UPMC Health Plan is seeking a full-time Operations Analyst, Associate to support the Medicare HCC Department. This position will support operations in Elk and surrounding counties. The candidate selected for this role must live in/around this area. This position will be home-based, however, it requires extensive travel throughout the footprint abstracting medical records physically onsite and in person. The selected candidate must be willing to travel up to 2 hours. 

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 Abstraction 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