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   Current UPMC employees must apply in HR Direct

Business Analyst III

  • Job ID: 261790423
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Quality
  • Department: Center Quality Imp-Innov
  • Location: 4601 Baum Boulevard, Pittsburgh PA 15213
  • Union Position: No
  • Salary Range: $27.98 to $47.14 / hour

Description

Join our UPMC Corporate Quality Team as a Business Analyst III!  This regular, full-time position primarily works daylight hours, Monday through Friday.

As a Business Analyst III, you will maintain comprehensive analysis of data and information for various UPMCHP products. You'll take a leadership role in the enhancement, development, documentation, and communication of identified variances. 

To successfully perform the role, the Business Analyst III must understand the causes of financial & clinical trends and anomalies, and 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.

If you're the right candidate for this position, you'll have prior work experience with Excel, SQL, Power BI, Qlik and/or other business intelligence tools.  Apply online today to be considered for the opportunity!

Responsibilities:
  • Ability to extract and define relevant information within patient/member or other 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 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 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.
  • Identify trends in outcomes, utilization, quality, and other areas.  
  • Develop and maintain working relationships with internal UPMC departments, and external contacts as appropriate.
  • Assist in organizing and leading discussions with multi-disciplinary teams, including but not limited to senior management, department/division chiefs, chairs, physicians, etc.
  • Identify current /future data challenges, develop meaningful recommendations, and provide timely updates on issues encountered.

Qualifications

  • Bachelors degree in business, mathematics, statistics, health care, management or a related field.
    • Master's degree preferred. 
  • Four years experience in financial and/or medical analysis or successful completion of the FMR Program. 
    • Extensive related experience will be considered. 
  • 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, SQL, Power BI, Qlik and other financial & statistical software packages preferred. 
  • 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:

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 &emdash; 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.

   Current UPMC employees must apply in HR Direct

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