Business Process Consultant II BPPI - Hybrid

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 90,000 - 130,000; Full time

Job summary

UPMC Health Plan is seeking a Business Process Consultant II to plan, design, and lead projects that improve insurer services performance. Hybrid role in Pittsburgh, combining remote work with in-office collaboration. Candidates should drive enterprise improvement, build business cases, and guide stakeholders through change.

The role emphasizes Six Sigma, Lean, data analysis, and cross-functional leadership to deliver measurable value and maintain accountability across projects.

Qualifications

• Experience leading process improvement projects across healthcare or enterprise functions.
• Strong problem-solving and analytical abilities with focus on value realization.
• Ability to define scope, goals, and plans; communicate benefits and risks clearly.

Responsibilities

• Plan, design, and lead consulting projects to improve processes and performance for Insurances Services Division.
• Develop business cases and cost/benefit analyses for recommended future states.
• Lead cross-functional change management and communications to align stakeholders.
• Manage project administration, timelines, meetings, and deliverables.
• Present status reports and dashboards to stakeholders; ensure timely reporting.

Skills

Six Sigma

Lean

Change management

Project management

Data analysis

Dashboard design

Communication

Leadership

Tools

Benchmarking tools

Process mapping tools

Job description

UPMC Health Plan has an exciting opportunity for a Business Process Consultant II BPPI position in the Business Performance Improvement department. This is a full-time hybrid position consisting of working from home and in office. Must be located in or around Pittsburgh, PA to be considered.

The Business Process Consultant II BPPI will plan, design, and lead consulting projects to realize significant process and performance improvement for the Insurances Services Division. Define and communicate a clear understanding of these projects' value, scope, goals, methods, and project plans in order to achieve targets for enhanced business value. Provide clear direction, leadership and accountability across a continuum of assigned projects from departmental improvement projects to moderately complex payer/provider collaborative efforts.

Project Delivery and Consulting:

• Work collaboratively with business and clinical leaders to design, establish, and implement projects to drive performance improvement in functions and core processes

• Demonstrate creative problem-solving ability in the identification of potential solutions and alternatives; develop frameworks or innovations that enable problem resolution and generate business value

• Analyze the impact of potential changes on existing processes and organization structures

• Develop the business case to support future state recommendations, incorporating forecasted or demonstrated performance against key metrics and related cost / benefit analysis

Strategic Thinking:

• Define people, process, and technology impacts of organizational strategies

• Meet with internal and external clients to understand and assess business / clinical / operational needs as well as technical and other requirements; anticipate key business issues

Communication and Change Management:

• Lead the development of cross-functional change management and communication strategies to inform and align stakeholders; drive or support execution of change management and communication plans

• Act as a change agent to lead, facilitate, and manage change within impacted departments

• Develop and deliver effective formal presentations to audiences at various levels

Project Administration:

• Manage the administrative details of assigned projects, including developing and publishing meeting agendas, collating meeting materials, documenting meeting discussions and decisions, and establishing / maintaining a repository of project documentation

Project Management:

• Manage assigned projects, including Define the scope and business requirements of improvement efforts

• Develop and execute work plans, timelines, and other relevant project management tools

• Ensure resources are assigned to project activities and related roles and responsibilities are clearly defined

• Identify and track project issues, resolving them where possible and escalating when necessary

• Monitor work progress: prepare and present project status reports to appropriate stakeholders

• Develop and directly oversee the timely creation of reports, presentations, and related materials

• Design and lead / facilitate productive project meetings

• Ensure that policies and procedures are revised as required

• Ensure all deadlines and milestones are met

Demonstration of values:

• Perform in accordance with system-wide competencies, behaviors, and values

• Maintain accountability for ongoing self-development and knowledge acquisition activities

Leadership:

• Conduct staff / team member training and coaching in areas of expertise; help to mentor and develop staff

• For assigned projects, establish and maintain a clear vision of the business rationale, value, scope, and goals

• Lead teams with responsibility for designing and implementing business performance and process improvement efforts

Methodology:

• Proficiently use methods, best practices, and skills in Six Sigma; organization change management, group / meeting facilitation, benchmarking, data analysis, organizational analysis, process mapping and redesign and other tools and techniques

• Apply principles related to Business Agility and Lean to define and facilitate improvement projects

• Participate in the development of new tools, techniques, and resources

Analysis:

• Analyze relevant data to define and quantify improvement opportunities and quantify the impacts of potential changes on existing processes and organization structure / capabilities

• Provide analytical support to establish performance and process metrics, including baseline measures; participate in the development of dashboards and scorecards