Job Description

Job Title: Business Analyst III
Job ID: 11346525
Status: Full-Time
Regular/Temporary: Regular
Hours: Monday thru Friday 9-5
Shift: Day Job
Department: 64082 POP00 Residency Program
Location: 3600 Forbes Ave, Pittsburgh PA 15213


As a Business Analyst III you will manage comprehensive analysis of data and information for various UPMC products.  A Business Analyst III will take a leadership role in the enhancement, development, documentation, and communication of identified variances. To successfully perform the role the Business Analyst III you must understand the causes of financial & clinical trends and anomalies. The Business Analyst III 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.

  • Ability to extract and define relevant information within patient/member or other revenue cycle/business operations data.
  • Monitor patient/member access and utilization data against regional and national benchmarks.
  • Complete complex financial/operational analysis from beginning to end with minimal supervision or direction from supervisor. 
  • Ability to strategize new ways of trending/analyzing data in order to complete analysis.
  • Implement and monitor effectiveness of these solutions.
  • Must carry out all responsibilities with minimal direct supervision.
  • Develop access, utilization and financial/operations reports for forecasting, trending and results analysis.
  • Perform in-depth statistical and qualitative analyses related to the revenue cycle and business operations, particularly, patient/member access data and utilization.  
  • Ability to explain this analysis to a non-technical audience of both internal and external customers, including executive management.
  • Interpret and trend revenue cycle/business operations, access and utilization data.  
  • Take initiative to investigate variances and derive conclusions and solutions from this data.
  • Meet deadlines and turnaround times set by department manager and director. These deadlines and turnaround times will, at times, require the employee to work until project is completed, meaning extended daily work hours, extended work weeks, or both.
  • Responsible for collaborating with the Designated Institutional Officer, the Associate Designated Institutional Officer, the Sr. Vice President of Physician Services, Director of Finance for the Physician Services Division, Legal Counsel, Department Administration
  • Responsible for tracking, analyzing and auditing the billing and reimbursement process for the business unit as well as tracking clinical departmental payments made within the context of GME (i.e. VAMC, hospitals, university).
  • Identify areas for process improvements; design, coordinate and implement improvements to improve the residency and fellowship experience.
  • Assist in the annual salary and benefits survey for benchmarking with other GME programs within the University of Pittsburgh consortium and nationally.
  • Consult with GME Contract Administrators, Residency Program Directors/Coordinators and the Clinical Department Administrators regarding the individual core residency program and fellowship budgets as well as to determine reasonableness of payments and ac
  • Research, revise and review the various external match deadlines, resident and fellow recruitment analysis quarterly in conjunction with the DIO/Sr. VP and GME CAP Committee to ensure compliance with the strategic plan for CAP control moving forward.


  • Bachelors degree in business, mathematics, statistics, health care, management or a related field.
  • Master's degree preferred.  
  • Extensive related experience will be considered. 
  • 4 years experience in financial and/or medical analysis or successful completion of the FMR Program. 
  • Experience in health care insurance or health care industry preferred, but those with relevant experience in other industries will be considered. 
  • Superior computer skills with expert knowledge in Access, Excel, Crystal Reports, and other financial & statistical software packages. 
  • 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. 
  • Possess technical knowledge and expertise in understanding patient access, physician template utilization, healthcare revenues, reimbursement and the correlation to the monthly financial statements.
  • 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.
  • Available to work overtime if required.

Licensure, Certifications, and Clearances:
  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Salary Range: $27.43 to $46.22 / hour

    Union Position: No

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