UPMC Health Plan

Produce in-depth reports and analytics, monitor health and absence risks, and support operational improvements. | Proven data analysis experience, technical aptitude with PowerBI, Python, SQL, and the ability to communicate findings effectively. | 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% 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

Assist providers and vendors with claims, benefits, and inquiries through various communication channels, ensuring accurate documentation and timely resolution. | High school diploma, 2+ years customer service or 1+ year health insurance call center experience, proficiency in typing and Microsoft Office, strong organizational and analytical skills, and flexibility in work schedule. | Do you enjoy solving problems and helping others succeed? As a Provider Service Representative, you'll be the go-to resource for providers, vendors, and facilities-making sure they have the answers and support they need. You'll guide them through eligibility, benefits, claims, and more, ensuring every interaction is clear, accurate, and professional. This isn't just a job-it's an opportunity to make a real impact by building trust and confidence in our Health Plan. You'll play a key role in strengthening provider relationships while delivering exceptional service. Why You'll Love This Role • Competitive pay: $21.70/hour • Comprehensive benefits: Health, dental, vision, and more • Career growth: A clear path for advancement • Training that sets you up for success: We provide full on-the-job training • Flexibility: Work from home or choose an in-office option • Standard hours: Monday-Friday, 8:00 a.m.-5:00 p.m. (Candidates must live within 90 miles of Pittsburgh or Erie.) What You'll Do • Be the primary point of contact for providers and vendors-answering questions about claims, benefits, authorizations, billing, and network participation. • Respond to inbound calls, emails, and chats with professionalism and accuracy. • Explain processes and policies clearly so providers know exactly what to do next. • Research claims and benefits to provide timely, informed solutions. • Document every interaction accurately in our systems. • Navigate multiple tools while staying focused and responsive. • Make outbound calls to provide updates or resolve issues. • Stay current on policies and system updates through ongoing training. • Collaborate with your team and participate in skill-building sessions. What It Takes This role is fast-paced and requires strong multitasking skills, quick thinking, and the ability to stay calm under pressure. If you're organized, tech-savvy, and passionate about helping others, you'll thrive here. Work-From-Home Requirements • Internet speed: 20 Mbps download / 5 Mbps upload • Ping: <50ms, Jitter: <10ms • Direct connection via Ethernet cable (WiFi and hotspots not allowed) • Compatible service: Cable or fiber (Satellite, DSL, and mobile hotspots are not allowed) A speed test will be required upon offer acceptance. Ready to make a difference and grow your career? Apply today and join a team that values your skills and commitment to service excellence! • High school graduate or equivalent. • 2 years customer service experience or call center experience required OR1 year health insurance call center and claims adjustments experience required. • Proficient in typing and writing skills required. • Ability to make independent decisions required. • Knowledge of Microsoft Office and Excel spreadsheet program preferred. • Complex analytical skills necessary to evaluate customer inquiries. • Demonstrates good organizational skills. • A desire to help others and portray empathy in all situations. • Ability to learn complex health plan information. • Demonstrate flexibility and motivation to learn & grow in the position. • Flexibility in work schedule Licensure, Certifications, and Clearances: UPMC is an Equal Opportunity Employer/Disability/Veteran