish day to day work and projects. • Data Confidentiality/Security: Maintain confidentiality of sensitive information at all times. • Project Management: Take ownership of a project and have the ability to distribute tasks to team members and meet milestone completion. Update all project management and time tracking tools accordingly. • Vendor Relationships: Interact with vendors (technical issues, project initiatives) independently, as necessary. Ability to act as the point person for issue escalation. • End User Training: Ability to create training content. Facilitate more detailed user training sessions. Ability to train peers. • Documentation: Complete detail-oriented documentation for new and moderately complex processes. Responsible for the quality and validity of produced documents. Extract and document customer/business requirements and needs for use by enterprise architecture and engineering teams (network, system, and software). • Second and Third Level Support (Including Maintenance Activities): Independently triage and resolve Level 2 and Level 3 support issues. Act as a mentor to less experienced staff in resolution of Level 2 and Level 3 issues. Ability to handle problem management as appropriate. • Report Writing/Analysis: Write and analyze complex reports. Make modifications to complex reports. Mentor less experienced team members. Communicate with the business/act as business analyst. • Process Improvement: Ability to manage process improvement efforts. Create and update processes, as necessary. Ability to independently recognize opportunity for process improvements. • Self-Development: Responsible for continuous self-study, trainings, partnering with more senior members of team, and/or seeking out opportunities to broaden scope to stay up to date with industry and organizational trends. Seeks feedback from senior team members for development and effectively incorporates feedback into work and behaviors. • Typically has 5+ years' experience with modern technology and application support through education or practical experience. Highly driven and self-motivated to exceed expectations. • Ability to work independently and in a team-based environment. • Demonstrates thorough understanding of information technology fundamental tools and concepts (SDLC) of one of the information technology professional disciplines and applies that understanding to make independent practical contributions to IT work within a UPMC department or function. • Completes on-going training on-the-job, through courses, self-study, certifications and/or advanced degrees to maintain and enhance technical and business capabilities. • Additionally, this position may be required to maintain a standby status as part of a rotation within the team. This requires 24 hours per day, 7 days per week availability during the standby period. The frequency varies based upon the number of colleagues in the rotation. MUST HAVE EXPERIENCE: • 7 or more years of related role experience • XML/XSL/Java and Excel Proficiency • Demonstrate consistent productivity against KPIs • Excellent in communication and responsiveness • Implementation/onboarding experience • Contribute as an SME in import, exports or payroll. • Proficiency in payroll, imports and exports • Client facing communication skills. • Leadership recognition among peers • Contributions towards leadership and mentorship PREFERRED: (not required) • Current or Past UPMC employee • A candidate who has been referred to by an executive • Healthcare industry experience Licensure, Certifications, and Clearances: Preferred Licensure:ACBT - Avaya CBTCXADMIN - AVST Cert CX AdminITIL - IT Infrastructure Library UPMC is an Equal Opportunity Employer/Disability/Veteran This offer from "UPMC" has been enriched by Jobgether.com and got a 72% flex score.

XML
XSL
Java
Excel
Payroll
System Integration
SDLC
Project Management
Client Communication
Leadership and Mentorship
Verified Source
Posted 3 months ago
UP

Financial Analyst, Senior (Hybrid Remote)

UPMCAnywhereFull-time
View Job
Compensation$Not specified

As a Senior Financial Analyst, you will lead and document intricate financial analysis projects while providing functional advice and training to less experienced financial analysts. Your expertise will be crucial in guiding financial strategies and decisions. | A Bachelor's degree in accounting or a related business field is required, along with a minimum of three years of related work experience. Alternatively, a High School Diploma/GED with five years of related work experience is acceptable. | Are you ready to elevate your career in finance? UPMC Corporate Finance is seeking a dynamic and experienced Senior Financial Analyst to join our team. This role is perfect for a seasoned professional who thrives on conducting complex financial analysis and mentoring emerging talent. Purpose: As a Senior Financial Analyst, you will lead and document intricate financial analysis projects, providing functional advice and training to less experienced financial analysts. Your expertise will be crucial in guiding our financial strategies and decisions. Location: This position will be based out of Forbes Tower in Pittsburgh, PA. This position will have the potential to work from home with a hybrid schedule which includes some days in office per week and some days at home per week. Responsibilities: Financial Transactions: Record, classify, and summarize financial transactions and events in accordance with generally accepted accounting principles (GAAP). Reporting: Develop comprehensive financial reports for forecasting, trending, and results analysis. Data Analysis: Perform complex statistical, cost, and financial analysis of reported data. Mentorship: Act as a mentor for Financial Analysts and administrative staff, fostering growth and development within the team. Data Interpretation: Analyze complex financial data, extract and define relevant information, and interpret data to determine past financial performance and project future financial probabilities. Decision Support: Interpret financial transactions and events for users who must make economic or business decisions. Cost Studies: Plan and conduct complex studies to determine the cost of business activities, recommend budget adjustments, and propose cost improvement measures. Join UPMC Corporate Finance and be part of a team that values precision, insight, and leadership. If you are passionate about finance and ready to make a significant impact, apply today! Bachelor's degree in accounting or related business field required. Minimum of three years of related work experience required. OR High School Diploma/GED and five years of related work experience. Microsoft Office spreadsheet application required, and PeopleSoft General Ledger proficiency preferred. Licensure, Certifications, and Clearances: CPA/MBA preferred. Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Financial Analysis
Mentorship
Data Analysis
Reporting
Cost Studies
Data Interpretation
Decision Support
Accounting Principles
Direct Apply
Posted 4 months ago
UP

Tax Analyst, Senior (Hybrid Remote)

UPMCAnywhereFull-time
View Job
Compensation$Not specified

As a Senior Tax Analyst, you will ensure compliance with complex tax regulations and support strategic initiatives. You will prepare and review tax filings, conduct in-depth tax research, and communicate with colleagues across the organization. | A bachelor's degree in accounting or a related field and a minimum of three years of tax experience are required. Strong communication skills, professionalism, and the ability to work under deadlines are essential. | Are you ready to make a meaningful impact at one of the nation’s leading nonprofit health systems? UPMC Corporate Finance is seeking a dynamic and detail-oriented Senior Tax Analyst to join our high-performing Tax Department. This is more than just a tax role—it's an opportunity to shape the financial future of a mission-driven organization that touches millions of lives. Purpose As a Senior Tax Analyst, you’ll play a critical role in ensuring UPMC’s compliance with complex tax regulations while supporting strategic initiatives across the enterprise. You’ll prepare and review tax filings, conduct in-depth tax research, and help navigate the evolving landscape of nonprofit and healthcare taxation. Location: This position will be based out of the US Steel Tower in Pittsburgh, PA. This position will have the potential to work from home with a hybrid schedule which includes some days in office per week and some days at home per week. Responsibilities Performs all responsibilities in a manner that demonstrates appropriate behavior towards patients, staff peers and other departments, as defined in the Basics of Service Excellence. Provides support across all areas owned by the Tax Department. Develops an understanding of tax concepts relevant to the Tax Department’s responsibilities (e.g., nonprofit, charity and tax-exemption concepts, corporate and partnership taxation, insurance taxation, state and local taxes, international taxes, and tax principles associated with compensation, employee benefits and payroll). Prepares and reviews various federal, state, local, and international tax and tax-related forms. Performs tax research. Clearly documents and presents research, analysis and suggested courses of action related to assignments and self-identified issues. Communicates and coordinates (both in-person and digitally, as the situation requires) with Tax Department colleagues and counterparts from other areas of the UPMC organization. Keeps current and well informed and conversant with federal, state and local tax laws. Recognizes accounting issues related to tax reporting requirements. Identifies tax internal control procedural inefficiencies, develops solutions for corrections and oversees implementation of corrective measures. Adopts a continuous improvement mindset, including identifying procedural inefficiencies and leading or assisting with the development of associated improvement solutions. Analyzes and interprets financial, statutory, regulatory and other information. Attends key meetings and discussions. Why UPMC? Mission-Driven Work: Be part of a nonprofit organization that’s improving lives every day. Career Growth: Access to professional development, mentorship, and advancement opportunities. Innovative Culture: Join a team that values fresh ideas and continuous improvement. Comprehensive Benefits: Competitive compensation, health coverage, retirement plans, and more. Ready to Elevate Your Career? If you're a tax professional who thrives in a fast-paced, purpose-driven environment, we want to hear from you. Apply today and help shape the future of healthcare finance at UPMC. A bachelor's degree in accounting, tax law, or related business field is required. A minimum of three years of tax or similar experience is required. A high degree of professionalism, initiative, a learning and growth mindset, good communication skills, and an ability to work as part of a team under stringent deadlines are all required. Experience with business software is required. OneSource income tax and OneSource tax provision experience preferred but not required. Degrees, certifications, training and/or experience in data analytics and systems are preferred but not required. Understanding of insurance taxation (SSAP 101) preferred but not required GAAP accounting for taxes: ASC-740/FAS 109/FIN48 understanding/knowledge preferred but not required Licensure, Certifications, and Clearances: Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Tax Compliance
Tax Research
Communication
Teamwork
Analytical Skills
Problem Solving
Continuous Improvement
Financial Analysis
Understanding of Tax Concepts
Knowledge of Tax Laws
Accounting Issues Recognition
Internal Control Development
Documentation Skills
Software Proficiency
GAAP Accounting Knowledge
Insurance Taxation Understanding
Direct Apply
Posted 4 months ago
UP

Financial Analyst, Senior (Hybrid Remote)

UPMCAnywhereFull-time
View Job
Compensation$Not specified

The Senior Financial Analyst will conduct complex analytics to support the Physician Services Division and provide business support to various clinical departments. Responsibilities include financial forecasting, management reporting, and process enhancement through technology. | A Bachelor's degree in accounting or a related field is required, along with a minimum of three years of related work experience. Proficiency in Microsoft Office and PeopleSoft General Ledger is preferred, with CPA/MBA being a plus. | The Senior Financial Analyst will conduct and document a series of complex analytics to support the Physician Services Division. This position offers the opportunity to collaborate with clinical departments based on organizational needs and the analyst's areas of interest. The position will provide direct business support to various clinical departments within the University of Pittsburgh Physicians (UPP). You will analyze various clinical departments financial & operational data, interpret the data, and prepare comprehensive analyses and projections for presentation to key stakeholders who must make economic or business decisions. Additional tasks will consist of, but not be limited to, financial forecasting (mid-month, month end, annual budget process), management reporting (UPMC Executive, HSD Finance, Operational Leaders), process enhancement (report automation through leveraging technology such as PowerBI, Qlik, other). This role is ideal for driven individuals who are eager to leverage and build on their financial leadership expertise, to create meaningful impact in the healthcare sector. Job Features: · Work/Life Balance: Remote flexibility through a hybrid work model to support an environment that allows for balance between work and life outside of work. · Schedule Flexibility: The current policy allows for customized individual flexible work schedules. · Career Development: Substantial professional growth opportunities and mentorship. · Meaningful Work: Opportunities to perform meaningful work. · Team Building: Participation in office functions, off-site events, and happy hours. Physician Services Division Responsibilities: Collaborate with finance and operational partners to complete ad-hoc projects and analyze complex financial data, for the purpose of determining past financial performance and/or to project future financial profitability. Create financial analytics focused on forecasting, trending, and predictive analyses to support clinical and executive leadership. Plan and conduct complex studies to determine cost of business activities such as new hires, capital purchases, or expanding the department’s footprint. Recommend budget adjustments, and other cost improvement measures. Identify and implement process improvement opportunities. Act as a mentor for Financial Analysts and administrative and operational staff. Use Power BI and Qlik Clinical Analytic tools to perform financial analytics. Interpret and present financial and operational findings to various leaders within the Physician Services Division such as Chairs, Vice-Chairs, Administrators, and Executives. Participate on various PSD wide system initiatives. These ad-hoc initiatives can offer exposure to new areas within the division, new metrics and tools for reporting and analytics, and networking opportunities with new partners within the Physician Services Division as well as across UPMC. Bachelor's degree in accounting or related business field required. Minimum of three years of related work experience required. OR High School Diploma/GED and five years of related work experience. Microsoft Office spreadsheet application required, and PeopleSoft General Ledger proficiency preferred. Licensure, Certifications, and Clearances: CPA/MBA preferred. Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Financial Analysis
Forecasting
Data Interpretation
Process Improvement
Mentoring
Power BI
Qlik
Budgeting
Reporting
Collaboration
Analytics
Cost Analysis
Presentation Skills
Project Management
Communication
Leadership
Direct Apply
Posted 4 months ago

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