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Lead, Business Analyst

  • Job ID: 332661798
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: 68010 HPLAN_TOWER JV
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $30.17 to $50.94 / hour

Description

UPMC Health Plan is hiring a full-time Lead, Business Analyst to join the Network Operations team. This is a great opportunity to join an innovative team and take the next step in your health care career. 


This position will work Monday through Friday, standard business hours, with the potential for occasional travel as needed. The team is based in downtown Pittsburgh's US Steel Tower, however, this position has the flexibility to work in the office or from home. 


This position will manage comprehensive analysis of data and information for various UPMCHP products and take a leadership role in the enhancement, development, documentation, and communication of identified variances. To successfully perform the role this person must understand the causes of financial & clinical trends and anomalies. 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 and assume supervisory support as needed. The Lead, Business Analyst must 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.

Responsibilities:

 

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

 

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 is preferred, but those with relevant experience in other industries will be considered. 
  • Experience with SAS, Toad, and Power BI highly preferred.
  • 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 is 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

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   Current UPMC employees must apply in HR Direct