Job Description

Job Title: Senior Director, Population Health Analytics & Reporting
Job ID: 676067
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: Medical Mgmt Admin
Location: 600 Grant St, Pittsburgh PA 15219

Description

UPMC is actively seeking a full time Senior Director, Population Health Analytics and Reporting. This would be a Monday through Friday daylight role located in Pittsburgh, Pa.  We are looking for an individual who has a proven understanding of clinical analytics. As well, they must be able to manage the growth of a new team of business analytics and statisticians. The perfect fit for this role will be eager and excited about this new opportunity!


Responsible for all aspects of the comprehensive analysis, trending and reporting of clinical performance data and information for various UPMCHP clinical services and operations. Oversees a team consisting of Business Analysts, Clinical Outcomes Analysts and Statistician. Senior Director, Clinical Analytics and Reporting takes a leadership role in working with various business unit leaders to understand industry trends, establish key operational and strategic metrics to monitor clinical operating performance, population trends and the medical expenses of its members, development of strategic dashboards and documentation, and the communication of identified variances. To successfully perform this role, the Senior Director must have strong business acumen across all clinical lines of business and understand the root causes of financial & clinical trends and anomalies. The Senior Director, Clinical Analytics and Reporting must use their knowledge and expert understanding of financial, clinical and other information generated by numerous sources to identify opportunities to improve clinical operating, medical expense performance and overall clinical, financial performance, as well as mentor varying levels of employees in the same aspects.

Responsibilities:

  • Creation of stewardship reports for key UPMC clinical performance analytics, clinical initiatives and programs, population trends by geographies, member engagement and related areas.
  • Developing a library of standard analytical reports for internal use and presentation to internal and external customers to support analysis and recommendations.
  • Identification of cost drivers and trends within various lines of business.
  • Identifying trends, investigating variances, and deriving solutions to cost increases and quality issues. Implementing and monitoring effectiveness of analysis and recommendations.
  • Leading the analysis of claims experience, utilization, quality, membership and other statistics for all facets of the UPMC Health Plan resulting in recommendations that improve performance and demonstrate value.
  • Management of special analytical and reporting projects.
  • Monitoring UPMC Health Plan clinical operating performance and medical expense trends for all lines of business (against regional and national benchmarks)
  • Monitoring UPMC clinical operating performance for various lines of business.
  • Monitoring clinical program performance of UPMC network related to access, quality and cost trends and performance in payer provider clinical initiatives.
  • Partnering with subject matter experts in Finance, Operations, Clinical, Pharmacy, Quality, DOHE, LOB Analysts and other areas to develop analyses and recommendations.
  • Supporting development of training / mentoring curriculum that teaches varying levels of analysts how to effectively analyze and present recommendations and demonstrate value.
  • Supporting the UPMC Health Plan through timely and responsive research and analysis.
  • Working with IT, DOHE and Informatics, to establish and maintain effective reporting and user responsive analytic and reporting tools and systems.
  • Working with SACCA and clinical leaders to establish, expense and clinical initiatives budget for the clinical

Qualifications

  • Bachelors degree in business, mathematics, statistics, healthcare, clinical management or related field required
  • Masters degree in these same areas preferred
  • Extensive related experience may be considered
  • Minimum of five years experience in healthcare or related health insurance / Line of business (financial/medical) analysis.
  • Minimum of eight years supervisory/management experience or similar leadership experience required
  • Superior computer skills including Microsoft Access, Microsoft Excel, SAS, Crystal Reports, and other financial & statistical software packages.
  • Strong prioritization and project management skills
  • In-depth knowledge of various clinical and health care management combined with thorough understanding of analysis and presentation, underlying business processes and the ability to assess how process changes impact organizational performance
  • Ability to proactively prioritize time-sensitive requests for information with finite resource.
  • Ability to negotiate effectively with other departments / divisions for knowledge transfer, influence and coach decision makers vis a vis best approaches, interpret results and advise internal customers on underlying trends / potential causes as well as recommended course of action
  • Person must demonstrate a high degree of professionalism, enthusiasm and initiative on a daily basis
  • Ability to work in a fast-paced environment a must
  • Attention to detail is critical to the success of this position, with demonstrated competency in customer orientation and the ability to deal with ambiguity

    Licensure, Certifications, and Clearances:
    UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $0 to $0

Union Position: No

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