UPMC Health Plan has an exciting opportunity for a Business Analyst position in the Fraud, Waste & Abuse department. This is a full time position working Monday through Friday daylight hours. This is a remote position. The Business Analyst supports the UPMC Health Plan Special Investigations Unit (SIU) and Fraud, Waste & Abuse (FWA) activities through advanced data analysis, risk‑based monitoring, and regulatory reporting. This role partners with Claims, Legal, Compliance, and IT to identify program integrity risks and support healthcare investigations and audits. Responsibilities: - Analyze large, complex healthcare datasets to identify patterns, trends, and potential fraud, waste, and abuse - Develop and maintain risk‑based monitoring and executive‑level dashboards - Create metrics, trend analyses, and regulatory reports (Medicaid, Medicare, FEHB, CHIP) - Pull and analyze claims and operational data to support audits and investigations - Develop RAT‑STATS samples and perform extrapolation analyses - Translate business needs into data‑driven insights and reporting solutions - Maintain documentation, workflows, and project materials - Ensure data accuracy, confidentiality, and compliance with regulatory requirements - Bachelor's degree or equivalent related work experience required. - Minimum of two years of general business experience required. - Minimum of two years of experience in business/industry specialty required. - Knowledge of commercial, Medicaid, and Medicare products preferred. - Competent in MS Office and Advanced Excel skills preferred. - Organizational, interpersonal, and communication skills required. Preferred Qualifications: - Experience in Health Insurance, Claims Operations, FWA/SIU preferred. - Highly organized with strong attention to detail - Knowledge of CPT, HCPCS, and ICD‑10 coding and common FWA schemes preferred. - Strong analytical skills with the ability to communicate findings to executive audiences preferred. - Experience creating dashboards, reports, and compliance documentation preferred. Licensure, Certifications, and Clearances: - Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Work Location: Wilmington, Delaware, United States of America Hours: 40 Pay Details: 72,280 - 108,160 USD TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been designed to allow colleagues to progress through the salary range over time as they progress in their role. The base pay actually offered may vary based upon the candidate's skills and experience, job-related knowledge, geographic location, and other specific business and organizational needs. As a candidate, you are encouraged to ask compensation related questions and have an open dialogue with your recruiter who can provide you more specific details for this role. Line of Business: Enterprise Enabling FunctionsJob Description: The Business Analyst III provides analytical and project management support to various corporate and business line strategic initiatives according to established Company procedures and applicable legal and regulatory guidelines. Depth & Scope: - Works independently but receives assistance/coaching from more senior levels - Coaches other team members, as appropriate, within area of expertise - Identifies, develops, and maintains key linkages with business partners including the retail product management, retail distribution, commercial banking, support services and North American business partners such as TD Wealth Management, TD Ameritrade and TD Insurance - Helps senior management by giving insightful and pro-active reporting and analysis and various corporate and business line initiatives - Works with line of business team members/ resource - Resolves issues and problems by conferring with staff, management, other internal departments, outside contacts as necessary - Works cross-functionally as required to drive strategic initiatives and improve processes - Adds financial value to company by analyzing company data to identify and recommend initiatives that positively and materially impact the financial results of the company Preferred Skills: - Analytical mindset with ability to translate business needs into actionable solutions - Experience building and managing offer ecosystems - Strong requirements gathering , documentation and solutioning skills - Cross functional collaboration with IT, Marketing, and business teams - Program experience with Agile, JIRA, and Confluence Education & Experience: - Bachelors degree or progressive work experience in addition to experience below - 3+ Years of related experience - Excellent communication skills - Excellent problem-solving and decision making skills - Exceptional active listening skills - Proven ability to meet deadlines while simultaneously working on multiple projects Physical Requirements: Never: 0%; Occasional: 1-33%; Frequent: 34-66%; Continuous: 67-100% - Domestic Travel – Occasional - International Travel – Never - Performing sedentary work – Continuous - Performing multiple tasks – Continuous - Operating standard office equipment - Continuous - Responding quickly to sounds – Occasional - Sitting – Continuous - Standing – Occasional - Walking – Occasional - Moving safely in confined spaces – Occasional - Lifting/Carrying (under 25 lbs.) – Occasional - Lifting/Carrying (over 25 lbs.) – Never - Squatting – Occasional - Bending – Occasional - Kneeling – Never - Crawling – Never - Climbing – Never - Reaching overhead – Never - Reaching forward – Occasional - Pushing – Never - Pulling – Never - Twisting – Never - Concentrating for long periods of time – Continuous - Applying common sense to deal with problems involving standardized situations – Continuous - Reading, writing and comprehending instructions – Continuous - Adding, subtracting, multiplying and dividing – Continuous The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The listed or specified responsibilities & duties are considered essential functions for ADA purposes. Who We Are: TD is one of the world's leading global financial institutions and is the fifth largest bank in North America by branches/stores. Every day, we strive to make every interaction, product, and experience remarkably human and refreshingly simple for over 27 million households and businesses in Canada, the United States and around the world. More than 95,000 TD colleagues bring their skills, talent, and creativity to foster deeper relationships, ensure disciplined execution, and build a simpler, faster banking experience. TD is deeply committed to being a leader in client experience, that is why we believe that all colleagues, no matter where they work, are client facing. Together, we are reimagining what banking can be for our clients, colleagues and communities. Our Total Rewards Package Our Total Rewards package reflects the investments we make in our colleagues to help them and their families achieve their financial, physical and mental well-being goals. Total Rewards at TD includes base salary and variable compensation/incentive awards (e.g., eligibility for cash and/or equity incentive awards, generally through participation in an incentive plan) and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off (including Vacation PTO, Flex PTO, and Holiday PTO), banking benefits and discounts, career development, and reward and recognition. Learn more Additional Information: We’re delighted that you’re considering building a career with TD. Through regular development conversations, training programs, and a competitive benefits plan, we’re committed to providing the support our colleagues need to thrive both at work and at home. Colleague Development If you’re interested in a specific career path or are looking to build certain skills, we want to help you succeed. You’ll have regular career, development, and performance conversations with your manager, as well as access to an online learning platform and a variety of mentoring programs to help you unlock future opportunities. If you’re passionate about helping clients and building deep, lasting relationships, TD offers diverse career paths where you can grow your expertise and make a meaningful impact. We're committed to your success and foster a respectful workplace where diverse perspectives are valued, everyone has fair opportunities to grow, and you can unlock your full potential to achieve your career goals. Here at TD, we hire and develop the best. Training & Onboarding We will provide training and onboarding sessions to ensure that you’ve got everything you need to succeed in your new role. Interview Process We’ll reach out to candidates of interest to schedule an interview. We do our best to communicate outcomes to all applicants by email or phone call. Accommodation TD Bank is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or any other characteristic protected under applicable federal, state, or local law. If you are an applicant with a disability and need accommodations to complete the application process, please email TD Bank US Workplace Accommodations Program at USWAPTDO@td.com. Include your full name, best way to reach you and the accommodation needed to assist you with the applicant process.

• Under general direction of the Technical Product Manager, the Senior Technical Business Analyst (TBA) will bridge the gap between business needs and technical solutions by gathering, analyzing, and translating business or clinical ambiguity into a well-scoped modeling problem • Work with a product owner mindset, framing the decisions that a model is supposed to impact • Take ownership of the user story backlog to ensure deliverables meet requirements and quality standards • Lead the creation of clear requirement artifacts, serve as primary point of contact for stakeholders, lead testing efforts, work closely with development teams, and help craft executive summaries and demos of new or in-flight work

Role Description We are seeking a Business Analyst (BA) to play a key role in defining, shaping, and validating the requirements for an enterprise‑wide action and approval orchestration platform. The Business Analyst will act as the bridge between business stakeholders and technology teams, ensuring that business needs are clearly translated into scalable, implementable solutions. The ideal candidate has strong experience in process analysis, approval workflows, stakeholder management, and system implementation programs, with a focus on delivering measurable business outcomes. Key Responsibilities - Business Discovery & Requirement Analysis - Work with business stakeholders to understand current approval and decision‑making processes - Identify pain points, inefficiencies, and manual dependencies - Capture functional and non‑functional requirements - Define success metrics and business KPIs - Use Case & Process Definition - Identify and document high‑value approval and action use cases - Define triggers and events, decision points and approvers, timelines and escalation paths - Create clear future‑state (“to‑be”) process flows - Requirements Documentation - Prepare clear and concise documentation, including business requirement documents (BRDs), user stories and acceptance criteria, process flows and decision matrices - Maintain traceability between business requirements and delivered functionality - Stakeholder Engagement & Facilitation - Facilitate workshops and requirement‑gathering sessions - Act as the primary liaison between business teams, product managers, architects, and engineering teams - Manage scope discussions and change requests - Support Design & Development - Validate detailed designs against business requirements - Clarify requirements during development - Support prioritization decisions for MVP vs Phase‑2 - Ensure business logic is correctly implemented - User Acceptance Testing (UAT) Ownership - Lead UAT planning and execution on behalf of the business - Define UAT scenarios and test cases - Coordinate UAT users and sessions - Validate outcomes and manage sign‑off - Track and prioritize business defects - Change Management & Adoption Support - Support communication and training planning - Gather user feedback and adoption insights - Help prepare rollout and go‑live readiness - Support hyper‑care and early stabilization Qualifications - 6+ years of experience as a Business Analyst - Proven experience on enterprise application or platform implementations - Strong background in workflow, approval, or decision‑centric systems Requirements - Core Experience - Business process modeling (As‑Is / To‑Be) - Requirements elicitation and documentation - Use case and user story definition - Data and decision logic analysis - UAT planning and execution - Technical Awareness (Not a Developer Role) - Working knowledge of APIs and system integrations - Event‑driven or workflow‑based systems - Role‑based access and approval logic - Ability to collaborate effectively with architects and engineers - Tools & Methodologies - Agile / Scrum or hybrid delivery models - BPMN / process flow tools - Jira, Confluence, or equivalent tools - Basic reporting and dashboard tools - Soft Skills & Mindset - Strong communication and facilitation skills - Ability to work with senior business stakeholders - Structured thinking and attention to detail - Pragmatic and outcome‑driven approach - Comfortable managing ambiguity in early project phases