Description
UPMC Health Plan's Medicare Compliance team is seeking a Business Analyst II!
This individual performs analysis of data and information for various UPMC products. Take leadership role in the enhancement, development, documentation, and communication of identified variances. This group is the bridge between all the operational departments of the Health Plan and CMS.
Preferred knowledge: SharePoint, Access and PowerBi
This role is completely remote!
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).
- Perform cost/benefit analysis.
- Identify trends in expenses, utilization, medical quality, and other areas.
- Investigate variances and derive solutions to cost increases and quality issues.
- Perform statistical analyses, and then explain this analysis to a non-technical audience of both internal and external customers and, at times, senior management.
- Manage special projects.
- Monitor business unit operating performance against regional, national and international benchmarks.
Qualifications
- Bachelor's degree in mathematics, statistics, health care, management, or related business field required.
- Master's degree preferred. Extensive related experience will be considered.
- Minimum of two years of related work experience in financial and/or medical analysis required.
- Knowledgeable with SharePoint, Access and PowerBi
- Experience in health care insurance or health care industry preferred.
Licensure, Certifications, and Clearances:
UPMC is an Equal Opportunity Employer/Disability/Veteran
Total Rewards
More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.
Our Values
At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.