Job Description

Job Title: Lead, Business Analyst
Job ID: 90660265
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: Quality Improvement
Location: 600 Grant St, Pittsburgh PA 15219

Description

UPMC Health Plan has an exciting opportunity for a Lead Business Analyst to support the analytic needs of its Quality Improvement Department, located in downtown Pittsburgh at the U.S. Steel Tower.


This position must have the ability to produce in-depth reporting and manage comprehensive analysis of data related to Health Plan value- based programs and quality initiatives. Quality of care areas include chronic disease, preventive health, HEDIS and CMS Star measures as well as other quality domains.  The Lead Business Analyst will take a leadership role in the enhancement, development, documentation, and communication of identified variances and assessment of strategic opportunities.  To successfully perform the role, the individual must be highly professional and understand the causes of financial, clinical and quality trends and anomalies.

 

The Lead Business Analyst must use their knowledge and understanding of quality, clinical, financial and other information generated by numerous sources to identify opportunities to improve quality and financial performance. Furthermore, the position requires the ability to articulate these opportunities to internal and external audiences, recommend 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 in order to successfully implement new programs and processes.

 

If required, 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.

 

Responsibilities:


  • 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.
  • Identify trends in expenses, utilization, medical quality, and other areas.
  • Investigate variances and derive solutions to cost increases and quality issues.
  • Implement and monitor effectiveness of these solutions.
  • Perform cost/benefit analysis.
  • 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.
  • Manage routine & special projects which may require oversight of other departments' work and coordination of a wide variety of functions.
  • Oversee and provide guidance to peers and serve as reference point for questions on a day-to-day basis.
  • Prepare and distribute work assignments.
  • Develop and maintain working relationships with internal Health Plan departments, and external contacts as appropriate.
  • Maintain policies and procedures of the team/department.
  • Report staff productivity on a weekly, monthly and quarterly basis.
  • Identify departmental needs and reports to management as appropriate.
  • Perform peer reviews as requested.
  • Coordinate the orientation of new staff members.   

 

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/Disability/Veteran

Salary Range: $29.80 to $50.31 / hour

Union Position: No

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