Job Description

Job Title: Lead, Business Analyst
Job ID: 703959
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: MEDICARE HCC
Location: 600 Grant St, Pittsburgh PA 15219

Description

Purpose:
UPMC Health Plan is actively seeking an Lead Business Analyst to make an immediate impact supporting their Medicare HCC Department!

 

This persons responsibilities may include but are not limited to: Manage comprehensive analysis of data and information for various UPMCHP products. Lead, Business Analyst takes a leadership role in the enhancement, development, documentation, and communication of identified variances. To successfully perform the role the Lead, Business Analyst must understand the causes of financial & clinical trends and anomalies.

 

The Lead, Business Analyst oversees other Business Analysts on a day-to-day basis and provides guidance / assistance as necessary. The Lead, Business Analyst will be responsible for the distribution of work assignments for their team as well as workflow management within their team. Serve as a process expert and provide training and support to other Business Analysis staff as needed. Assume supervisory support as needed.

 

The Lead, Business Analyst must use their knowledge and expert understanding of financial, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial performance. Furthermore, the position requires the ability to articulate these opportunities to internal and external audiences, implement the solutions, and track and monitor progress. These functions must be done while also weighing the practical considerations and potential barriers that need to be overcome to successfully implement new programs and processes.

Responsibilities:

  • Coordinate the orientation of new staff members.
  • Develop and maintain working relationships with internal Health Plan departments, and external contacts as appropriate.
  • Identify departmental needs and reports to management as appropriate.
  • Identify trends in expenses, utilization, medical quality, and other areas.
  • Implement and monitor effectiveness of these solutions.
  • Investigate variances and derive solutions to cost increases and quality issues.
  • Maintain policies and procedures of the team / department.
  • Manage routine & special projects which may require oversight of other departments' work and coordination of a wide variety of functions.
  • 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).
  • Monitor UPMC Health Plan operating performance against regional, national and international benchmarks.
  • Oversee and provide guidance to peers and serve as reference point for questions on day-to-day basis.
  • Perform cost/benefit analysis.
  • Perform peer reviews as requested.
  • Perform statistical analyses, and then be able to explain this analysis to a non-technical audience of both internal and external customers and, at times, senior management.
  • Prepare and distribute work assignments.
  • Report staff productivity on a weekly, monthly and quarterly basis.

Qualifications

  • Advanced degree in business, mathematics, statistics, health care, management or a related field.
  • Extensive related experience will be considered.
  • Minimum of 5 years experience in financial and/or medical analysis,
  • OR successful completion of the Financial Management Rotation program and one year of additional experience.
  • Experience in health care insurance or health care industry preferred, but those with relevant experience in other industries will be considered.
  • Superior computer skills are a given, with expert knowledge in Access, Excel, Crystal Reports, and other financial & statistical software packages.
  • Prior experience leading/ supervising staff essential.
  • Demonstrate a high degree of professionalism, enthusiasm and initiative on a daily basis.
  • Ability to work in a fast-paced environment a must.
  • Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences.
  • Attention to detail is critical to the success of this position, with demonstrated competency in customer orientation and the ability to deal with ambiguity.
  • Excellent planning, communication, documentation, organizational, analytical, and problem solving abilities.
  • Advanced mathematical skills.
  • Ability to interpret and summarize results of various analyses in a timely and meaningful way.
  • Ability to effectively approach problem solving.
  • Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy.
  • Ability to analyze financial & clinical results and to comprehend forecasting models.
  • Knowledge and expert understanding of all products and benefit designs of UPMC Health Plan insurance offerings, across all lines of business.
  • Well-informed and conversant with general business, economic, and clinical matters.

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

Salary Range: $28.37 to $47.88

Union Position: No

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.



Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.

Learn more about working here and check out our policies and recent updates.

Share:
Talent Network