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   Current UPMC employees must apply in HR Direct

Clinical Affairs Economics Analyst Intermediate

  • Job ID: 977547175
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: INS Payer Provider
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $28.33 to $47.73 / hour

Description

Manage comprehensive analysis of data and information for various UPMC Health Plan products and programs. Health Economics Analyst will take a leadership role in enhancing, developing, documenting, and communicating identified variances and assessing strategic opportunities. To successfully perform the role, the Health Economics Analyst must be highly professional and understand the causes of financial & clinical trends and anomalies. The Health Economics Analyst must use their knowledge and understanding of financial, clinical, and other information generated by numerous sources to identify opportunities to improve clinical and financial performance. Furthermore, the position requires articulating these opportunities to internal and external audiences, implementing the solutions, and tracking and monitoring 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.

Responsibilities:

  • The quantitative analyst will also become increasingly familiar with basic medical claims terminology to properly interpret, through the application of quantitative analytics, the impact of care delivery and finance on Health Plan performance.
  • Health Economics is a fluid, dynamic, fast-paced environment. The successful employee is comfortable with ambiguity in priorities and can maintain professionalism and a team-player attitude in the face of analytical challenges of moderate-to-high complexity.
  • Independently prioritize and manage 2-to-4 advanced quantitative and/or statistical analytics projects simultaneously, while receiving regular supervision.
  • Routinely analyze financial and clinical results, including output from predictive models.
  • Develop knowledge and expert understanding of all products and benefit designs of UPMC Health Plan insurance offerings, across all lines of business, to facilitate analysis.
  • The HEA? Intermediate will consistently demonstrate a strong customer orientation, producing analyses on time and communicating results effectively.
  • Routinely apply advanced data extraction and manipulation skills, complex analysis methods, statistical analysis, and data visualization tools to daily work.
  • Independently, or in teams, produce a combination of quantitative financial analysis and clinical utilization analysis to produce new insights into drivers of Health Plan performance.
  • Demonstrate attention to detail and initiative in discovering errors in data or analyses, or determining the need for additional, follow-up analysis arising from the original assignment.

 

Qualifications

  • Bachelor's degree in business, mathematics, statistics, health care management, decision sciences, or a similar, quantitative field. Master's degree preferred.
  • Minimum of two-to-four years of work experience in a quantitative job function; five years are preferred.
  • Demonstrated expertise in particularly relevant analytical methods or health care business domain (payer/provider) may reduce time-in-position requirements.
  •  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, or dynamic business models.
  • Demonstrate, beyond the novice level, the application of problem-solving skills in the creation and interpretation of quantitative analyses. Interpret and communicate to management and colleagues, verbally and through written reports, the results of complex, quantitative analysis.
  • Prior experience with financial and/or clinical modeling or data analysis is highly desirable. Prior experience applying analysis methods in the health insurance or health care delivery industries strengthens the application, as does general knowledge of business and economic principles.
  • Experience using SQL, SAS, or R to conduct analysis. Demonstrated application of a similar programming language or analysis tool such as SPSS, STATA, or C++ may also be acceptable.
  • The ability to extract and manipulate data from large, complex data sets with minimal supervision.
  • 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 highly desirable.


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UPMC is an Equal Opportunity Employer/Disability/Veteran

 

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   Current UPMC employees must apply in HR Direct