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   Current UPMC employees must apply in HR Direct

Health Services Researcher

Description

The Health Services Researcher is responsible for comprehensive analysis of data and information for various UPMC Health Plan clinical programs. in this position you will take a leadership role in the development and design, enhancement, documentation, and the analysis and evaluation of clinical and other programs. The Health Services Researcher also takes a leadership role in the development and oversight of all clinical evaluation activities including staff development and quality processes related to program evaluation and design. To successfully perform the role, the Health Services Researcher must understand program design and statistical analysis as well as the causes of clinical trends and anomalies in disease management and wellness programs and the evaluation of the financial impact of programs. The Health Services Researcher must also have the ability to translate program goals and objectives into testable hypotheses. This position will report to the Director of HEDIS Production and Quality Analytics. 

The Health Services Researcher will also serve as a process expert and provide training and support to other analysts as needed. The Health Services Researcher has supervisory responsibilities and must have the ability to mentor and develop staff members as well as have direct responsibility for all clinical program evaluation oversight and direction of work for analysts performing evaluation.

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

This position is open to full time remote options for the candidate.

Responsibilities

  • The successful HSR will:
    • Independently prioritize and manage greater than five program evaluations and/or statistical analytics projects simultaneously, while receiving minimal supervision.
    • Design and Perform statistical analyses, and then be able to explain this analysis to a non-technical audience of both internal and external customers including senior management.
    • Serve as expert consultant on outcomes to clinical leadership during program design and planning to ensure rigor and feasibility of evaluation of outcomes.
    • Execute analytic plans for program evaluation, feasibility studies, and research studies as needed; including the creation of testable hypotheses.
    • Produce a combination of quantitative financial analysis and clinical utilization analysis to produce new insights into drivers of program performance.
    • Routinely analyze clinical results, including output from predictive models. 
    • Develop knowledge and expert understanding of all clinical programs and initiative designs of UPMC Health Plan to facilitate analysis.
    • Lead customer-oriented report creation that provide clinical, quality, and financial context for the analysis and recommendations, requiring only minimal revision by the supervisor or analytics communications team.
  • The HSR will work closely with senior clinical executives to scope out strategic projects, independently develop evaluation plans, and lead a team to execute and deliver on those plans.
  • The HSR will consistently demonstrate a strong customer orientation, producing analyses on-time and communicating results effectively.
  • Oversee and supervise the work of clinical evaluation staff and serve as reference point for questions on day-to-day basis
  • Prepare and distributes work assignments to direct reports
  • Manage communication and customer expectations with clinical program team and other customers
  • Performs in accordance with system-wide competencies/behaviors.
  • Preforms other duties as assigned. 

Qualifications

  •  Master's degree in research, policy, epidemiology, health care management, economics, or a similar, quantitative field. PhD preferred.
  • Minimum of eight-to-ten years of work experience in a quantitative job function; ten years are preferred. Demonstrated expertise in particularly-relevant program evaluation and design methods or health care business domain (payer/provider) may reduce time-in-position requirements.
  • Apply analytical and statistical software tools to produce complex, quantitative clinical program analysis.
  • Work typically includes the use of statistical analyses, modeling.
  • Demonstrate consistent application of strong problem solving skills in the creation and interpretation of quantitative analyses, and to lead the development of evaluation plans.
  • Interpret and communicate to management and colleagues, verbally and through written reports, the results of complex, quantitative analysis.
  • Ability to design and plan program evaluations including clinical outcomes analysis and financial (ROI) assessment without supervision is required.
  • Prior experience with clinical modeling or data analysis is required.
  • Demonstrate prior application of analytics methods specifically to health insurance or health care delivery industry data at the intermediate level.
  • General knowledge of business and economic principles strengthens the application.
  • Advanced Analytics Technology Skills
  • Advanced-level experience using SAS or R to conduct analysis.
  • Demonstrated application of a similar programming language or analysis tool such as SPSS, STATA, or Statistica may also be acceptable.
  • The ability to extract and manipulate data from large, complex data sets with only occasional supervision necessary.
  • The ability to independently apply multiple advanced quantitative analytics, business modeling, and intermedia


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UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct