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AVP, Business Intelligence


The Associate Vice President (AVP), Business Intelligence brings together a diverse set of senior skills and experience, including business intelligence methods, broad-based business and health economics acumen, and insights derived from extensive experience relating to national approaches to business strategies in the healthcare reform era. This role serves as a critical member of the Health Economics leadership team, which continuously transforms the decision support needs of the Insurance Services Division through actionable and impactful analytics. Business intelligence support to the Insurance Services Division CEO and C-Suite executives as primary customers while providing oversight for the execution of advanced analytics support activities led by senior managers and analysts in the Division of Health Economics is a key component of the role. The AVP must demonstrate credibility and thought leadership on multiple, diverse fronts, including but not limited to, the ability to build recognition as a thought leader among clinical, financial, operations, and information technology executive leadership; engage with senior scientists to identify new opportunities for application of scientific methods to provide actionable insight regarding current business issues; conceptualize and execute complex business case analysis and assessments of initiatives proposed by clinical or other business units to support investment decisions, and develop strategic business modeling and simulation activities based on insights derived from extensive healthcare insurance industry/healthcare delivery experience and economic modeling expertise. The ideal candidate will leverage their diverse, senior-level experience to conceptualize and execute complex decision quality economic and scientific analysis to support the CEO and Executive Management team, providing an enhanced business proposition for analytics services.


  • Establish continuous improvement efforts to raise the bar regarding staff ability apply knowledge of the business in day-to-day analytics efforts. Health Economics is a fluid, dynamic, fast-paced environment. The successful AVP will manage ambiguity, prioritize work, and project confidence in the team's ability to succeed in the face of high demand and short turn-around times, building team cohesion and a "can-do" attitude as a result.
  • The AVP will consistently demonstrate a strong customer orientation, ensuring that staff produce analyses on time and communicate results effectively.
  • Effectively mentor and develop DOHE analytical staff with respect to Insurance Services Division operations and relevant business context for analytics efforts.
  • Gather information, analyze and develops strategies concerning dynamics that may affect area of responsibility, such as changes in market conditions and targets of opportunities for new growth, competitor strengths and weaknesses, and continually communicates these strategies internally using updates to written business plans and ongoing business communication.
  • Engage business units across the UPMC Health Plan as needed for the contribution of data (numerical, political, etc.) to support the system dynamics modeling portfolio. Maintain industry-wide perspective on major trends, including macro-economic, customer, regulatory, technology, distribution channel, product and competitive trends; identifies implications for UPMC.
  • Lead and execute financial impact analysis for clinical and other programs by overlaying a business plan-based perspective on financial analysis. Use executive-level experience and ability to influence senior leaders to set expectations for this methodology among Insurance Services departments that create new program initiatives that are subject to DOHE ROI evaluation.
  • Conceptualize, lead, and execute strategic business modeling and simulation projects using advanced industry knowledge and business acumen. Control complex, confidential, and sensitive business and strategic information production critical to the performance and strategic management of UPMC Health Plan.
  • Manage discrete strategic projects with broad oversight from Executive Management. These projects may include internally focused initiatives to improve product performance and would also include externally focused projects to improve UPMC's service delivery system. Serve as primary analytics expert and consultant to UPMC Insurance Services Division executive management for business analyses, models, and simulations that enable C-level decision making at the strategic and tactical levels.
  • Review business processes and develop recommendations for performance monitoring and metrics, which will include benchmarking and creation of metrics. Bring innovative strategic and tactical analytics ideas to the table to grow the value proposition for DOHE within the Insurance Services Division.
  • Conceptualize and execute complex decision quality economic and scientific analysis to support the CEO and Executive Management team. Engage with C-suite executives on a daily basis regarding analytics support for strategic and tactical business decisions.


  • Master's degree in a quantitative discipline that emphasizes applied analysis of complex systems such as Statistics, Decision Science, Economics, Operations Research/Operations Engineering, Applied Mathematics, Health Services Research or related field.
  • PhD highly preferred.
  • Equivalent work experience specifically related to practical application of business intelligence to complex business systems will be considered.
  • Minimum of twelve-to-fifteen years of work experience in a quantitative job function; fifteen years are preferred. Demonstrated expertise in management and application of particularly relevant analytical methods or health care business domain (payer/provider) may reduce time-in-position requirements.
  • Twelve or more years of healthcare insurance industry and/or healthcare delivery industry (preferably both) experience are required.
  • At least five years of prior experience managing a team of advanced analytics professionals, including statisticians, is required.
  • The successful AVP can demonstrate at least twelve years of prior application of analytics methods specifically to health insurance or health care delivery industry data at the expert level.
  • Independently develop complex analysis plans and guide successful execution and interpretation by a team of analytics and statistics professionals.
  • Apply analytical and statistical software tools to produce complex, quantitative analyses of the health insurance industry.
  • Work typically includes the use of statistical analyses, predictive models, and dynamic business models.
  • Have the ability to design consumer-facing dashboards that drive business value.
  • Demonstrate consistent application of strong problem-solving skills in the creation and interpretation of quantitative analyses, and assist the supervisor in development of analysis plans.
  • Interpret and communicate to management and colleagues, verbally and through written reports, the results of complex, quantitative analysis.
  • Recognize and leverage leading-edge analytics techniques used in other industries (e.g., population segmentation, risk analysis, optimization analytics, real-time analytics) and drive application to advance health care analytics.
  • At the expert level routinely conceptualize, design, lead and deliver complex business models and analysis to accurately simulate business needs and strategy.
  • Demonstrate expert industry knowledge and business acumen in a senior leadership role that integrates operations, financial principles, clinical knowledge, and optimization concepts.
  • The ability to apply and incorporate these concepts into decision quality analysis is required.
  • Apply expert understanding of the complex interrelationships between stakeholders (i.e., payers, providers, suppliers, distributors, and patients) within the healthcare industry and the ability to incorporate into analysis how each is impacted by industry changes and new product offerings.
  • Demonstrate extensive, required experience and formalized training in process optimization and modeling.
  • Apply expert knowledge of business and economic principles to conceptualize, lead, produce, interpret, and communicate advanced clinical and financial analyses.
  • Expert-level experience using PowerBI, Tableau, QlikView, or other data tools to conduct analysis, as demonstrated through at least twelve years of application to advanced analytics problems.
  • Application of similar business intelligence or analysis tools may also be acceptable.
  • The expert ability to extract and manipulate data from large, complex data sets, and to be able to supervise similar activities undertaken by junior and senior analysts/statisticians, is required.
  • The expert ability to independently apply multiple analytics, business modeling, and intermediate statistical analysis methods and to oversee similar work performed by direct reports, ensuring high-quality results.
  • The lead AVP will routinely use the most advanced quantitative features of Excel as a lower-level tool to supplement the use of advanced analysis tools.
  • Data visualization experience using software packages such as Tableau or ArcGIS is required and application to work is expected on a regular basis.
  • Ability to effectively manage and develop one or more teams of business intelligence developers, senior economic analysts and business analysts, strategy consultants, and statisticians.
  • Must be able to influence direct reports, peers, and senior leaders (including the C-suite) through effective use of quantitative information and communication.
  • Must delegate work to staff and effectively employ risk management methods in order to ensure high-quality outcomes, staff development, and efficient use of staffing resources.
  • Demonstrate keen awareness of, and ability to effectively manage, internal and external politics and professional relationships to the benefit of Health Economics, the Health Plan, and the UPMC.

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   Current UPMC employees must apply in HR Direct